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Enrollment (Form-E1)
Name of Applicant:
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Surname:
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Father Name:
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Age:
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Mobile Number:
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Email:
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PAN Number:
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Aadhaar Number:
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State:
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Select State
Andhra Pradesh
Telangana
Other State
District:
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Select District
Enter State Name:
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Residential Address:
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PIN Code:
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Firm Type:
Please select
Sole Proprietorship
Partnership Firm
Name of the Firm:
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Address of the Firm:
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Applicant's Photo Upload:
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Self Attested Aadhaar:
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Partnership Deed Upload:
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Note:The photo upload file type should be JPG/JPEG with a max size of (1 MB) and the remaining uploads file type should be PDF/JPG/JPEG with a max size of (1 MB).
Disclaimer:
1. I/We am/are not below the age of 21 years.
2. I/We am/are not undischarged insolvent(s) or have not been convicted of offences under the provisions of the AP Excise Act or the Customs Act, 1962 or Narcotic Drugs and Psychotropic Substances Act,1985 (Central Act 61 of 1985) or not convicted under Andhra Pradesh Intoxicating liquors (Prohibition of Advertisements) Act, 1978 or not convicted of non bailable offences or am/are not habitual offenders.
3. I/We am/are not defaulter(s) in the payment of excise revenue to the Government.
4. I/we declare that I/We shall neither allow any benami to submit bid on behalf of me nor shall submit bid on behalf of any other person.
5. I/We have read and understood all the rules made under G.O.MS.No.527 Dt. 13.07.2022 of Revenue (Excise) Department of State Government of Andhra Pradesh , amendments made thereunder and Notifications as uploaded in the "Information to Bidders" tab in the home page of this website and agree to abide by them in letter and spirit.
6. I/We have read and understood all the terms and conditions uploaded in the "Information to Bidders" tab and agree to abide by them in letter and spirit and agree to proceed with the online application for Eauction cum drawl of lots process in this portal.
7. I/We do hereby declare that the information furnished by me/us in this application is true to the best of my/our knowledge and belief. I/We am/are aware that in the event of any information furnished by me/us being found to be false , I/We shall be liable to such action as prescribed by the competent authority as it may deem fit and proper as per AP Excise Act and rules made thereunder.