Applicant Registration

Corporate Details
Select the Region Code Select the Type : Trader  
(In which the Utility/Trader is Located)
Corporate Name * Short Name *
Contact Person Name * Designation *
Office Contact No. * GST Number*
Residence No. Mobile No. *
Email ID* FAX.
TAN Number
Address * Select the State Code

Bank Details
Applicants Name * Name of Bank *
Account Number * IFSC Code *
Address of the Bank * PAN Card Number *
Upload PAN Copy * PAN File Name
Upload CERC Format-VIII * Format-VIII File Name
Upload Bank Details copy * Bank -File Name
Upload Trading License Or Connectivity * (Max size 1 MB) File Name
Utility Name*
Enter Captcha Code *