Brand Name
Company/ Firm Name
Designation of Applicant
Address
City
State
(Non-Indian ? Leave it Blank)
Pincode
Phone Number
Email
Please select type of Company ?
Desired Name
(Please mention minimum 2 names)
State
(Non-Indian ? Leave it Blank)
Proposed Capital of company ?
Number of Proposed Director ?
Are Director and Shareholder same?
(Ans in yes or no)
Phone Number
Email
Name of Firm/Company
PAN of the Firm/Company
Name in PAN record, if different from name of the firm
Enter your EID of Adhar Card (12 digit number)
Name as per Aadhar Card
Date of Birth as per Aadhar card
Designation of Aadhar card holder
Mobile number
Email