Lease Holder Web Registration
1. Please Select The Office You want to Register and Registration Category
Zone Zone Code Division Division Code: Registration Category *
2. Nature of the Lease Holder
Type Current Business Profile: Partnership firm:
3. Detail of the applicant
Applicant Name - Address* - Photo 
Address proof type Address proof document
Photo ID proof type
Photo ID document
Telephone No - Off : Resi. : Mobile : Fax : Email
Firm's/ Company's/ Society's Name*
Firm's/ Company's/ Society's Address*
Details of Registration of Firm/Company/Society
Certificate No Issuing Authority
Issue Date  DD/MM/YYYY
Bank Account Details
Account No IFSC Code
MICR No. Bank
Bank Branch
4. Detail of Registration of Service Tax/SalesTax/TIN/PAN
Type of Taxes Registration No Issue Date DD/MM/YYYY
Issuing Authority
PAN Card No(Attested Copy attached)
5.Annual turnover of the business of last three years
Financial YearAnnual TurnoverCA NameCA AddressCA Reg NoCA Email ID
Rs. /-
(Optional) Rs. /-
(Optional) Rs. /-
6. Location of premises from where leasing work will be conducted(within office region)
Address Area in sq mts
Property Type Photo  Rent Agreement/Ownership Document 
Whether Lease Holder Have facility of weighment of packages
7. Other Details
Applicant/Tenderer is already registered leaseholder in any Zonal Railway/Divisions
If yes, please attach registration document
Applicant/ Firm or any stake holder has been blacklisted by any division or zonal railway
Whether registration has been cancelled by any zonal railway/division
Whether you have been debarred for fresh registration by any division/zonal railway
Whether any punitive action has been taken by any of the zonal railway/division
Whether any railway's dues are pending against them at any zonal railway/division
8. Person Authorised to deal with Railways
1)  Name  Address  Mobile No  Photo 
2)  Name  Address  Mobile No  Photo 
3)  Name  Address  Mobile No  Photo 
Note: File Attachment limit is 5MB, Allowed files to be uploaded is PDF and JPG
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