MSME / Udyam Registration

Application / Service Intake Summary

Enterprise Particulars

Name of Enterprise	{{enterprise_name}}
Type of Organisation	{{organisation_type}}
Major Business Activity	{{business_activity}}
Address of Enterprise	{{business_address}}
NIC Code / Commodity	{{nic_commodity}}
Date of Commencement	{{date_of_commencement}}
Investment in Plant & Machinery (Rs.)	{{investment_plant_machinery}}
Annual Turnover (Rs.)	{{annual_turnover}}
Number of Employees	{{number_of_employees}}

Applicant & Bank Particulars

Applicant Name	{{applicant_name}}
PAN	{{pan}}
Aadhaar Number	{{aadhaar_number}}
Mobile	{{mobile}}
Email	{{email}}
Bank Account Number	{{bank_account_number}}
IFSC	{{ifsc}}
Applicant Location	{{city}}, {{state}}

Documents Submitted

Aadhaar Card — {{aadhaar_card}}
PAN Card — {{pan_card}}
Passport-size Photograph — {{passport_photo}}

Declaration

I, {{name}}, the applicant / authorised signatory of the above-named enterprise, hereby declare that the particulars furnished in this application are true, correct and complete to the best of my knowledge and belief. I authorise the processing of this application for Udyam (MSME) registration on my behalf.

Place: {{place}}
Date: {{application_date}}

_____________________________
Signature of Applicant
{{applicant_name}}

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