Registration

Type of Entity *

Company Name*

Individual Name*

Add More Directors

Permanent/Registered address *

Correspondence address *

Mobile *

Email Address/Login Email *

Password *

Confirm Password *

Business *

PAN Number *

GSTIN Number *

Fax

Memorandum of Association and Articles of Association of company *

Experience, details of agency in advertisement business for last 3 years, if available; *

Work experience details of each Director of agency; *

Balance sheet of last three years, if available *

Details of Director who have been defaulter in any of the matter while remain Director in any other agency; *

Authorization letter by the Board of Directors (by passing resolution), not by any individual Director for Authorized signatory of agency; *

An undertaking that no amount is pending against it in any of the municipality of Haryana *

Advertisement rights/permission secured in last five years in any municipality of Haryana *

The applicant firm/company has not been blacklisted by any Government entity in the last 3 years. Yes No

The applicant firm/company has no pending dues. Yes No

The applicant firm/company has no court case pending Yes No

Date of Incorporation *

Years of experience *

Annual Turnover(Rs) *

Type of Address Proof *

Address Proof *

Authorised Contact Person*

I/we shall adhere to the terms & conditions of outdoor media byelaws/policy framed by the MCA. I/we confirm that the above information is true to the best of my/ our knowledge. In case there is any discrepancy in the information provided above, the application shall be rejected

Note:
1. The agency, any of its directors, owners or promoters has been debarred from the display of advertisement by any Corporation or Govt. or any agency owned and controlled by the Govt.
2. The agency, its directors, owners or promoters are in arrears of payment of any dues to the Corporation.
3. The Director of the agency or the Director of any company has been debarred from the display of advertisement by any Corporation or Govt. or any agency owned and controlled by the Govt.
4. The authorized signatory of the agency has earlier been the authorized signatory of any company in arrears of payment of any dues the Corporation. In view of above please submit necessary declarations.