Consumer Registration

Application Number :- 7253326061
Date :- 21-03-2018
Financial Year


Unit Name *:
Authorized Person Name *:
Email *:
User ID :
Password :
Confirm Password :
Type of Unit *:
Category of Unit :

(Only Choose .jpg , .jpeg and .png profile image)

Select SNA *:
Location of Unit
(Full address with PIN):
Recommendation of
State/DIC Ref No :
Annual Coal Requirement (T) :
Please Attach Required Document : (Only PDF file Upload)
Select File Type*:
Valid SSI/Industrial Registration Certificate
No file chosen      
I/We *   as the owner of the firm/partner/authorized representative(s) do here by declare that coal supply taken through State Nominated Agency will be used for own consumption and will not be diverted/resold.

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