Registration Form GS1 Company Prefix

Please type or print in dark ink

1. Name of Company with
Correspondence address
MELANGE EXPORT
E!"#$ Nirman Na%ar
A&mer Road$ 'aip(r!)*"*1+
Co(ntry, -N.-A
Te/. Nos.0 Mention T. Code 1 *121!"31"+41561222*#
7a8 No. 9
:e; ite address,
www.me/an%ee8ports.com
". Reasons for ;arcodin% ,
-f ;(yers re<(irement 0Mention Name of
=(yer$ their Contact Name > N(m;er1
?PC re<(ired ;y Ama@on.com to se// prod(ct in ? marAet
p/ace
). Contact Person 7or Correspondence, Mr. Bai;haC Mishra
.esi%nation, Techno/o%y Partner
Mo;i/e No., D+1 +311#)4###
Emai/ , Cai;haCEsara/we;.com
2 Name 9 Chief E8ec(tiCeFM.
Mo;i/e No.,
Emai/ ,
Mrs. Namrata 'ain FRaAesh Ghande/wa/
D+1 +24"#31*41
infoECardhmancarpets.com
6 Name!Head -T,
Mo;i/e No.,
Emai/,
Mr. Ganesh aini
Mo;i/e, D+1 +)12#*"1)4
Emai/, infoECardhmancarpets.com
4 Name ! Head PacAa%ain% F =arcode
-mp/ementation
0Responsi;/e for =arcode -mp/ementation1
NFA
Mo;i/e No,
NFA
Emai/ ,
NFA
# T(rnoCer of yo(r Company of /ast
7inancia/ year 0Rs in Lacs1
NFA
:o(/d /iAe to receiCe Ms on mo;i/es, Ies No
3 Tota/ no. of different prod(cts
0G?Js man(fact(red F distri;(ted1
1**
=rand Names owned MELANGE
+ -s yo(r company re%istered with - -f yes proCide re%n. no.*3*1""1146#*
1* Nat(re of =(siness
0P/ease ticA yo(r primary ;(siness1
Man(fact(rer .istri;(tor
E8porter Others p/ease specify
11. ..F Pay order No. .ated Rs. .rawn on,
:e haCe %one thro(%h the Terms > Conditions for (se of G1 Company Prefi8 and a%ree to a;ide ;y them.
i%nat(re > sea/,
Name , .esi%nation
Pa%e 1 of 6
PRODUCT CLSS!F!CT!O"
0P/ease encirc/eFhi%h/i%ht yo(r prod(ct cate%ory1
Food and #e$erages Textile% &lot'ing and foot(ear
Prod)&t Category S)# Category Prod)&t Category S)# Category
7/o(r and re/ated prod(cts :heat f/o(r Te8ti/es 0Cotton1 Cotton te8ti/es
Rice f/o(r Te8ti/es 0i/A1 i/A te8ti/es
Other cerea/ f/o(r Te8ti/es 0ynthetic > rayon1 ynthetic > rayon te8ti/es
Non a/coho/ic ;eCera%es Aerated drinAs Te8ti/e fi;erFyarn Cotton fi;er
=ott/ed water Cotton yarn
7r(it &(ices ynthetic > rayon fi;er
7/aCored syr(ps ynthetic > rayon yarn
Others Others
A/coho/ic ;eCera%es :hisAy Home f(rnishin%s ?pho/stery
R(m Linen
=eer Made!(p
Gin Others
:ine Garments Readymade
Others ports wear
Coffee -nstant coffee Others
Gran(/ar coffee Hand/ooms A// hand/oom prod(cts
Others Hosiery Hosiery items for c/othin%
Tea PacAed tea Carpets and r(%s woo/en carpets
Open CTC tea ynthetic carpets
Tea ;a%s R(%s
Other Others
(%ar Processed and pacAa%ed s(%ar '(te A// &(te prod(cts
'a%%ery Leather Raw hides
Others emi!finished and finished /eather
pices PacAa%ed spices Others
Others Leather prod(cts Leather %arments
Cerea/s =asmati rice Leather accessories
Non!;asmati rice add/ery prod(cts
:heat Others
Preparations from cerea/s C/othin% accessories A// c/othin% accessories
Other cerea/s 7ootwear Leather
Edi;/e oi/s > %hee
=(tter oi/ R(;;er
Be%eta;/e oi/s P/astic
Others ports
.airy prod(cts Cheese Others
=(tter CanCas and its prod(cts CanCas
Mi/A CanCas prod(cts
Mi/A powder Others
-ce creams ports %oods ports e<(ipment
Pa%e 2 of 6
Others ports accessories
P(/ses A// pacAa%ed p(/ses Others
Confectionery > snacA foods =read and ;aAery prod(cts Others Others
CaAes and pastries C'emi&al and allied prod)&ts
nacA 7oods 0NamAeen$ etc.1 Prod)&t Category S)# Category
Choco/ate and cocoa prod(cts =asic chemica/s =asic chemica/s ! inor%anic
=asic chemica/s ! or%anic
Others
weets .yest(ffs > pi%ments ynthetic
Others -nor%anic
7resh fr(its > Ce%eta;/es 7resh man%oes Or%anic
7resh %rapes Others
:a/n(ts Pharmace(tica/s =(/A dr(%s
Other fresh fr(its 7orm(/ations
fresh onions .r(% intermediates > chemica/s
Other fresh Ce%eta;/es Homeopathic prod(cts
Others Ay(rCeda prod(cts
Other processed foods .ried and preserCed Ce%eta;/es Others
PicA/es and ch(tney Petro/e(m prod(cts /(;ricants
Man%o p(/p Grease
Other processed fr(its and
Ce%eta;/es En%ine oi/
Other Others
Meat prod(cts Raw meat Hea/thcare prod(cts N(tritiona/ foods
Processed meat > meat prod(cts Others
Anima/ casin%s Cosmetics Ain care
Others Hair care
.ry 7r(its Cashew .eodorants
A/monds Powders
Others Creams
Marine prod(cts 7resh Lotions
7ro@en LipsticAs
Canned Others
Others Paints and a//ied prod(cts Paints
7/oric(/t(re and eeds C(t f/owers Barnishes
7r(it and Ce%eta;/e seeds Lac<(ers
Others :a// coCerin%s
Po(/try prod(cts Po(/try /iCe Po/ish
=roi/ers Others
E%%s Toi/etries oaps
Others .eter%ents
Pet food Pet foods Tiss(e papers
Others Others haCin% prod(cts
*a&'inery% e+)ipment and information te&'nology Other c/eansin% prod(cts
Prod)&t Category S)# Category P/astics > resin Po/ymers in primary form
A(tomotiCe components$
Accessories > pares E/ectrica/ T(;es$ pipes > fittin%s
Mechanica/ 7/oor coCerin%s
Pa%e 3 of 6
E/ectronic
Artic/e for conCeyance and
pacAa%in% of %oods
Others Other p/astic prod(cts
Cons(mer .(ra;/es Gitchen App/iances -nd(stria/ %ases -nd(stria/ %ases
Home App/iances =atteries tora%e ;atteries
Entertainment 0T.B.$ Bideo etc.1 Others
Refri%eration and air!conditionin% R(;;er and prod(cts Tyres
Others R(;;er Prod(cts
E/ectrica/ e<(ipment E/ectric %eneratin% sets Others
E/ectro ma%nets Cement Cement
E/ectrica/ app/iances Cement Prod(cts
E/ectrica/ motors Others
Primary ce//s and primary ;atteries G/assFOphtha/mic prod(cts 7/oat %/ass
A(dio and Cideo e<(ipment Mirrors
Transformers Lenses
-nCertor and ?P systems Others
Others Matches > E8p/osiCes
A// types of Matches and
e8p/osiCes
E/ectronic components
Capacitors
7erti/i@ersFPesticidesF7(n%ici
des 7erti/i@ers
Transistors Pesticides
PC=s 7(n%icides
7(ses$ re/ays Others
Resistors Misce//aneo(s Others
Micro motors Printing% p)#lis'ing and pa&kaging
Others Prod)&t Category S)# Category
Hand too/s Hand too/s Paper and paper prod(cts Newsprint
C(ttin% too/s Other than newsprint paper
Power ! driCen too/s 0so/derin% etc.1 Coated paper
E/ectrica/ fittin%s and
accessories E/ectrica/ ca;/es Paper prod(cts
E/ectrica/ accessories Others
E/ectrica/ fittin%s tationery Office s(pp/ies
Li%htin% e<(ipment 0Lamps > ;(/;s
etc.1 Others
Others =ooAs =ooAs
En%ineerin% instr(ments 7/ow contro/ instr(ments PacAa%in% materia/$ prod(cts Card;oard cartons
Press(re contro/ instr(ments P/astic prod(cts
NaCi%ation instr(ments .r(ms
Aerona(tica/ instr(ments :ooden ;o8es and crates
Precision contro/ instr(ments 7oi/
Meas(rin% instr(ments 7/e8i;/e pacAa%in% materia/
Others Others
Te/ecom prod(cts witchin% systems Greetin% Cards Greetin% cards
Transmission e<(ipments Newspapers > periodica/s Newspapers
Termina/ e<(ipments Periodica/s
=roadcastin% e<(ipments :ritin% instr(ments :ritin% -nstr(ments
Te/ecom accessories and a//ied
prod(cts Others Others
Pa%e 4 of 6
Others *is&ellaneo)s
Medica/ e<(ipment (r%ica/ e<(ipment and app/iances Prod)&t Category S)# Category
Medica/ dia%nostic e<(ipment =(i/din% materia/s anitary ware
Medica/ disposa;/es and
cons(ma;/es Ceramic ti/es
.enta/ care e<(ipment Granite and nat(ra/ stones
Ophtha/mic care e<(ipment Others
Others =rassware
A// items of ;rass inc/(din%
decoratiCe items
?tensi/s$ c(t/ery > other Aitchen
items C(t/ery -ron hardware -ron hardware prod(cts
?tensi/s To;acco prod(cts Chewin% to;acco
Others n(ff to;acco
Office a(tomation prod(cts 7a8 machines Ci%arettes
Photocopiers Ci%ars
Others =id is
Comp(ter software Comp(ter software prod(cts Others
Comp(ters and accessories Comp(ters Perf(mery prod(cts -ncense sticAs
Printers Perf(mes
Modems Others
canners and C. writers P/ywood > Tim;er P/ywood
Others Tim;er prod(cts
C.KsFtapes 0a(dioFCideo1
Prerecorded compact disc 0e8cept
software1$ tape$ and record
reprod(cin% Others
Others Handicraft A// Ainds
Other en%ineerin% %oods Cast M(sica/ instr(ments A// M(sica/ instr(ments
7or%ed 7(rnit(re Ho(seho/d f(rnit(re
7a;ricated Office f(rnit(re
E8tr(ded Others
:ires and rods -ndoor %ames$ toys$ etc. -ndoor %ames
=ars Toys etc.
Others Gift artic/es Gift artic/es
:atches$ c/ocAs > parts :atches$ c/ocAs > parts Coir and prod(cts Coir and prod(cts
Machine Too/s A// types of machine too/s
Gems > 'ewe//ery
Precio(s and semi!precio(s
&ewe//ery
=icyc/es and ;icyc/e parts =icyc/es Artificia/ &ewe//ery
pares
Precio(s and semi!precio(s
stones
Accessories Others
Others .efence e<(ipment .efence e<(ipment
7asteners
Precision fasteners 7ishin% e<(ipment
7ishin% e<(ipment and
accessories
N(ts$ ;o/ts$ etc. Others Others
Others
Power %eneration$ transmission
and distri;(tion Generation e<(ipment
Transmission e<(ipment
.istri;(tion e<(ipment
Others 0P/ease specify1 Others
Pa%e 5 of 6
Pa%e 6 of 6