Vendor Registration

Please Fill the form for Registration

Nature of Service :
Contact Information:
Beneficiary Name :
Beneficiary Address :
Correspondence :
Contact person in your organization & Mobile No.
Sales :
Name :
Mobile No. :
Accounts :
Name :
Mobile No. :
Logistics :
Name :
Mobile No. :
VAT/IT Related Information :
PAN Number :
TAN Number :
CST Number/Date :
LST Number/Date :
TIN Number ( as and when alloted) :
Status : SSI/Non-SSI( * In case of SSI, please attach a copy of the SSI Registration)
Attachment :
Incase of Service Provider
Service Tax Registration Number :
EPF no.
ESIC No. (Incase of  Service Provider)
Inventory Details :
Commodity to be dealt in :
Excise Chapter & Sub-head :
Rate of Duty & Cess :
Information of Electronic Credit :
Bank Name :
Email id (for advice of E-Credit) :
Bank Account No. :
Branch : In case of Cheque/DD, Preferred Location of Cheque/DD to be payable at
RTGS Code :
9 Digits  MICR Number :
Type of account - Savings/ Current/ cc etc. :

Saving Account

Current Account

Type of account
Approved Vendor Registered with : (tick mark )

Please enclose a cancelled cheque of your bank account (Even clear Xerox Copy will do)  

Attachment :



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