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© TUBEPRODUCTSOFINDIA

Customer Application Form

* - Indicates that Customer must enter this Field

We hope that you have read the terms and condition
and
we believe that you abide the rules.
Name of the Applicant*
Password*
Address(Office) Company Name*
Address*
Line 1*
Line 2
Post (Zip) Code*
Phone No.* [with STD code]
Mobile No.
Pager No.
E-Mail.
Residence Tel.No.
Country*
Address(Works) Line 1
Line 2
Line 3
Line 4
Post (Zip) Code
Country
Phone No. [with STD code]
Status*
Name of the Proprietor / Partners* 1.
2.
3.
Years of Establishment(in YYYY)*
Regd. No.*
Investment / Turnover for the Last Two Years*
Name of the Banker / Address Line 1*
Line 2*
Line 3*
Line 4
Post (Zip) Code*
Country*
Floor space available / Tonnage that could be handled*
Experience in the field (in Years)*
Excise Details TNGST No.
C.S.T No.
E.C.C. Code No.
Excise Division.
Commissionarate.
Excise Range.
Name of reputed customer / client*
Name of person to whom contact to be made for further correspondence
To transact on your behalf*
Other relevant information
Please indicate your interest by Selecting the desired Places*
use ctrl key to select multiple places
Date