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Vendor Registration Form:
Company Details and General Information
Name Of Company :
*
Street Address :
*
Postal Code :
*
City :
*
P.O Box And Mailing Address :
*
Mobile :
*
Office No. :
*
Email :
*
Website Address :
*
Contact Name. :
*
Year Established :
*
Total Employees :
*
Number of Full-time Employees :
*
Compliances EPF Number :
*
ESIC :
*
Workmanship insurance :
*
Others :
*
Nature of Business :
*
Manufacturer
Trader
Consulting Company
Other(specify)
Tools/Machines Availble :
*
License no :
*
GST No./Tax ID :
*
Company Reg. No./CIN :
*
Aadhaar :
*
PAN :
*
Financial Information:
Annual Value of Total Sales for the last 3 Years
Select Year :
*
Select Year
2018
2017
2016
Bank Name :
*
Swift/BIC Address :
*
Address :
*
Bank Account Number :
*
Account Name :
*
Technical Capability and Information on Goods/Services offered:
Quality Assurance Certificate :
*
S.No
Service/Item Details
Quality Standard/Remarks
Experience
Recent Contracts Organization
Value :
*
Select Year :
*
Select Year
2018
2017
2016
RS :
*
Select Location :
*
Select Location
Noida
Delhi
Haryana
Other
To Which Cities has your Company exported and/or managed Projects over the last 3 Years?
Select Year :
*
Select Year
2018
2017
2016
Certification :
I/We undersigned, hereby accept the basic General Conditions, a copy of which has been provided to me and warrant that the information provided in this form is correct, and in the event of changes details will be provided as soon as posssible:
Name:
Signature:
Functional Title:
Date:
Note:
By Completing this form it does not automatically mean you will be added to our vendor Database. There will be a review and an evaluation process that must take place first.
Please Mail completed form to: Purchasethstar.net.in North Star Attn: Purchasing Department.
Reach us email ID & Contact Number.