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Form - Yearly Doman, Server Renewal and servicing Charge

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Total Expenses : Rs 5900/-

Sponsor Present ? * Yes No




[ After Click On Primary Submit Check your Email ID for Final Submission ]

APPLICANT DETAILS

NAME *
DESIGNATION *
MOBILE NO *
E-MAIL ID

DOCUMENTS

File Format - jpg , PDF . File Size - Maximum - 5MB
APPLICANT IDENTITY PROOF *
Any One ( Aadhaar card , Votar Id Card , Pan Card , Driving License )
ADDRESS PROOF OF THE ORGANIZATION *
PAN CARD OF THE ORGANIZATION *

SPONSORED INFORMATION AND FINAL SUBMISSION

Sponsor Present ? * Yes No
IF Yes, GIVE THE SPONSORED USERNAME

ORGANIZATION DETAILS

NAME OF ORGANIZATION *
FULL ADDRESS WITH PIN NO *
FULL ADDRESS 2 (if exist)
MOBILE NO / TELEPHONE NO *
E-MAIL ID
CHOICE MINIMUM THREE WEBSITE *
Exp : www.abcd.com / .co / .co.in / .net.in / .org / .org.in / .ind.in / .gen.in / .firm.in / .bharat

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Mobilizer
Gopal Bera
CEO
Nisha Sarki
Relationship Manager
Jharna Mallick
Caustomer Care Executive
Mousumi Pal
Tele Caller
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Caustomer Care Executive
ANINDITA ROY
IT Co Ordinator
ARPITA CHAKRABORTY BANERJEE
IT Co Ordinator
PRIYA BISWAKARMA
IT Co Ordinator
DEBIKA SUBBA
IT Co-Ordinator

Contact Info

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At-Peerbaba Tower,1st Floor, OT Road, P.O-Inda,P.S-Kharagpur Town, Dist-Paschim Medinipur, State-West Bengal,Pin- 721305

Mail Us

ashadippsc@gmail.com
ashadippublicservicecentre@gmail.com

Call Us

+91 8918726833

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