Registration Procedure for obtaining GS1 Company Prefix - GS1 India

Registration Form – GLN (Global Location Number)
Details of the Applicant Company (Please type or print in dark ink)
Company details
Name
Correspondence address
Status of the Company :
( e.g:- proprietary , partnership, private limited, public limited etc.)
Country
(India/Nepal/Bhutan)- CMS driven check box
Tel. Nos. with STD Code
E-mail:-
Fax No. -
Web Site address
Name –Chief Executive/MD
Name-Head Finance
Contact details :
Contact Person for Correspondence:
Designation
E-mail :-
Mobile No.
Location Details for which GLN is required
Name of the company &
location
Correspondence Address*
Pin (mandatory)
Tel. Nos. with STD Code
Contact Person for correspondence:*
Designation
Email
Mobile No
Payment details
Option #1: Payment through electronic fund transfer (See note below)
Option #2: Payment by Cheque or DD
DD/Pay Order Number: __________________________________________________________
Dated: _________________________
Drawn on (Bank name): ____________________________________________________
Amount _______________________________
Or
NEFT/UCR Number: __________________________________________________________
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Dated: _________________________
Amount _______________________________
Note :
The DD/Pay Order should be in favour of GS1 India, payable at New Delhi. Registration is subject to realization.
Bank details for electronic fund transfer (NEFT)
Vijaya Bank, Bhikaji Cama Place Branch
Current Account No. – 602000301000218
In the name of GS1 India
NEFT Code: VIJB 0006020
MICR Code: 110029018
Corporation Bank, Bhikaji Cama Place Branch
Current Account No. – CBCA01000783
In the name of GS1 India
NEFT Code: CORP 0000373
MICR Code: 110017008
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