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Registration of Dealer/ Distributor/ Importer/ Manufacturer/ Refurbisher/ Retailer/ Service & Repair
General Information
Registration Date (dd/MM/yyyy)
06/12/2023
State
*
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LADAKH
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUDUCHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
THE DADRA AND NAGAR HAVELI AND DAMAN AND DIU
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
District
*
Select
AJMER
ALWAR
BANSWARA
BARAN
BARMER
BHARATPUR
BHILWARA
BIKANER
BUNDI
CHITTORGARH
CHURU
DAUSA
DHOLPUR
DUNGARPUR
GANGANAGAR
HANUMANGARH
JAIPUR I
JAIPUR II
JAISALMER
JALORE
JHALAWAR
JHUNJHUNU
JODHPUR
KARAULI
KOTA
NAGAUR
PALI
PRATAPGARH
RAJSAMAND
SAWAI MADHOPUR
SIKAR
SIROHI
TONK
UDAIPUR
Type of Vendor :
Manufacturer
Importer
Dealer
Retailer
Distributor
Service & Repair
Refurbisher
Authorised By :
(Name of company for which applicant shall deal under this registration)
Select
ABX
DEMO DEALER
D-KIT MEDIA PRIVATE LIMITED
FIREFLY FIRE PUMPS PVT LTD
Fujifilm Sonosite India Pvt. Ltd.
Konica Minolta Healthcare Pvt. Ltd.
KPI Healthcare India Pvt. Ltd.
M/S SS MEDICAL SYSTEMS (I) PVT. LTD.
Philips India Ltd.
PREMASHA ENTERPRISE
RINSE WATER TECHNOLOGY
S.S.L
S.S.L
Siemens Healthcare Pvt. Ltd.
SUNPOLY TARP OVERSEAS PVT. LTD.
TATM GTC
TEST
Trivitron Healthcare Pvt. Ltd.
Wipro GE Health Care Pvt. Ltd.
Name
*
(Indicate Name of the Organization/Individual Seeking Registration)
Mobile No.
*
Telephone No.
Email
*
Official Address
*
Other Office/Factory Address
Type of Ownership
*
Individual
Partnership
Company
Co-Operative
Services Available
*
Sale
Buyback
Purchase
Refurbisher
Maintenance
Service
Repairer
Addresses of All the billing centres
Declarant Details
Name of Authorised Person
*
Son of
Daughter of
Wife of
*
Age
*
Resident of
*
Working as (Indicate Designation)
*
Place
*
Security Code
*
गर्भधारण पूर्व या बाद लिंग चयन या भ्रूण के लिंग चयन या भ्रूण के लिंग का पता लगाना दण्डनीय अपराध है । लिंग परीक्षण की शिकायत Whatsapp No. - 9799997795 व 104/108 पर दर्ज की जा सकती है ।
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