GRIHA Product Catalogue Expression of Interest Form

Company Code

Previously issued certificate*

Company Name*

Web Address(URL)*

Company Logo*

(only pdf, jpeg, jpg, png files max size upto 5 MB)

Company Brochure

(only pdf, jpeg, jpg, png files)

Company Manufacturing unit's Address

Manufacturing Unit's Address*

Country*

State*

City*

Pincode*

same as Company Manufacturing unit's Address

Company's Registered Address

Company's Registered Address*

Country*

State*

City*

Pincode*

Contact Detail for website display

Title

First Name*

Last Name*

Designation*

Email*

Secondary Email

Country code

Contact Number*

Secondary Contact

same as Contact details for website display.

Contact Detail for correspondence

Title

First Name*

Last Name*

Designation*

Email*

Secondary Email

Enter OTP

Time left :

Country code

Contact Number*

Enter OTP

Time left :

Note: DND service should be deactivated while receiving the OTP.

Expression of Interest form

Type of Registration

Company Code

Previously issued certificate*

Company Name*

Web Address(URL)*

Company Logo*

(only pdf, jpeg, jpg, png files max size upto 5 MB)

Company Brochure

(only pdf, jpeg, jpg, png files)

Company Manufacturing unit's Address

Manufacturing Unit's Address*

Country*

State*

Select country name*

City*

Pincode*

same as Company Manufacturing unit's Address

Company's Registered Address

Company's Registered Address*

Country*

State*

Select country name*

City*

Pincode*

Contact Detail for website display

Title

First Name*

Last Name*

Designation*

Email*

Secondary Email

Country code

Contact Number*

Secondary Contact

same as Contact details for website display.

Contact Detail for correspondence

Title

First Name*

Last Name*

Designation*

Email*

Secondary Email

Enter OTP

Country code

Contact Number*