LMPC Registration Form

Details of Organizational setup *

Name of Legal Entity *

Upload Authorization Letter *
Upload Scanned PDF of Authorization Letter here not exceeding 1 MB in size

Name of Authorized Signatory *

Upload Scanned Passport Size Photo *
Upload Scanned Passport Size Photo of Authorized person in JPEG Format only not exceeding 1 MB in size

Authorized Person Designation *

Father/Husband Name *

Date Of Birth *

Registered Mobile No to be used for Application (SMS Alerts) *

Residential Address *

Upload PDF of Adhaar Card *
Upload Self-Attested Scanned PDF of Adhaar Card not exceeding 1 MB in size

OTHER DIRECTORS/PARTNERS DETAILS

Type of Registration* *

ITEMS

Product Name *

Upload Photos of Product & its Packaging *
Upload the High Resolution Photographs of the Product & its Packaging in JPEG Format Only not exceeding 1 MB in size here, separate for each product & packaging slip

Model Name or Mode No. / Item Name or Item No.

Upload Test Reports/Calibration certificate
In case of Engineering or Measurement Equipments pls upload the PDF scanned copy of the Test Reports/Calibration certificate not exceeding 1 MB in size

8 Digit ITC (HS) Code *

MRP. *

Net Quantity *

Imported By *

Address *

Imported on *

Customer Care Address

Customer Care No.

Email ID

Country of Origin *

Distribution of the commodities for sale is for* *

Name of Establishment *

Is there any Manager/Authorised Person for Establishment

Name *

Designation *

Father/Husband Name *

Date Of Birth *

Communications Address *

Upload Importer Exporter Code (IEC) License *
Upload Self-attested copy of the Importer Exporter Code (IEC) License here in PDF not exceeding 1 MB

Registered Address

Warehouse/Godown Address

Factory Licence Number

Factory Licence Date

Upload PDF of Factory License
Upload Self-Attested Scanned PDF of Factory License not exceeding 1 MB in size

Trade Licence Number

Trade Licence Date

Upload PDF of Trade License
Upload Self-Attested Scanned PDF of Trade License not exceeding 1 MB in size

Note-Licence for trade / manufacture / Factory. In case the Trade/Factory licence is not available with the applicant, an undertaking in the form of affidavit is to be submitted that the business premises is not located in non-conforming area and / or is not likely to be sealed by the Local Municipal Body or relocated. Pls Download the Word Affidavit Format and Print it on a Rs 100 Stamp Paper and Sign it on all the pages with Company Seal

GST Number/ PAN Number *

Upload PDF of GST Regn *
Upload Self-Attested Scanned PDF of GST Regn not exceeding 1 MB in size

BIS/FSSAI License No

Upload PDF of BIS/FSSAI License
Upload Self-Attested Scanned PDF of BIS/FSSAI License not exceeding 1 MB in size. BIS/FSSAI is Optional. Company having them are only supposed to upload them with respective BIS/FSSAI License Number.

Scanned Signature of the Authorized Personnel in JPEG Format Only *
The File size should not exceed 100Kb