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    Application Form For Registration As Authorised Collection Center (ACC)

    Uploaded by

    rohigoyal
    This document is an application form for registration as an Authorised Collection Center (ACC) with Stock Holding Corporation of India Limited. It requests details about the applicant ACC such as name, address, contact information, bank details, and documents to be submitted including memorandum of association, articles of association, partnership deed, PAN card copy, tax exemption certificate if any, TAN number, networth certificate, board resolution, and audited accounts for the last three years. It contains instructions, a declaration, and a section for CRA-Admin use only to verify the application and provide remarks.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form For Registration As Authorised Collection Center (ACC)

    Uploaded by

    rohigoyal
    606 views2 pages
    This document is an application form for registration as an Authorised Collection Center (ACC) with Stock Holding Corporation of India Limited. It requests details about the applicant ACC such as name, address, contact information, bank details, and documents to be submitted including memorandum of association, articles of association, partnership deed, PAN card copy, tax exemption certificate if any, TAN number, networth certificate, board resolution, and audited accounts for the last three years. It contains instructions, a declaration, and a section for CRA-Admin use only to verify the application and provide remarks.

    Original Title

    e_stamping_ACC_Registration_Form (1)

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    This document is an application form for registration as an Authorised Collection Center (ACC) with Stock Holding Corporation of India Limited. It requests details about the applicant ACC such as name, address, contact information, bank details, and documents to be submitted including memorandum of association, articles of association, partnership deed, PAN card copy, tax exemption certificate if any, TAN number, networth certificate, board resolution, and audited accounts for the last three years. It contains instructions, a declaration, and a section for CRA-Admin use only to verify the application and provide remarks.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    606 views2 pages

    Application Form For Registration As Authorised Collection Center (ACC)

    Uploaded by

    rohigoyal
    This document is an application form for registration as an Authorised Collection Center (ACC) with Stock Holding Corporation of India Limited. It requests details about the applicant ACC such as name, address, contact information, bank details, and documents to be submitted including memorandum of association, articles of association, partnership deed, PAN card copy, tax exemption certificate if any, TAN number, networth certificate, board resolution, and audited accounts for the last three years. It contains instructions, a declaration, and a section for CRA-Admin use only to verify the application and provide remarks.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Stock Holding Corporation of India Limited

    Registered office : 301, Centre Point, Dr. Babasaheb Ambedkar Road, Parel, Mumbai – 400012 VER 2.1 271211
    Visit us at : www.shcilestamp.com

    Application Form for Registration as Authorised Collection Center(ACC)

    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 q Registered office q Correspondence office

    Name of the Contact Person for


    e-Stamping 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 Number Whether CBS / RTGS / NEFT compliant q Yes q No

    Name of the Bank

    Address of the Bank (with PIN)

    PIN*

    IFSC (in words)


    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:

    ● Memorandum of Association & Articles of Association / Partnership Deed 

    ● Copy of the Pan Card (Mandatory) 

    ● Tax Exemption Certificate (if any) 

    ● TAN Number 

    ● Networth Certificate 

    ● Copy of the Board Resolution 

    ● 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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