Automotive electromechanical components | Design Development Manufacturers

marketing@gilard.com

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: *

Note : Upload only .jpg, .png, .jpeg files upto 100 KB.

Official Company Presentation:

Note : Upload only .pdf files upto 1.5 MB.

GST Certificate: *

Note : Upload only .pdf,.jpg, .png, .jpeg files upto 100 KB.

Cancelled Cheque Copy: *

Note : Upload only .jpg, .png, .jpeg files upto 100KB.

MSME Certificate (if applicable):

Note : Upload only .pdf,.jpg, .png, .jpeg files upto 100KB.

Copies of Certificate:

Note : Upload only .pdf files upto 100KB.