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Loing Image Organization Registration
Please do not use special characters in Name fields of the form.
Organization Details
Name of the Applicant
Date of Incorportaion Type of Organization
PAN No. Email Id (Username) Email Id (Alternate)
GSTIN Enter Verification Code
Registered Address of Organization
Address Line 1
Address Line 2
State/UT District
Pincode
Location
Mobile 1 (+91) Landline 1
Mobile 2 (+91) Landline 2
Details of the Contact Person / Principal Officer / CEO
Title
First Name Middle Name Last Name
Designation Email Id Phone Number
Present Address of the Contact Person / Principal Officer/ CEO
Upload documents of the Contact Person / Principal Officer / CEO
Upload Aadhar card Upload Aadhar card through Digilocker(Mandatory)
Upload Pancard Upload Pancard through Digilocker(Mandatory)
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