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PARTNER REGISTRATION FORM
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Partner Registration Form
Apply Online for Partner Registration Under
PM-Wani Scheme
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Company / Firm Name
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Company / Firm type
Sole Proprietor
Partnership
Private LTD. co.
Public LTD. co./ Unlisted
Registered Address
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Correspondence Address (If different from regd. office)
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City
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Zip/Post code
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State
Rajasthan
Uttar Pradesh
Bihar
Madhya Pradesh
Gujrat
Delhi
Punjab
Chandigarh
Haryana
Maharashtra
Karnataka
Chhatisgarh
Uttaranchal
Himachal Pradesh
West Bengal
Uttarakhand
Andhra pradesh
Jharkhand
Manipur
Kerela
Tamil Nadu
Telangana
Email
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Mobile/Tel
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Date And Place of Incorporation (Please provide a copy of Business Registration or Certificate of Incorporation)
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Present Nature of Business Internet Service Provider-Class of License
A-All India
B-State Level
C-City level
Other
Business Operational Information Income Tax PAN No.
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UIN (Pvt. / Ltd. Co. only)
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GSTIN No. (* Please provide a copy’s)
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Business Owners Information ( Designation )
Proprietor
Primary Partner
Managing Director
Full Name
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Address
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City
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Pin Code
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State
Rajasthan
Uttar Pradesh
Bihar
Madhya Pradesh
Gujrat
Delhi
Punjab
Chandigarh
Haryana
Maharashtra
Karnataka
Chhattisgarh
Uttaranchal
Himachal Pradesh
West Bengal
Uttarakhand
Andhra Pradesh
Jharkhand
Manipur
Kerela
Tamil Nadu
Telangana
Mobile / Tel
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STD
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E-mail
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