Vendor Registration Form:


SECTION - 1 (General)

Supplier Name: *
Address: *
City: * State: *
Country: * Pin Code: *
Contact No: * Email ID:
Type of Organisation: *
Manufacturer Dealers / Traders Job worker Service Provider Contracter
Ownership Structure: *
Proprietorship Partnership Public Limited Co-operative Private Limited
MSMED Registration No: MSMED Category:
Annual Turnover:
Area of Facility (Sq. Ft): Number of Employees:
Details of Product / Services offered: *
Major Customers:

SECTION - 2 (Contact Information)

Marketing
Name: * Contact Number:
Designation: * E-mail:
Dispatch
Name: * Contact Number:
Designation: * E-mail:
Quality
Name: * Contact Number:
Designation: * E-mail:
Top Management
Name: * Contact Number:
Designation: * E-mail:

SECTION - 3 (Certification Details)

Certification Name: Certification Valid Till: Certifying Agency :
Certification No 1: +

SECTION - 4 (Financial Details)

Beneficiary Name: * Bank Name: *
Bank City: * Bank Account Number: *
IFSC Code: * PAN No.: *
GST No: * IEC No.:
TCS Applicable (Yes/No): *

SECTION - 5 (Supporting Documents only jpeg and pdf files)

Pan Card Copy: * Official Company Presentation:
GST Certificate: * Cancelled Cheque Copy: *
MSME Certificate (if applicable): Copies of Certificate:
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