Vendor Registration Form

Company Profile

Vendor/ Jobber Name Address City Pincode State Country Website

Type of Company

LTD

PVT LTD

LLP

PARTNERSHIP

SOLE PROPRIETOR

OTHERS

GST Information

GST Category If GST Registered, provide state-wise GST No.

State (GST)

GST No.

MSME Information

MSME Registered MSME Number Type of Enterprise Payment Terms (MSME)

Bank Information

Bank Name Account Number IFSC Code Branch Account Type

General Information

Payment Terms (Other than MSME) Freight Terms Currency

I / We declare that the information furnished above are correct to the best of my / our knowledge and belief. We undertake to inform you at the earliest any change in the information provided above.

Date:

Place:

Signature:

Name of the Person(s):

Seal of the Firm / Company (No input field here - implies physical seal)

Note:

PAN copy
GSTIN Registration Certificate
MSME Registration (UDYAM Registration)
Bank certified RTGS details or copy of cancelled cheque

By submitting this form, I agree to the terms stated in the declaration.

I agree to the declaration above.