Vendor's Registration Form
S. No. Particulars Response Tick Yes or NO
1 Name: (In Block Letters)
2 PAN: (Copy Required) Yes No
3 Nature of Business
4 Constiution of Business
Proprietorship/LLP/Pvt Ltd /
Limited or Other (Pls specify)
Pls attach copy of the latest MOA
& AOA
5 TAN: (Copy Required) Yes No
6 Complete Address: (With PIN
Code)
7 State:
8 No. of Loaction where Branches /
Units are Situated, with Full
Address:
A. Location 1
B. Location 2
C. Location 3 (Pls add more row
if required)
9 GSTIN, for Each Location (Copy Yes No
Required)
A. Location 1
B. Location 2
C. Location 3 (Pls add more row
if required)
10 Any alternate Location, from
where supply can be made?
11 Whether you are registered as a
composite dealer in GST
regime ?
12 Whether you are registered as a
MSME ? If Yes, Please attach
MSME Certificate.
13 Bank Details (Copy of
Cancelled Cheque)
Account Number:
Bank Name & Branch:
IFSC:
14 Details of Contact Person:
(Minimum 2 )
Name 1 :
Designation:
Mobile Number:
Email I'd:
Alternate Email I'D:
Name 2 :
S. No. Particulars Response Tick Yes or NO
Designation:
Mobile Number:
Email I'd:
Alternate Email I'D:
15 Vendor Profile Yes No No
16 Is E- Invoice applicable ? Yes No No
17 Turnover Last year (in INR)
(As per audited Balance
Sheet)
18 Projected Turnover for
Current Year
(In INR)
19 References (preferably 5
customers at least)
20 Any major legal proceedings
against you or major
demands/ investigation from
statutory authorities
(GST/Income Tax etc. )
21 Any other information you
would like to share (ISO
certifications, Awards,
Achievements etc.)
Vendor Name
Signature and Stamp
Date :