Vendor Registration

Fields marked with ( * ) are mandatory

1. Company Details:

Address*:

City *:

State*:

Pin/Zip code*:

Country*:

Telephone*:

Fax

Website:

E-mail ID*:

2. Contact Details:

Name*:

Designation*:

Telephone*:

Mobile*:

E-mail ID*:

3. Type of Company:

Type of Ownership*:

NSIC*:

MSME*:

Type of Business*:

Whether Proprietor/Partner(s)/Director(s) Belongs to *:

4. Product Details:

Category:

Product manufactured by you:

5. Quality Certificates Obtained By Your Company*:

6. Bank Details:

Bank Name*:

Branch Name*:

Branch Code*:

Account NO.*:

IFSC Code*:

MICR No.*:

7. Registration No Details:

M.S.ME :

N.S.IC :

GST :

Service Tax No.:

Excise Duty :

CST :

D.E.S & C :

R.O.C :

E.E.P.C :

I.C.E :

VAT – TIN :

PAN No. :

8. Payment Terms*: