MARKETING >>Vendor Registration Form

Name of the Vendor :
Regd. Office Address :
Tel. No. with STD Code :
Fax No. :
Email :
Website :
Factory Address :
Tel. No. with STD Code :
Fax No. :
Email :
Contact Person with Designation- OFFICE :
Direct Ph. No. with Extn. No. :
Mobile No. :
Contact Person with Designation-FACTORY :
Direct Ph. No. with Extn No. :
Mobile No. :
Whether registered under MSMED Act/SSI Unit/ if yes then year of Registration
Attached Scan Copy of Registration Cert.
:
Type of Trading/Company :
PAN No. :
Attached Scan Copy of Pan Card :
ECC No. :
Excise Range :
Division :
Collectorate :
Attached Scan Copy of E.C.C. :
TAN Number(Income Tax)
Attached Scan Copy of TAN Cert.
:
C.S.T. No. & date
Attached Scan Copy of C.S.T. TIN Cert.
:
Sales Tax/ VAT No.(Local)
Attached Scan Copy of Sales Tax TIN Cert.
:
Service Tax Reg. No.
Attached Scan Copy of SCC Cert.
:
Security Code:    
Please enter the code as you see in the image