Service Provider Registration Form
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Service Provider Registration Form
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Fields are mandatory
Organization Details
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Service Provider Category
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Organization
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Year Of Incorporation
-Select-
Internet
Non Telecom
Telecom
-Select-
2024-25
2023-24
2022-23
2021-22
2020-21
2019-20
2018-19
2017-18
2016-17
2015-16
2014-15
2013-14
2012-13
2011-12
2010-11
2009-10
2008-09
2007-08
2006-07
2005-06
2004-05
2003-04
2002-03
2001-02
2000-01
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Official Phone No.
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Fax
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Website
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Registered Office Address
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Pin Code
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TurnOver For Last 3 Years
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GST
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TAN
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Previous Relevant Exp
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Penalized Details
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MOU Date
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MOU With BBMP
(Upload Multiple pages as PDF File)
Yes
No
Authorized Person Details
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First Name
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Middle Name
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Last Name
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Local Address
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Pin Code
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Phone No.
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Designation
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Mobile No.
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Email Id
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Area Of Interest
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Aurhorization Letter
(Upload Multiple pages as PDF File)
Authorized Photo Identity
(Attach Only .jpg,.png,.jpeg)
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