Basic Information

Company Name *

Enter Username (Email ID)*

Establishment Date*

Company TAN No

CIN No

GST No*

Designation *

Contact Person*

Brief Description Of Activities & Products*

Constitution of the Company

What is Constitution of the Company

Proprietor Partnership Private Limited Co. Public Limited Co.

IEC And PAN Information

Import Export Code (IEC):

IEC Issuing Date :

PAN:*

PAN Date:

Whether registered With the Secretariat for industrial Approvals (SSI) or with the Director of Industries or With any other state Authority? If so, state Registration Number & Date

SSI ( Small Scale Industrial License ) or MSME

Whether registered With the Secretariat for industrial Approvals (SIA) or with the Director of Industries or With any other state Authority? If so, state Registration Number & Date

SIA ( Secretariat for Industrial Assistance)

Addresses

Registered Office

Address Line 1*

Address Line 2

Address Line 3

City*

Pin Code*(Don't put space in pin code)

State*

Telephone No*

Fax No

Email* Add More Email(You can add max 3 email ids)

Website

Correspondence Address

Address Line 1* Same As Registered Office address

Address Line 2

Address Line 3

City*

Pin Code*(Don't put space in pin code)

State*

Telephone No*

Fax No

Email*

Add More Factories

Factory Address

Address Line 1 Same As Registered Office address

Address Line 2

Address Line 3

City

Pin Code(Don't put space in pin code)

State*

Telephone No

Fax No

Email

Add More Branches

Branch Address

Address

Address Line 2

Address Line 3

City

Pin Code(Don't put space in pin code)

State*

Telephone No

Fax No

Email

Registration Details

Add More

Director Details

Is Authorized Person

Name Of Director / Owner

PAN No

Address

Telephone No

Mobile No

Enter City

Pin(Don't put space in pin code)

Email

DIN Number

Add More

Contact Person/s

Same As Director

Name Of Contact Person

Designation

Mobile No

Email

Other Information

Type Of Cotton License

Licence No

Select Certificate Category

Certificate No

Valid Upto

Upload Certificate

Annual Turnover of Last three years

Nil Turnover

Year

Total

Period of operation in cotton trade

Manufacturing Capacity

Any other details you wish to mention

Products / HS codes

Products Are Mandatory Please Select Your Products From Below

Remove Selected

Regular supply made of cotton to spinning mills for the last three years

Regular supply made of cotton to spinning mills:

	Sr.No	Name of the Spinning Mill	Capacity of the Spinning Mill	Variety/Grade
	Sr.No	Name of the Spinning Mill	Capacity of the Spinning Mill	Variety/Grade
	1
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Enlist the details of all the ginning & pressing mill units owned/Leased under the Ginner name at the time of registration for the Kasturi Cotton India program

Ginning & Pressing Mill units owned/Leased under the Ginner name:

	Sr.No	Unit	Name & Address of Ginning & Pressing Unit
	1
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Upload Documents

Note - Please upload visible Documents. File format (PDF,JPEG).
Maximum Size is 2 MB.

Summary page

Please verify your information below.

Important: TEXPROCIL reserves the right to accept or reject any application.

I accept the above terms and condition.


	Name:
	Designation:
	Place :
	Date :

Application Form Under Kasturi Cotton India Program

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