MCCIA

Date of Commencement

Please select Date.

Starting Capital Rs.

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Email to send acknowledgement

Landline Number

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Fax No.(Optional)

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Mobile Number(Optional)

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Company Address
Address

Geo Location (please paste your company's google map location)

MSME Registration Number

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MSME Registration Date

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Legal Status *

Proprietary

Partnership

Private Limited

Public Limited

LLP

Other

Number of Employees

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Name of the PRODUCT / PROCESS / SERVICES tendered for Award

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Brief Description of product / process / Service (Give details of Product manufacturing in 100 word in attachment)

Please describe briefly the products.

Attahced File (optional)

List of Locations (Business / Manufacturing Units)

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Gross Block Investment

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Plant & Machinery Investment

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Net Block Investment

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Turnover (Sales) for the last three years

Year	Turnover
Year Please enter valid Year.	Turnover Please enter valid Turnover.
Year Please enter valid Year.	Turnover Please enter valid Turnover.
Year Please enter valid Year.	Turnover Please enter valid Turnover.

Profit for the last three years

Year	Profit
Year Please enter valid Year.	Profit Please enter valid Profit.
Year Please enter valid Year.	Profit Please enter valid Profit.
Year Please enter valid Year.	Profit Please enter valid Profit.

Patent Registered

Yes

Awards Recognition (Name of the award Received)

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List of Certification (ISO / Standards / Any Other)

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Write up about yourself / your Company &why you consider yourself for the award

Please enter about yourself / your Company &why you consider yourself for the award.

Late Kiran Natu Udyojakta Puraskar

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