User Type* Select Usertype FPO Business School Overseas Individual

UDISE (if School)

Name*

Display Name*

Business Name

Email*

Phone Number*

Alternate Phone No.

Place of Supply* Select State Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal Andaman And Nicobar Islands [UT] Chandigarh [UT] Delhi [UT] Jammu And Kashmir [UT] Ladakh [UT] Lakshadweep [UT] Puducherry [UT] The Dadra And Nagar Haveli And Daman And Diu [UT]

GST Treatment* Select GST Treatment Registered Business (Regular) Registered Business (Composition) Unregistered Business Consumer/Individual SEZ Unit Deemed Export

GSTIN [If Registered Business (Regular/Composition)]

PAN [If Registered Business]

PIN Code / ZIP*

State* Andaman And Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Delhi Goa Gujarat Haryana Himachal Pradesh Jammu And Kashmir Jharkhand Karnataka Kerala Ladakh Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana The Dadra And Nagar Haveli And Daman And Diu Tripura Uttar Pradesh Uttarakhand West Bengal

District*

Block / Sub District*