Gift City - Card Management

1.Entity Details

2.Authorized Person

3.Verify And Submit

Entity Details:

Entity Category: *

Application No (From LOA Form G):

Constitution of Business: *

Other Constitution:

Registration Number:

Permanent Account Number (PAN) : *

Email Address: *

Company Name: *

Entity Tower Name in SEZ: *

Country: *

State: *

City: *

Pin Code: *

Primary Authorized Signature Of Entity

First Name: *

Last Name: *

Gender: *

Male Female Other

Mobile Number: *

Upload Document (Company's Authorize letter and ID proof of authorize person): *

Drop file here or click to upload.

Only image or pdf file is allowed for upload

Designation/Status: *

Mobile Number Of Contact Person: *

Upload Signature: *

Drop file here or click to upload.

Only image file is allowed for upload

Verifications

I hereby Solemnly affirm and declare that the information given herein above is true and correct to the best of my knowledge and belief and nothing has concealed therefrom.

Name of Authorized Signatory: *

Place: *

Designation/Status

Date
29/05/2026