JAL SAMRIDDHI PORTAL

REGISTRATION FORM

Note:

All fields marked in * are mandatory.
In case of joint venture, the lead member is required to complete and submit the form

Entity Type ^*

PAN Number ^*

GST Number ^* GST Number

First Name ^*

Middle Name

Last Name

Designation ^*

Email ^*

Alternate Email

Contact Number(Mobile) ^*

+91

Contact Number (Land-Line)

Organization/ Company Name ^*

State^*

Address ^*

PAN Document (PAN PDF)^*

PAN - PDF ^*

GST Document (GST PDF)^* GST Document (GST PDF)

GST - PDF

Business Registration Documents^* Business Registration Documents

Choose File- PDF (e.g.,Certification of Incorporation, Registration of Trusts or Boards or any local authority.)

MoA / AoA (For the existing operator)^* MoA / AoA (For the existing operator)

Choose File- PDF (e.g.,Memorandum of Association / Articles of Association.)

Authorization Letter/ Board Resolutions^* Authorization Letter/ Board Resolutions

Choose- PDF (.e.g., Power of attorney or Authorization Letters or Board Resolutions.)

Joint Venture Documents^*

Choose File- PDF ^* (Note: Upload joint venture documents.)

Password^*

Confirm Password ^*