Dealer Profile Creation - APPLICATION FOR GENERATION OF USERID AND PASSWORD
 

PART A : REGISTRATION INFORMATION

VAT Registration Information
VAT Registration Number
 
Dealer Name:
 
Address*
 
PAN Number*
(?)  

CST Registration Information
CST Registration Number
 
Dealer Name:
 
Address*
 

ET Registration Information
ET Registration Number
 
Dealer Name:
 
Address*
 
PAN Number*
(?)  

Professional Tax Registration Information
PTR Registration Number
 
Dealer Name:
 
Address*
 

Electrcity Duty Rule Registration Information
AED Registration Number
 
Dealer Name:
 
Address*
 
PAN Number*
(?)  

PART B : APPLICANT DETAILS

Name of the Applicant*
 
Designation of the Applicant*
 
MobileNo*
 
E-mail Address*
 
Desired User Id*