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Industry/Hotel/HCF Name*:	(max 50 characters)
Industry/Hotel/HCF Address*:	(enter industry address)
Plot No./Khasara NO./ Patwari Halka No.:	(enter plot number)
Village/City *:	(enter village/city of industry locality)
District:*	(select district)
Tehsil:*	(enter industry tehsil)
Pin :	(enter PIN of industry address)
Phone Number*	(STD Code - Number)
Fax No. With Code :	(STD Code - Number)
E-Mail Address :	e.g. info@abc.com
Capital Investment (in lakhs)*
Scale of Industry :
Industry Type*:
Category*:
Industry Status:*	(select current status)
Commissioning Month/Year :
Industry Registration/ License/DIC No/Department of tourism registration No./Date/Registered Authority :
Expected Date of Production :

Occupier Name:*	(maximum 50 chars)
Designation :*	(designation of occupant)
Residential Address :	(address, max 100 chars)
Village/City:*	(village/city of address)
District:*	(write district)
Tehsil:*	(select tehsil)
Pin:	(PIN of occupant address)
Phone No. With Code:	(STD Code - Number)
Fax No. With Code :	(STD Code - Number)
Mobile No:*	(occupant mobile no)
E-Mail Address:*	e.g. info@abc.com
Status of Applicant:
Name of Directors/Partner/Proprietor with Contact Details :
Hint Question:*	(select question)
Your Answer:*	(answer of hint question)
Click to generate Password:*	Click here to generate password
Generated Password:*	This is one time password
Do you want to send login Credential in mail?	yes no (Click Yes to email registration details)

Fields marked * are mandatory