Name of Directors/Partner/Properieter Name of the Firm Name of Authorized Signatory Status of firm Proprietorship/Partner/Pvt. Ltd. GST Registration No. Mailing address Select State--Select--Andhra PradeshArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttarakhandUttar PradeshWest Bengal City Pincode Mobile No. Investment Alternate Number Approx. Turn Over of Company Dealership required for Area Products Presently Marketed by firm No. Of Years In The Field Do you have a godown facility?YesNO Your Message What is 2 + 4 ? Δ
