JSMDC

NEW BUYER REGISTRATION FORM

Type of Buyer:

Address*:

State*:

District*:

Name of Authorized Person*:

Authorized Person Contact Number*:

Mobile No*:

OTP*:

Self Attested ID Proof: *

ID No:*

Document :

(Image/PDF 2MB Max)

Tax Payer:

Pan Card No:

Pan Card Document:

(Image/PDF 2MB Max)

Sand Delivery Address*:

Name of Buyer*:

(Department/Organization)

Village/Town:

Pin Code*:

Email Id*(Optional):

GST Availability:

GST NO(Optional):

GST Document :

(Image/PDF 2MB Max)

I hereby declare that above information is true to the best of my knowledge and belief. if found incorrect, it shall be punishable as per law. (मैं घोषणा करता हूं कि उपरोक्त्त सूचना मेरी जानकारी एवम विश्वास में सत्य है। असत्य/गलत सिद्ध पाए जाने की स्थिति में नियमानुसार दण्ड का भागी रहूंगा ।)

Uploaded document is duly self attested. (स्वप्रमाणित दस्तावेज़ ही अपलोड किए गए हैं।)

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