Barcode Registration FormÂ
1. | Name of Company withCorrespondence address (As per GST, to Claim Input Tax Credit) | Â | ||
 | 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) | Â Â | ||
3. | Contact Person For Correspondence: | Â | ||
 | Designation: |  | ||
 | Mobile No.: | |||
 | Email : |  | ||
4 | Name –Chief Executive/MD Mobile No.: Email  : |  | ||
5 | Name-Head IT: Mobile No.: Email: | Â | ||
6 | Name - Head Packagaing / Barcode Implementation (Responsible for Barcode Implementation) | Â | ||
 | Mobile No: |  | ||
 | Email : |  | ||
7 | Turnover of your Company of last Financial year (Rs in Lacs) | Â | ||
 | 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 SSIÂ Â Â Â 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 |