Applicant Form Help

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Field Description Remark
New Comer If you have issued another Licence from Govt. of Maharashtra then click No otherwise you are newcomer click Yes -
Firm/company/shop type Please select one of the following proper Firm/company/shop type: Mandatory
Category Please select one of the following Category:Company/Hindu Undivided Family/Proprietary/Partnership Mandatory
Name Enter your company/firm/shop name you can enter up to 99 characters only.and some special character i.e. &.' etc Mandatory
company/firm/shop Office Address
Registered office Address Enter street, path name using characters, numbers and special characters i.e. :./\ \'_")(,- do not enter postal address or village name Mandatory
State select your company/firm/shop Office state name Mandatory
District select your company/firm/shop Office district name Mandatory
Taluka/block select your company/firm/shop Office taluka name Mandatory
City/Village select your company/firm/shop Office City/Village name Mandatory
Pin code Enter only 6 digits pin code Mandatory
Std code Enter Std code up to 10 digits Optional
Phone No Enter Phone No up to 44 digits Optional
Fax No Enter Fax No up to 44 digits Optional
Mobile No Enter 10 digits Mobile No Optional
Email Enter Valid Email address in a format i.e.ex@gmail.com Optional
VAT No Enter your companny/firm/shop VAT No.You can enter up to 30 characters & numbers only Optional
TAN No Enter your companny/firm/shop TAN No.You can enter up to 30 characters & numbers only Optional
Company Reg No Enter your companny/firm/shop Company Reg No.You can enter up to 30 characters & numbers only Optional
PAN No Enter your companny/firm/shop PAN No.You can enter up to 30 characters & numbers only Optional
Applicant Information
Applicants First Name Enter applicants first name and it should contain characters, special symbol (.) and maximum length is up to 30 characters Mandatory
Applicants Middle Name Enter applicants middle name and it should contain characters, special symbol (.) and maximum length is up to 30 characters Optional
Applicants Last Name Enter applicants Last name and it should contain characters, special symbol (.) and maximum length is up to 30 characters Optional
Applicants Age Enter applicants Age and it should contain only Numbers Optional
Applicants Qualification Enter applicants Qualification, and it allows characters and special symbols.() and must be up to 50 characters Optional
Applicants Designation Enter applicants Designation and it allows only characters up to 50 Optional
Applicants PAN No Enter applicants PAN No and it allows characters and numbers up to 30 Optional
Applicants UID No Enter applicants UID No and it allows characters and numbers up to 30 Optional
Same as Company Address If Applicant address is same as Company address, select Same as Company Address.Else select new address and fill it. -
Address Enter street, path name using characters, numbers and special characters i.e. :./\ \'_")(,- do not enter postal address or village name Mandatory
State select your company/firm/shop Office state name Mandatory
District select your company/firm/shop Office district name Mandatory
Taluka/block select your company/firm/shop Office taluka name Mandatory
City/Village select your company/firm/shop Office City/Village name Mandatory
Pin code Enter only 6 digits pin code Mandatory
Authority Select Authority Mandatory
District Select District Mandatory
Are you existing User? Select Yes if you are existing user, else select No -
User name Enter User name and it must be letters, numbers and _ (underscore) only and min 8 and max 15. Mandatory
Password Enter Password & it allows Characters, special symbols, numbers (A-Z,a-z,0-9,!@#$%^&*-_) and min 8 and max 15. Mandatory
Confirm Password Confirm password by entering again Mandatory
Security Code Enter security code as it appears above text box Mandatory