Consumer Registration

Application Number :- 1562162455
Date :- 22-02-2017
Financial Year

State

Unit Name *:
 
Authorized Person Name *:
 
Email *:
 
Mobile:
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) :
  
Production Capacity :
S.No.Name of ProductAnnual coal consumption (T)Annual Capacity(T) 
1                Delete
     
Monthly Breakup :
April
    
May
    
June
    
July
    
August
 
September
 
October
    
November
    
December
    
January
    
February
    
March
    
Please Attach Required Document : (Only PDF file Upload)
Select File Type*:
 
 
Income Tax Return for immediately preceding financial year
No file chosen      
Income tax PAN No.
No file chosen     
Valid Sale Tax/VAT Registration Certificate
No file chosen      
Valid SSI/Industrial Registration Certificate
No file chosen      
Certificate from State Pollution Control Board
No file chosen      
Copies of electricity bills for last 3year(if applicable)
No file chosen      
Description of the production for last three years :
S.No.Production(T)Price(Rs)/T 
1           Delete
    
DECLARATION
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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