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Type Of Registration

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General Information
Applicant Name
 
 
Mobile No. *
Email Id *
Aadhaar No *
Date of Birth *
Gender *
Attachment Photo of Applicant (Upload later)
Attachment Signature photo of applicant (Upload later)
Attachment Aadhaar Card Photo (Upload later)
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Residential Address of the Applicant
Address *
Village
Taluka *
State *
 
District *
 
Pin Code *


Details of Organization / Business / Enterprise
Name of the Enterprise / Business *
Type of Enterprise / Business *
Ownership of Premises *
Date of commencement of business *
Total No. of Employee *
Men
Women


Postal address of Enterprise / Business
Address *
Village
Taluka *
State *
District *
Pin Code *
Nature of Business (Short Description Of Business Activity) *
Additional Services