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Name of Company ^*

State/UT ^*

District: ^*

Address ^*

City/Town/Tehsil ^*

Postal Code ^*

Website

Other Address

Constitution of the Industry ^*

Total number of Employees ^*

Annual Turnover

Date of Incorporation

Is your industry registered with ESIC? ^*

Yes No

Is your industry registered with EPF? ^*

Yes No

Type of Activity ^*

Industry Category ^*

Industry Type ^*

Industry Description ^*

SSI Registration Number

Em II Registration Number

Are you registered with MSME as a Micro or Small Enterprise?

Yes No

Upload MSME Certificate (jpg,png,pdf upto 2MB)

Are you a Startup?

Yes No

Upload Startup Certificate (jpg,png,pdf upto 2MB)

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