Add Data Entry Form

PECO5
Enterprise Name*

Applicant Detail

Name*
Designation*

   Applicant is As a Owner
Landline No
Mobile No*
Email
Payment Frequency
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Address of Local Office

Plot No/Shop No/ Office No*
Street Name*
Flat/Building Name*
Area*
City*
Taluka*
Office Phone No
Pincode No*
Ward No*
Copy Address of Local Office

Address of Head Office

Plot No/Shop No/ Office No*
Street Name*
Flat/Building Name*
Area*
City*
District*
Taluka *
Pincode No*
Office Phone No
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Business Detail

Shop License No
Business Start Date*
Class of Employer*
Category*
Business Description
GST No
PAN No*
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Owner Detail

No Record Found

Other Detail

No of Employee /Workers
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Bank Detail

Bank Account No*
Bank IFSC Code*
Bank Name*
Bank MICR No
Bank Branch Name*
Bank Account Holder Name*
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Multiple Work Space Detail: (All Branch address)

No Record Found
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Document Upload for EC Registration

(File Type : .jpg/.jpeg/.png/.pdf    And File Size Must Be Less Then 2 MB)

Business Start proof For EC*
Register Certificate
Address proof*
Bank Proof*
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