The Pollution Control Board has
been established as a regulatory
authority for implementing various pollution
control laws. |
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INDUSTRY
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Industry Name/Department Name:
Name of HCE : *
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(max 50
characters) |
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Type:* Type Of HCE:* |
(enter other industry type name, max 250 characters)
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Category:* |
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Specialization
*: |
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Extra Facilities if Any
*: |
Pathological Laboratory
Clinic
Blood Test
Dispensary
Any other
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Address:*
Address:* |
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District:* |
(select district) |
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Block / Tehsil:* |
(enter industry Block)
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Pin : |
(enter PIN of
industry address) |
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Phone Number:* |
(STD Code - Number) |
| Occupier
Name:* |
(maximum 50 chars) |
| Mobile
No:* |
(occupant
mobile no) |
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E-Mail Address:* |
e.g.
info@abc.com
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| Status of Applicant: |
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| Hint
Question:* |
(select question)
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| Your
Answer:* |
(answer
of hint question) |
| Click
to generate Password:* |
Click here to generate password |
| Generated
Password:* |
This is one
time password |
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Do you want to send login Credential in mail? |
yes no (Click Yes to email registration
details) |
Document,
if any:
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(.pdf,.jpg,.jpeg,.gif
max of 2MB in size) |
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Fields marked * are mandatory |
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