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Vendor / Supplier Registration Form

VENDOR & SUPPLIERS REGISTRATION FORM

FOR VENDORS, SUPPLIERS, CONTRACTORS, OUT-SOURCE AGENTS

- General -

* The information marked * is compulsory.

Application Date* :

Knowledge Of Kilburn Form* :

Nature Of Business : ManufacturerSite jobJob WorkTrader

Name Of Co. / Firm:

Company / Firm
Office Address
Establish In Year
Tel No.
Fax. No.
Email

Works / Factory :

Address
Tel.No
Fax. No.
Email

Owners

Owners Details :

Name (1)*
Designation
Telephone
Email*
Mobile
Name (2)
Designation
Mobile
Email
Telephone

Type of Co. / Firm : Pvt LtdLtdPartnershipIndividualTraders

Type of Products / Jobs Supplied

Services Offered :
Experience Years :
Annual Turnover :

Financial Strength : ExcellentVery GoodSatisfactory

Important Clients :
Important Items Supplied (Please provide a list) :

Facilities Available

Majour Machinary Available :
Manpower Strength :
Total
Engineers
Workers
Others
Inspection Agencies Dealt with :

Quality System Followed : TQMISO-9001Other

Inspection System Followed :
Space / Area available :
Handling / crane capacity :

Commercial Details

Regd. Dealer : NoYes Details
Excise Duty Applicable : NoYes Regn. No.
Service Tax Applicable : NoYes Regn. No.
Sales Tax Applicable : NoYes CST No.
VAT Applicable : NoYes Details
Payment Terms : NoYes -Negotiable

Additional Details You Wish To Provide

Additional Details :
Signature ( Prepared By) :
Name :
Designation :

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