Online Registration

NAME OF THE SECURITY AGENCY

Tick which is applicable:

HEAD OFFICE ADDRESS
ADDRESS
CITY
PIN
STATE
PHONE
MOBILE
EMAIL
BRANCH OFFICE ADDRESS
ADDRESS
CITY
PIN
STATE
PHONE
MOBILE
EMAIL

NAME OF THE PROPRIETOR / MANAGING DIRECTOR / DIRECTORS / PARTNERS:
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NAME
MOBILE

GIVE DETAILS OF BACKGROUND OF MANAGING DIRECTOR / DIRECTORS / PARTNERS LIKE EX-SERVICEMEN,
EX-PARAMILITARY OR EX-POLICE ETC,.FURNISH WITH FULL DETAILS WITH RELATED DOCUMENTS IF ANY.

DOCUMENTS TO BE FURNISHED:
1. PSARA LICENCE NO. & PHOTOCOPY OF THE CERTIFICATE:

2.ODISHA GOVT. LABOUR DEPT. REGISTRATION NO. :

3.ESI / EPF / PAN CARD OF THE AGENCY:

ESI#
EPF#


4.SERVICE TAX REGISTRATION NUMBER:

5.PROFESSIONAL TAX NUMBER:

6.SHOPS & ESTABLISHMENTS REGISTRATION PHOTOCOPY
7.COMPANY / PARTNERSHIP / PROPRIETORSHIP REGISTRATION DETAILS PHOTOCOPY
8.ANY OTHER DETAILS THAT THE APPLICANT AGENCY WOULD LIKE TO FURNISH
Please Note: All the photocopies should be notarized by an authorized Govt. of India notary person only.

TERMS & CONDITIONS

  • Only after satisfactory verification of bonafide of the applicant agency and the above furnished particulars, the application
    for membership will be considered.
  • The decision of the managing Committee of the Association regarding the admissibility of the applicant as member shall be
    final. No dispute or correspondence shall be entertained in this regard nor is the association liable to furnish any reasons for
    rejection of application for membership if so decides.
  •  If any member violates the code of ethics of the association the membership of that agency will be terminated.

DECLARATION

I here by declare that the particulars furnished above are true to the best of my knowledge and belief and I also agree to the
terms & conditions of the association.

Contact Us

Address: Metro satellite city, plot no- 92 & 93 (p) PINCODE-752101

Mobile : +91-7008137472

info@opssa.in

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