FORMAT FOR REGISTRATION WITH
MSTC / METAL JUCTION FOR LINKED CONUMERS ,CUSTOMERS, TRADERS AS
WELL AS ANY OTHER CONSUMER TO PARTICIPATE IN e -BOOKINGS FOR BUY COAL & COAL PRODUCTS
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Sole Proprietorship
Partnership
Private/Public Limited company
Govt. Organization
3. BUSINESS ACTIVITY :
Trading
Stockiest / Retailer
Broker
End User
Type of End Users
If linked with BCCL, Linkage No. & date, Consumer code may be mentioned.
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4.
REGISTERED ADDRESS
:
i)
Office
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ii)Factory
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iii)
City :
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iv) State :
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v) Pin
code:
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5. ADDRESS OF BUSINESS ACTIVITY :
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6.CONTACT PERSONS DETAILS
:
NAME |
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DESIGNATION |
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MOBILE
NO. |
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P&T
NO. |
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FAX
NO. |
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E-MAIL
ID |
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WEBSITE
NO. |
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7. NAME OF THE SISTER CONCERN IF ANY :
NAME OF THE
CONCERN |
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BUSINESS
ACTIVITY |
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CONTACT
ADDRESS |
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8 . DEMAND / REQUIREMENT :
SLNO |
TYPE OF
PRODUCT |
GRADE/QTY |
SIZE |
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9. DESTINATIONS/RAKE FIT STATIONS ( In case of rail despatch) in order of preference . Consumers are advised to indicate at
least
three rake stations if they want to draw coal by rail :
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i) City :
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ii) State :
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iii) Pin Code No.
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10. SALES TAX REGISTRATION
No.
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11. PAN
No.
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12. INCOME TAX RETURN
DETAILS:
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13. BANKER’S DETAILS :
Name of the
Bank |
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Branch
address |
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Account
No. |
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Branch
code |
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DD No.___________________ DATE_______
AMOUNT
Rs.___________________
DRAWN ON______________
IN FAVOR
OF ______________________________
DECLARATION BY THE CUSUTOMERS BEFORE PARTICIPATION IN e-Booking
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1. I/we confirm that the information furnished by me/us
in this statement of interest is true and correct to the best of my/our
knowledge and belief. |
Signed &
stamped
Date
________________
Authorized
signatory
Place
_______________
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(FOR INTERNAL USE
OF MSTC/ METALJUNCTION & BCCL ONLY)
Recommendation of services :_______________________________________________________________________
Recommended by : Name ___________ Signature________ Date _______ User ID allocated ________________________________________________
Approved by
____________
Name________
Signature ______
Date
________ Customer group assigned___________________________________________
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