New Channel Registration Form

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

Personal Details

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		Correspondance Address

Contact Information

Name		Designation
Phone		Email

Director’s Details

Name		Address
Phone		Email

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