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Acc Registration Form 28-03-2023

This document is an application form for registration as an Authorized Collection Center (ACC) with Stock Holding Corporation of India Limited. It requests details of the ACC such as name, addresses, contact information, and bank details. It also lists general instructions for completing the form and documents required for submission, such as PAN card, GSTN certificate, and agreement between the ACC and Stock Holding Corporation of India Limited. Upon completion, the form will be reviewed by CRA-Admin for approval and assignment of an ACC code.

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atul kumar
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517 views2 pages

Acc Registration Form 28-03-2023

This document is an application form for registration as an Authorized Collection Center (ACC) with Stock Holding Corporation of India Limited. It requests details of the ACC such as name, addresses, contact information, and bank details. It also lists general instructions for completing the form and documents required for submission, such as PAN card, GSTN certificate, and agreement between the ACC and Stock Holding Corporation of India Limited. Upon completion, the form will be reviewed by CRA-Admin for approval and assignment of an ACC code.

Uploaded by

atul kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Stock Holding Corporation of India Limited

Registered office : 301, Centre Point, Dr. Babasaheb Ambedkar Road, Parel, Mumbai – 400012 Ver 2.2 280323
Visit us at : www.shcilestamp.com

Application Form for Registration as Authorised Collection Center (ACC)


 E-Stamping  E-Registration  E-Court Fee
Date D D M M Y Y Y Y

(To be filled in B L O C K L E T T E R S Only)


DETAILS OF ACC
Name of ACC

Registered Office Address

State PIN

Correspondence Address of
Controlling Branch in the State

State PIN

Telephone No. of Controlling Branch C O D E 1st 2nd

Fax No. of Controlling Branch C O D E 1st 2nd

Company Web Address (URL)

PAN Number

Address Registered in PAN site  Registered office  Correspondence office

Name of the Contact Person for


e-Stamping / e-Registration / e-
Court Fee in Controlling Branch
Correspondence Address

State PIN

Direct Number C O D E 1st 2nd

Fax Number C O D E 1st 2nd

Mobile Number 1st 2nd

E-mail Id

BANK DETAILS
Exact beneficiary name as
appearing in Bank Records

Complete Bank Account Number


(without any truncation)

Type of Account Whether CBS / RTGS / NEFT compliant  Yes  No

Name of the Bank

Address of the Bank (with PIN)

PIN*

IFSC
GENERAL INSTRUCTIONS
Please ensure that:

● The form is filled in ENGLISH in BLOCK LETTERS only.

● You have read the ACC AGREEMENT which contains the terms & conditions before filling up this Application Form.

● All fields are mandatory (*Compulsory). Fields not applicable to you should be mentioned as N.A (Not Applicable)

● Each box, wherever provided, should contain only one character each.

● All requisite details and documents have been provided in order to avoid unnecessary delays and / or rejection of your application.

DECLARATION
I/We understand that the Application Form to act as Authorized Collection Center is subject to approval.
I/We have read and agree to be bound by the Terms and Conditions of SHCIL’s ACC Agreement.

Place :

Date :

Authorised Signatory
(In Black Ink Only)

DOCUMENTS TO BE SUBMITTED

Check list:

● Copy of Pan Card (Mandatory) / Tax Exemption Certificate (if any)

● GSTN Certificate

● Approval by State Government for the entity to act as an ACC

● Agreement between SHCIL & ACC

● Memorandum of Association & Articles of Association / Partnership Deed

● Copy of the Board Resolution

● Networth Certificate

● Audited Accounts for the last three financial years (if available)


FOR USE BY CRA- ADMIN ONLY
I verify that the Application Form is in order

ACC Code :

Checked By :

Employee Code :

Signature :

Date :

Remarks :

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