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Service Request Form

Service Request Form

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Contact
Service Request Form

Kindly furnish the following details along with the services desired from SSL. We shall contact you in due course.

Customer Category

Farmers

Exporters

Lender

Government

Traders

Processors

Importers

Overseas

Co-operative

Others

Name of Commodity for storage

Location for storage:

Quantity in MT (Approximate):

No. of Bags

Likely Date of Deposit

Description

Storage Period:

(Please specify minimum period for storage in Days/Months).Value Added Services Required.

Quality Testing and Certification Services

Pest Management and Fumigation Services

Logistics and transportation

Demat Warehouse Receipt

Warehouse Receipt Financing

Other Services (Please specify if any):

Contact Details
Name of Company/Person:

Address 1:

Address 2:

City:

Postal Code:

State:

Tel. No. [With STD Code]:

Mobile No:

Fax No:

Email Address:

Name of company representative
nominated for the purpose of communication:

Representative Tel. No. [With STD Code]:

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