Business Associate Registration

Vendor Name *
Vendor Type *
Nature of Business *

Please select your business category








Type of Industry *
Name of Directors/ Partners/ Proprietor*
Date of Commencement of Business*
Address *
State *
City *
Pin Code *
Contact Person *
Designation*
Email ID*
Mobile*
Phone No*
Fax No
Website
ISO Certificate
SSI/NSIC/DGS&D
Factory License Details(for Manufacturers)
Shop & Establishment Certificate details
Labour License details
Provident Fund Certificate details
ESIC Certificate Details

NOTE - Please fill up the above as applicable and submit the same photocopies with self certification to MEPL

PAN *
VAT *
CST *
Service Tax*
Excise (if applicable)
Bank Name *
Branch *
Address *
Phone No *
Type of Account*
A/c Number*
MICR Code No*
RTGS Code No
NEFT Code No
IFS Code No
  I/We hereby confirm that the information given are true to the best of my/our Knowledge