WB-Tech Voucher

Application Form for WB-Tech Voucher

Fill in the details to avail financial support from the DoMSME & T, Govt of West Bengal for deploying technological solutions. If your form is shortlisted, you will be contacted to provide the bank details of the seller.

Details of Buyer

Information about your enterprise and its authorised signatory.

Udyam Registration Number *

Will be validated against the Udyam portal.

Legal Entity Name *

Constitution *

MSME Category *

PAN *

GSTIN *

NIC / Sector Code *

Registered Address *

State *

District *

PIN Code *

Operational address is the same as the registered address

Operational Address *

State *

District *

PIN Code *

Authorised Signatory Name *

Designation *

Contact Number *

Aadhaar Number *

Used for KYC verification only; not stored in raw form.

Ownership Category *

Technological Solution

Tell us about the problem and the technology you plan to deploy or have deployed.

Problem Statement / Business Case *

Technological Solution *

Supporting Documents

Upload the quote/bill/invoice and evidence of the solution. PDF, JPG or PNG, up to 5 MB each.

Quote / Bill / Invoice *

Choose fileNo file selected

Quotation, bill or invoice from the seller.

Photo of the Solution *

Choose fileNo file selected

Photo of the deployed solution, or of the solution to be deployed.

Proof of Demo (optional)

Choose fileNo file selected

Any proof of a demonstration of the solution, if available.

Details of Seller

Information about the vendor providing the technological solution.

Vendor Legal Name *

Vendor Email *

Vendor PAN *

Vendor GSTIN *

Vendor Phone Number *

Vendor POC Name *

Vendor POC Contact *