New Channel Registration Form

Click here to download Excel format of the registration form(please fill and send us to info@sssl.co.in)
* All fields are required




New Channel Partner Registration Form

Company Information

*Company Name:

*Correspondance Address:

*Phone Number:

Postal Code:

Fax:

*City:

Website:

*Country:

*Head Office Address:

Registered Office Address:

Company Data

* Present Legal Status:


*Company Premises:


*No. of employees


*Active customers:


Company Description:

Industry to which applicant belongs

*Date of incorporation:

Company PAN No.:

CST No.:

*TIN No.

Service Tax No.:

Excise Registration No.:

Turnover SSSPL Product:

*Company Turnover:

Contact Information

*Name:

Designation:

*Phone:

*Email:

Director’s Details

*Name:

Address:

*Email

*Phone:

Bank Details

*Bank Name:

Bank Address:

*MICR Code

*Account Number:

Reference Customers-1

*Name of Organization:

*Contact Person:

*Phone:

Email:

Designation:

Other details if any:

Reference Customers-2

Name of Organization:

Contact Person:

*Phone:

Email:

Designation:

Other details if any: