gloryship

VENDOR REGISTRATION FORM

SUPPLIER DETAILS:

Name :

Address 1 :

Address 2 :

City :

State :

Pin Code :

E-mail Address :

Contact Person :

Phone No. :

Fax No. :

Mobile No. :

BANK DETAILS

Bank Name :

Branch Name :

Branch Address :

Beneficiary Name :

Type of Account :

Account No :

MICR code No :

IFSC No. :

RTGS / NEFT No. :

STATUTORY DETAILS (If Applicable):

GST No :

Pan No :

EPF Registration No :

GST HSN No of item dealt with :

GST Service Accounting Code :

MANUFACTURING / TRADING DETAILS

Item Manufactured / Items trading :

ISO/IEC APPROVAL DETAILS :

FINANCIAL DETAILS

Financial Information (To be reported from financials of the last year)

Annual Turnover :

Annual Profits :

Working capital at last balance sheet date :

Business with ERDA during last 3 years :

Total Manpower (Nos.) Qualification wise breakup :

List of customer & customer appreciation received :

List of References along with contact details (Minimum 2 nos.) :

We hereby declare that the particulars given above are correct and complete. If the transaction is delayed or lost because of incomplete or incorrect information, we would not hold the company responsible.

Yes

Company registration Certificate :

PAN Card Copy :

TIN copy :

Service Tax Registration copy :

Cancelled Bank cheque :

ISO/IEC Docs :

Please send in your vendor Registration form to shahi@gloryship.org