Online Rebate Management System (ORMS)

Institution Information

Name :*

Email Id :*

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Enter OTP :*

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District :*

Select District Angul Boudh Bolangir Bargarh Balasore Bhadrak Cuttack Deogarh Dhenkanal Ganjam Gajapati Jharsuguda Jajpur Jagatsinghapur Khordha Keonjhar Kalahandi Kandhamal(Phulbani) Koraput Kendrapada Malkangiri Mayurbhanj Nabarangpur Nuapada Nayagarh Puri Rayagada Sambalpur Subarnapur Sundargarh Rourkela OKVIB

GMDIC/RIC Type :*

GMDIC RIC

Aadhaar No.*

PAN No.

GST Registration No.

Address :*

Registration Information

Regd. With ADM/DIC :*

ADM/DIC Regd. No :*

Do you have OKVIB Regd. No ?

Yes

No

OKVIB Regd. No :

Regd. With KVIC :*

KVIC Regd. No :*

Validity Till :*

Bank Details

Bank A/C No :*

A/C Holder Name :*

IFSC Code :*

Name of the Bank/Branch :*

Secretary Information

Name :*

Mobile No :*

Address :*

President Information

Name :*

Mobile No :*

Address :*

Commitee Member List

Name :*

Mobile No :*

Address :

Name	Mobile No	Address	Action