Vendor Registration form

Vendor Registration Form

Vendor Details

Vendor / Company / Firm Name:

Address with PIN code:

Contact Person:

Contact Number:

Email ID:

Valid Taxation Details

PAN:

GSTIN No:

MSME Certificate:

Any other:

Income Tax Returns:

Bank Details

Name of Account Holder:

Name of Bank:

Branch Name & Address:

Account Type:

Account No:

IFSC Code for RTGS/NEFT:

Please attach original cancelled cheque for bank account evidence

Declaration

I/We confirm that the information furnished above is correct to the best of my knowledge.

Signature of Authorized Person:

Name in capital letters:

Date:

Place: