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*First Name:

Last Name:

*Password:

*Re-Enter Password:

*Security Question:

If Other:

*Answer:

Customer Company Details

*Company Type:

*Company Name:

Reg.No:

*Address Line 1:

Address Line 2:

Address Line 3:

*Country:

*City:

State:

Zip Code:

*Phone No 1:

Phone No 2:

Fax No:

Cell No:

Website:

Pan/GST/Other Tax No:

VAT/TIN No:

Documents

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Registration. No:

Company Address:

Pan/GST/Other Tax No:

VAT/TIN No:

*GST Applicable:

GST:

Contact Person Details

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*Designation:

*Cell No:

*Email Address:

Skype id (IM):

PassportNo/Social SecurityNo/Driver's License No:

Bank Details

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Bank Account Number:

Bank Address:

Business Details

Business Type
Business%

Wholesalers

Jewellery Mfg

Retailer
(No of Stores)

End User

Other

Total

Other Compliance Information

*Whether compliant with BPP/RJC/ other social/safety/environment standards? (Declaration From Customers/Suppliers)

*Whether compliant with KYC norms?

*Whether compliant with KPCS/ SOW system?

*Known information/evidence about non-conformance with industry practice, legal/social compliances, health/safety/environmental performance

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Geographic Information

Business Destination	Business(%)
NORTH AMERICA
CHINA
HONG KONG
INDIA
OTHER FAR EAST COUNTRIES
AUSTRALIA-NEW ZEALAND
UNITED KINGDOM
EUROPE
MIDDLE EAST
OTHERS
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