Company Details

Company Name

Type of Company

Authorize Person Name

Designation

Authorized Person Email

Authorized Person Email (2)

Authorized Person Email (3)

Reg Office Details

Reg Office room/flat no

Reg Office Building/House name

Reg Office Road name

Reg Office Area/locality

Reg Office Pincode

Check this box if Correspondence Address and Register Address are the same.

Correspondence room/flat no

Correspondence Building/House name

Correspondence office Road name

Correspondence office Area/locality

Correspondence Office Pincode

Landline (mention city code followed by telephone. for eg. 912266331234)

Alternative Landline (mention city code followed by telephone. for eg. 912266331234)

Mobile Number (mention only 10 digit N0. for eg. 9820098200)

Alternative Mobile Number (mention only 10 digit N0. for eg. 9820098200)

Alternative Email Id

Fax Number (mention city code followed by FAX number. for eg. 912266331234

Website Address ( for eg. http://www.bchaa.com )

Numbers of Employee with
Custom passes

Old CHA No
(Registration Number given by local custom House)

New CHA PAN Based No Eg : AACCN3255BCH321

GST No.

MBPT VALIDITY DAT

Parent Custom Station

Member of Association

FFFAI

FIEO

FIATA

MANSA

CSLA

ACAAI

AMTOI

CAI

Terms and Conditions

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