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Details of the PIA
Name Of The Agency / PIA : *
Type of the PIA :*
Select PIA Type
State Government
State Government Agency
CPSU
SPSU
ICDC
JV
SPV
Details
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PAN :*
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GST Number :
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Registered Office of the PIA
Address :*
Select State
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LADAKH
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUDUCHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
THE DADRA AND NAGAR HAVELI AND DAMAN AND DIU
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
Select District
Email :*
Landline No :
Contact Details of the Organization's Head (PIA)
Name :*
Designation :*
Email :*
Landline No:
Contact Person of the PIA
Name :*
Designation :*
Mobile No. :*
Alternate Mobile No. :*
Email :*
Landline No :
Captcha :*
The information furnished above is correct and final. I understand that this information can’t be changed further in the Application.
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Confirmation
Your PAN Number will be used as user id for login in system.
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