Supplier/Indentor Registration Form

MP Laghu Udyog NigameProcurement

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Register New User Account

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User Details

Account Type*

Please select Account Type

Authorized Person Name Designation *

Please Enter Designation Please Enter Authorized Person Name

Mobile No. *

Please Enter Mobile No.

Please Enter Valid Mobile No.

Email*

Please Enter Email

Please Enter valid Email

Department Name *

Please select Department Name

Office Name*

Please select Office Name

Other Office Name *

Please select Indenting Office Name

Website

Please Enter valid Website

Gross Annual Sale*

Please Enter Gross Annual Sale

Registration Date*

Please Enter Registration Date

Business Established Year*

Please Enter Business Established Year

Agency name*

Please Enter Agency name

Pan-Card No. *

Please Enter Pan-Card No.

Not valid Pan Card number !!

Firm Name*

Please Enter Firm Name

GST Number *

Please Enter GST Number

Please enter valid GST No.

Address

Address Line 1*

Please Enter Address Line 1

Address Line 2

District *

Please select District

City/Village*

Please Enter City/Village

Pin Code*

Please Enter Pin Code

Please Enter Valid Pin Code

Factory Address

Address Line 1*

Please Enter Address Line 1

Address Line 2

State*

Please select State

District *

Please select District

City/Village*

Please Enter City/Village

Pin Code*

Please Enter Pin Code

Please Enter Valid Pin Code

Registered Address

Same as Est./Ind. Address

Address Line 1*

Please Enter Address Line 1

Address Line 2

State*

Please select State

District *

Please select District

City/Village*

Please Enter City/Village

Pin Code*

Please Enter Pin Code

Please Enter Valid Pin Code

Address

Address Line 1*

Please Enter Address Line 1

Address Line 2

District *

Please select District

City/Village*

Please Enter City/Village

Pin Code*

Please Enter Pin Code

Please Enter Valid Pin Code

Password *

Please Enter Password

Confirm Password*

Please Enter Confirm Password

Captcha*

Please Enter Captcha