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2018-05-09
Barcode Registration Form

Barcode Registration Form 

1.

Name of Company with

Correspondence address (As per GST, to Claim Input Tax Credit)

 

 

Country:

 

 

Tel. Nos.( Mention STD Code )

 

 

Fax No. –

 

 

Web Site address:

 

 

PAN (Permanent Account Number)

 

 

Date of Incorporation

 

 

VAT / TIN / GST Number

 

2.

Reasons for barcoding :

If buyers requirement (Mention Name of Buyer, their Contact Name &Number)

 

 

3.

Contact Person For Correspondence:

 

 

Designation:

 

 

Mobile No.:

 

Email :

 

4

Name –Chief Executive/MD

Mobile No.:

Email   :

 

5

Name-Head IT:

Mobile No.:

Email:

 

6

Name - Head Packagaing / Barcode Implementation

(Responsible for Barcode Implementation)

 

 

Mobile No:

 

 

Email :

 

7

Turnover of your Company of last

Financial year (Rs in Lacs)

 

 

Would like to receive SMSs on mobiles:

                           Yes / No

8

Total no. of  different products

(SKU’s manufactured / distributed)

 

 

Brand Names owned

 

9

Is your company registered with SSI     If yes provide regn. no.

10

Nature of Business

(Please tick your primary business)

        Manufacturer               Distributor

         Exporter                      Others please specify

11.

DD/ Pay order No.

Dated          

 Rs.

Drawn on:

 

Signature & seal:

 

Name :Designation