MixStep1

08^th – 13^th December 2021

India Exposition Mart Limited,
Plot No. 25,27,28,29,
Greater Noida, India

Organiser

MIX EXHIBITOR REGISTRATION - Step 1

Step 1: Name and full address of the company (for entry in the Exhibition Catalogue & Correspondence)

* Person in charge (First Name)

* Last Name

* Designation

* Company Name

FASCIA NAME (Shell Scheme Only)

* Address Line 1

Address Line 2

* Pincode

* City

*State

*Country

*Mobile 1

Mobile 2

Telephone No.

*Primary Email ID

Secondary Email ID

Website

Billing Address Same as Correspondence Details

*Billing (First Name)

*Last Name

*Designation

*Name of the Company

*Address Line 1

Address Line 2

*Pincode

*City

*State

*Country

*Mobile 1

Mobile 2

Telephone No.

* Primary Email ID

Secondary Email ID

Website

Company Information

Company Registration No.

* Pan Card No.

* Pan card Name

* GST Number

* Status

* Other Company Status

Tan Number

UIN Number

(Kindly fill the Bank Details in the below format to get the Security Deposit & other refunds if any. Please note that the refund will be credited to this account only.)

* Account Name

* Account No

*Account Type

* Other Account

*Bank Name

*Branch Name

*IFSC/SWIFT Code

Upload Cancelled Cheque

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