Application Form For Registration of FIRM for Supply of Local Purchase Material
* marks field are mandatory
Details of Registration Form
Please Select Region Type : * Indore RegionUjjain Region
Name of Firm / Company / Contractor : *
Postal Address of Firm :*
House/Plot No. :* Area/Locality :*
State :*  Division :* 
District :* City :*  
Pin Code :*
Full Address :*
CONSTITUTION OF FIRM :*
Type of Ownership :*
Communication Reference of the Company/Firm :*
Name Of Contact Person :* Designation :*
Phone No. [Office] with STD Code : Fax No. [Office] with STD Code :
Mobile No :* E-Mail ID [Firm] :*  
Name Of Representative :*