FAPSIA

Name of the Organization*

Date/Year of establishment*

Address*

Place*

Mobile No*

Office No

Email ID*

Website

Constituency*

Proprietorship

Individual

Partnership

Pvt Ltd Co

Public Ltd Co

Association

Name(s) Proprietor/Partenr/Directors/President or Office bearer as the case may be

Name of the Authorized Person*

Designation*

Photo

Line of Activitity Manufacturing/Service*

Are you an exporter?*

Yes No

EM Part II/SSI/Udyog Aadhar/Registration Certificate