VENDOR REGISTRATION FORM

COMPANY INFORMATION*
Company Name (in CAPITALS)	:
Full Address with Pin Code	:
Region/State	:
Country	:
Telephone Nos.With Std.Code	:
Fax Nos.	:
Mobile No.of Key Person	:
Key Person Name	:
Mobile No.of alternate person	:
Alternate Key Person Name	:
E-mail(in capital if handwritten)	:
Website	:
Type of Industry	:
Type of Business	:
Type OF Products/Services dealing	:
TAX INFORMATION
VAT TIN No.	:
CST TIN No	:
Service Tax Regn. No	:
PAN No.	:
Central Excise Regn.No	:
ECC No.	:
Central Excise Range, Division & Commissionerate	:
BANK INFORMATION
Type of Account	:
Name of Bank	:
Account No	:
RTGS/NEFT IFS Code(11 digit)	:
Swift Code	:
MICR Code No.(9 digit)	:
Bank Branch Code & Branch Name	:
Bank Address	:
Bank Telephone# with Std.Code	:
Payment Terms	:
Annual Turnover for past 3 Years	:
PAYMENT TO BE SENT TO
Address for Communication (if different to above address)	:
Name of the person(for the Attn:)	:
Designation & Department	:
Contact Numbers	:
E-mail(in capital letters, if handwritten)	:
PRODUCT RANGE

Vendor Registration FORM