Vendor Registration Form

Vendor Fullname

Complete registred Address

Phone No. 1

Phone No. 2

Mobile Number

Email Address

Fax Number

Full Name

Designation

Cell Number/ Phone Number

Address for sending Purchase order / Cheques

Weekly off for works

Items Manufactured / Service Offered

Mode of Supply:

Manufacturer Dealership

Factory Name

Address

Contact Number(s)

Type of Company

Type of Industry

Registration Number

Central Excise Details Yes No

Income Tax Pan Card Number

C.S.T

VAT

CST/KST No.

A/C Holder Name

Bank Name

Branch Name

Account Number

IFSC Code

NEFT Code

Following documents whichever applicable are to be attached in triplicate

Add all the documents in a zip folder and attach single zip file with all the documents in it.

upload file (Only zip format allowed)