NLC India Limited
(formerly Neyveli Lignite Corporation Limited)
('Navratna' - A Government of India Enterprise)
Enrollment Form for e-Procurement
Fields marked with (
*
) are mandatory.
Company Name
*
:
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Note:
Company Name is automatically populated from your digital certificate. If it is other than your
Company Name, check that your digital certificate is of type
CLASS III with Organization Name.
Existing NLC Vendor Code
*
:
Company Details
Correspondence Information
Address
*
:
Note:
Please do not type name of your Company, city, state, country and pin/zip code in the address box.
City
*
:
State
*
:
Andaman and Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chattisgarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Dummy
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Puducherry
Punjab
Rajasthan
Sikkim
Tamilnadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
select
Country
*
:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Antilles, Netherlands
Arabia, Saudi
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D-Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor-Leste)
Ecuado
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
European Union
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories - TF
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guerney
Guinea
Haiti
Heard and McDonald Islands
Holland (see Netherlands)
Holy See (Vatican City State)
Honduras
Hong Kong, (China)
Hungary
Iceland
India
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Lao People`s Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Nepal
Netherlands
New Zealand
Nigeria
Norway
Oman
Panama
Paraguay
Peru
Poland
Portugal
Qatar
Romania
Russia
Saudi Arabia
Singapore
Somalia
South Africa
Spain
Sri Lanka
Swaziland
Sweden
Taiwan
Tanzania
Thailand
Tunisia
UAE
USA
Uganda
Ukraine
United Kingdom
Venezuela
Viet Nam
West Indies
Yemen
Yugoslavia
Zambia
Zimbabwe
bangladesh
indonesia
japan
korea
pakistan
PIN/ZIP Code
*
:
Telephone
*
:
FAX No :
Web Site :
E-mail
*
:
Commercial Information
Type of Ownership
*
:
-Select Ownership-
Private LTD
Public LTD
PSU
PSE
Proprietorship
Partnership
Co-operative
Joint Sector
State Govt
Central Govt
Others
NSIC
*
:
Yes
No
Others
MSME
*
:
Yes
No
MICRO
SMALL
MEDIUM
Type of Business
*
:
Manufacturer
Dealer
Distributor
Agent
Others
Does Company supply their products directly:
Yes
No
Others
Whether Proprietor/
Partner(s)/Director(s)
Belongs to
*
:
Scheduled Caste
Scheduled Tribe
Other Backward Class
Others
Women
Pan No
*
:
GST Registration Details
GST STATUS
*
:
-Select-
GST REGISTERED
UNREGISTERED
GST COMPOSITION SCHEME
GST IN NOs.:
Contact Details
Person Information
Name
*
:
Designation :
Email Id
*
:
Telephone No :
Mobile No :
Fax No :
Login Information
UserID
*
:
user id should not be less than 6 characters
Password
*
:
your password should not be less than 6 characters
Confirm Password
*
:
Bank Details
Bank Name
*
:
Branch
*
:
Branch Code
*
:
Account No
*
:
IFSC Code :
Micr No :
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