MSME / SSI Registration form

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Request Information

1. Aadhaar Number : Fill 12 digit Aadhaar number issued to the applicant in the appropriate field.
2. Name of Applicant : Fill name of Applicant as mentioned on the Aadhaar Card.
3. Social Category : Select the Social Category of applicant from the given options.
4. Gender : Select the gender from provided option
5. Physically Handicapped : Select the status from provided options
6. Name of Enterprise / Business : Fill the name of Business / Enterprise which will get printed on MSME Certificate.
7. Type of Organization : Select the type of organization from the given options which will get printed on MSME Certificate.
8. PAN: Fill 10 Digit PAN Number in case of Limited Liability Partnership / Co-operative Society / Private Limited / Public Limited. PAN Number is optional in case of Proprietorship Firm / Hindu Undivided Family / Partnership Firm / Self Help Group
9. Location of Plant : Please fill the location address properly
10. Office Address : Please provide office address, if address other than plant location.
11. Mobile No : Fill the correct Mobile Number of Applicant
12. Mail ID : Fill the correct Mail ID of Applicant
13. Date of Commencement of Business : Fill the date of Commencement of Business which will get printed on MSME Certificate.
14. Bank Account Number : Fill the Applicant’s bank account number.
15. Bank IFS Code : Fill the Applicant Bank IFS Code. The IFS code is printed on the Cheque Books.
16. Main Business Activity of Enterprise : Select the Main Business activity from the given options.
17. NIC 2 Digit Code :Select the 2 Digit NIC Code from the given options considering your business activity.
18. Additional details about Business : Fill Additional details about business. (For example – manufacturing of Food Products, Computer programing, Software development)
19. Number of employees : Fill total number of people been employed.
20. Investment in Plant & Machinery / Equipment : Fill the total investment made in Plant, Machinery, and Equipment etc. to start your business.
21. Attachment : Attach scan copy of Aadhaar card (jpg,png file < 200KB)

Request Information

1. Adhaar Number

2. Name of Entrepreneur /Applicant as printed on Aadhaar Card

3. Mobile Number

4. E-mail ID

5. Social Category

6. Gender

7. Physically handicapped

8. Name of Enterprise / Business

9. Type of Organisation

10. Office Address Same As 1st Plant Address

10. PAN

11. Date of Commencement of Business

12. Bank Account Number

13. IFSC Code

14. Main Business Activity of Enterprise

15. NIC 2 Digit Code - Choose primary Business Activity

17. Additional details about Business

18. Number of employees

19. Investment in Plant and Machinery (Amount in Lacs)

20. Attachment : (jpg,png file < 200KB)

(Attach Scan copy of aadhar card) or Update later
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