भारत सरकार
GOVT. OF INDIA
श्रम एवं रोजगार मंत्रालय
MINISTRY OF LABOUR AND EMPLOYMENT
खान सुरक्षा महानिदेशालय
DIRECTORATE GENERAL OF MINES SAFETY
Applicant Registration
Name of The Company
*
Type of Company
*
Select Company
Government
Hindu Undividud Family Concern
Partnership
PSU
Public Ltd
Private Ltd
Private
Date of establishment of business
Applicant Details
Name of The Applicant
*
Designation of Applicant
*
Select Desigantion
Quality Engineering Manager
Asst Manager
Asst. Manager
Director of Overseas Marketing Department
Scientist
Regulatory Engineer
Chief Executive Officer
Professor
Manager Regulatory Affairs
President
Engineer Manager
EXECUTIVE DIRECTOR
ASSOCIATE PROFESSOR
SIL Compliance Manager and Certification Engineer
Principal Scientist
MANAGING PARTNER
MANAGING PARTNER
BW
Manager liaison
Sr. Execurtive
HEAD MANUFACTURING (HIGHWALL MINER)
Accounts
Deputy manager
Sales Manager
MINES MANAGER
Business Development Manager
Senior Approvals Engineer
Deputy Director of Sales
Director General
Deputy Director of Sales
Head of Engineering
Electrical engineer
Mining Engineer
Compliance Analyst
Senior Manager
Capital Sales Manager
Capital Sales Manager
Country Head
Patent and Certification Manager
GENERAL MANAGER
MANAGING DIRECTOR
COO
Safety Officer
Nominated Owner & ED Steel
Executive Board member
Agent
Executive Vice President
CEO
Proprietor
Partner
Owner
Director
Designation Name
*
Address
*
Country
*
Select Country
India
Argentina
Iceland
Afghanistan
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Armenia
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kuwait
Kyrgyzstan
Laos
Aruba
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia
Australia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man (Isle of)
Marshall Islands
Martinique
Mauritania
Austria
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Azerbaijan
Myanmar
Namibia
Nauru
Nepal
Netherlands Antilles
Netherlands The
New Caledonia
New Zealand
Nicaragua
Niger
Bahamas The
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory Occupied
Panama
Bahrain
Papua new Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion
Bangladesh
Romania
Russia
Rwanda
Saint Helena
Saint Kitts And Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent And The Grenadines
Samoa
San Marino
Barbados
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Smaller Territories of the UK
Albania
Belarus
Solomon Islands
Somalia
South Africa
South Georgia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard And Jan Mayen Islands
Belgium
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Belize
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
Benin
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Bermuda
Virgin Islands (US)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Algeria
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
American Samoa
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Andorra
Congo The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire (Ivory Coast)
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Angola
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Anguilla
External Territories of Australia
Falkland Islands
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Antarctica
Gambia The
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Antigua And Barbuda
Guatemala
Guernsey and Alderney
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
State
*
Select State
Andaman and Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttaranchal
West Bengal
City
*
Select City
City Name
*
Pincode
*
Email
*
Mobile No.
*
Contact No.
FAX
Photo of Applicant
*
Upload Image
(Supported Files : .jpg, .jpeg, .png, .bmp Only)
About Company
Same As Applicant Data
Company Address
*
Email
*
Country
*
Select Country
India
Argentina
Iceland
Afghanistan
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Armenia
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kuwait
Kyrgyzstan
Laos
Aruba
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia
Australia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man (Isle of)
Marshall Islands
Martinique
Mauritania
Austria
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Azerbaijan
Myanmar
Namibia
Nauru
Nepal
Netherlands Antilles
Netherlands The
New Caledonia
New Zealand
Nicaragua
Niger
Bahamas The
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory Occupied
Panama
Bahrain
Papua new Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion
Bangladesh
Romania
Russia
Rwanda
Saint Helena
Saint Kitts And Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent And The Grenadines
Samoa
San Marino
Barbados
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Smaller Territories of the UK
Albania
Belarus
Solomon Islands
Somalia
South Africa
South Georgia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard And Jan Mayen Islands
Belgium
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Belize
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
Benin
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Bermuda
Virgin Islands (US)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Algeria
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
American Samoa
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Andorra
Congo The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire (Ivory Coast)
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Angola
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Anguilla
External Territories of Australia
Falkland Islands
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Antarctica
Gambia The
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Antigua And Barbuda
Guatemala
Guernsey and Alderney
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Contact No.
State
*
Select State
Andaman and Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttaranchal
West Bengal
TIN/PAN No.
City
*
Select City
City Name
*
FAX
Pincode
*
Company Logo
Upload Image
(Supported Files : .jpg, .jpeg, .png, .bmp Only)
Mobile No.
*
Details of the Indian Agent
Name Of Indian Agent
*
Email
*
Designation of Indian Agent
*
Select Desigantion of Indian Agent
Head - India Representative
Agent
Agent
Agent & Mine Incharge
Operation & Product Approval Manager
Operation & Product Approval Manager
Operation Manager (Coal)
Chief Executive Officer
ASSOCIATE VICEPRESIDENT
Proprietor
Srinivasa Rao Vallabhaneni
Chartered Engineer
Country Head
General Manager
Owner
Team Lead
Director
Vice President
Technical Lead
Partner
Managing Director
Other Designation
Agent Designation Name
*
Mobile No.
*
Address
*
Contact No.
Country
*
Select Country
India
TIN/PAN No.
State
*
Select State
Andaman and Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttaranchal
West Bengal
FAX
City
*
Select City
City Name
*
Pincode
*
Whether, The CEO/Owner/Proprietor of the manufacturing Foreign firm shall submit along with the application, His written authorization in original to be Indian Agent for the purpose of various follow-up etc., or not.
Authorization Document
*
Upload Files
(Supported Files : .jpg, .jpeg, .png, .doc, .docx, .Pdf, .rtf, .txt, .bmp Only)
Details Of Factory
Same As Company Data
Name of Factory
Email
*
Address
*
Contact No.
Country
*
Select Country
India
Argentina
Iceland
Afghanistan
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Armenia
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kuwait
Kyrgyzstan
Laos
Aruba
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia
Australia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man (Isle of)
Marshall Islands
Martinique
Mauritania
Austria
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Azerbaijan
Myanmar
Namibia
Nauru
Nepal
Netherlands Antilles
Netherlands The
New Caledonia
New Zealand
Nicaragua
Niger
Bahamas The
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory Occupied
Panama
Bahrain
Papua new Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion
Bangladesh
Romania
Russia
Rwanda
Saint Helena
Saint Kitts And Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent And The Grenadines
Samoa
San Marino
Barbados
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Smaller Territories of the UK
Albania
Belarus
Solomon Islands
Somalia
South Africa
South Georgia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard And Jan Mayen Islands
Belgium
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Belize
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
Benin
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Bermuda
Virgin Islands (US)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Algeria
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
American Samoa
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Andorra
Congo The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire (Ivory Coast)
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Angola
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Anguilla
External Territories of Australia
Falkland Islands
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Antarctica
Gambia The
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Antigua And Barbuda
Guatemala
Guernsey and Alderney
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
FAX
State
*
Select State
Andaman and Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttaranchal
West Bengal
City
*
Select City
City Name
*
Pincode
*
Mobile No.
*
Name of Managing Director/Director/Partners, Propritor or Karta
*
Enclose the relevant certificate if any:
Upload Files
(Supported Files : .jpg, .jpeg, .png, .doc, .docx, .Pdf, .rtf, .txt, .bmp Only)
Certificate of Incorporation issued by Registrar of firms or Societies (enclose attested copy of certificate) :
*
Upload File
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OR
Registration number alloted by the State & Director of Industries (enclose attested copy of certificate) :
*
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Signature
*
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Aadhar Number
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Letter Head
*
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