Registration Form

APPLICANT DETAILS

Yes No

I hereby declare that information provided in the online registration form is true to the best of my knowledge and I accept terms, disclaimer, and policies by clicking "Submit" button.


Instructions

1. Name of Business : Enter the name of the business firm/company for which the AD Code required.

2. Constitution of Business : Select the type of firm, the applicant must be applied for the AD Code.

3. Description of business :Describe the nature of business for which an AD code is required.

4. Port Name :Select the port on which you want to generate AD Code

5. Earlier applied for AD Code Registration : Select yes, if you have already obtain AD Code for any port.

6. Authorised Director/Partner’s Name : Name of person who will be authorised to apply AD Code.

7. Contact Number : Enter the applicant's correct 10-digit mobile phone number.

8. Email ID : Enter the applicant's correct email ID.