Assam Excise Revenue Management System - AdditionalBid RetailerBidding

Raise Application

Select Excise District : *

Please Select Excise District

Select Excise Sub Division : *

Please Select Excise Sub Division

Locality Name : *

Please Enter Locality Name

Applicant Name : *

Please Enter Applicant Name

Mobile Number : *

Please Enter Mobile Number

Previous Challan Date : *

Please Enter Previous Challan Date

Previous Challan Copy : *

Please upload a PDF file

Application Fee : *

Application Fee Can't be Null

Remarks by Applicant : *

Please enter Remarks

Enter One Time Password Please Enter Valid OTP Number

Verification Code *

Get New Code

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