GOVERNMENT OF KERALA

STORES PURCHASE DEPARTMENT, THIRUVANANTHAPURAM

ONLINE APPLICATION FOR REGISTRATION OF FIRMS ON THE APPROVED LIST

Firm Details

Name of Firm * Enter name of the Firm applying for registration

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Date of Commencement * Enter the date on which the firm started

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Whether MSME? * Whether the firm is registered under MSME or not

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Yes

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Working Capital (In Rs.) * Enter the working capital of the firm in numerical figures

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Postal Address

Status * Whether the Firm address is of Head office or Branch Office

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Head Office

Branch

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POSTAL ADDRESS OF BRANCH OFFICE

Address Line 1 * Enter Building No/Name in which the branch office of the firm is functioning

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Address Line 2 Enter the locality of the branch office

Address Line 3 Enter Place/Post Office where branch office is located

Country * Select the Country where the branch office is located

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State * Select the State where the branch office is located

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District

PIN Code * Enter the 6 digit PIN code of the Post office where the branch office is located

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STD Code

Phone Number Enter Phone no. of the branch office

Email ID

Website

POSTAL ADDRESS OF HEAD OFFICE

Address Line 1 * Enter Building No/Name in which the head office of the firm is functioning

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Address Line 2 Enter the locality of the head office

Address Line 3 Enter Place/Post Office where head office is located

Country * Select the Country where the head office is located

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State * Select the State where the head office is located

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District

PIN Code * Enter the 6 digit PIN code of the Post office where the head office is located

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STD Code

Phone Number Enter Phone no. of the head office

Email ID

Website

Applicant Details

Name of Applicant * Enter the name of applicant authorized by the firm

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Position * Enter Position/Designation of the applicant in the firm

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Address Line 1 * Enter the residential House no/Name of the applicant

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Address Line 2 Enter the residential locality of the applicant

Address Line 3 Enter the place/post office of the applicant’s residence

Country * Select the Country where the applicant’s residence is located

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State * Select the State where the applicant is residing

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District

PIN Code * Enter the 6 digit PIN code of the post office where applicant is residing

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Mobile Number Enter the 10 digit mobile number of the applicant

Email ID

Enter the valid email ld of the applicant

Bank Details

Name of Bank * Enter name of the Bank where the firm is having account

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Branch * Enter the branch name of the Bank

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Address Line 1 * Enter Building No/Name where the bank is functioning

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Address Line 2 Enter Locality of the Bank

Address Line 3 Enter the place/post office where the bank branch is located

Country * Select the Country where the bank branch is located

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State * Select the State where the bank branch is located

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District

PIN Code * Enter the 6 digit PIN code of the post office where the bank branch is located

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Mobile Number * Enter the official Mobile no. of the Manager/Officer of the Branch where the firm is having account

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Email ID * Enter the official email Id of the bank branch where the firm is having account

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IFSC * Enter the IFSC code of the Branch

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Whether approved contractor of * Select, if the firm is approved by DGS&D, any of the State Governments in India or by any other authorities

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DGS&D

Any State Govt.

Any other Authority

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Calculated Fee

Total Amount Payable (In Rs.)

Firm Details

Postal Address

Applicant Details

Bank Details

Item Details

Calculated Fee