Vendor Registration Form

Personal Details

All fields marked with * are mandatory

Title : *

First Name : *

Last Name : *

Date of Birth : *

/ /

Name of the Company : *

Address of the Company : *

Address 1 : *

Address 2 :

Address 3 :

City : *

Pin Code : *

Country : *

Telephone No. : *

Mobile Number :
(If any)

Fax No. : *

Preferred Username :

List of Products for registration : *
(Additional supported documents to be couriered)

Company Details

Nature of the Company : *

Type of the Company : *

Name of the Prop. / First Partner : *

Manpower Details : *

Managerial

nos.

Technical

nos.

Clerical

nos.

Workman

nos.

Others

nos.

Workshop Details

Address of the Plant/Works :

Address 1 :

Address 2 :

Address 3 :

City :

Pin Code :

Country :

Telephone No. :

Mobile Number :

Fax No. :

Operating Shifts : *

Details of measuring instruments, machines & inspection facilities shall be sent by courier? : *

Your customer list shall be sent by courier? : *

Name of Bankers : *

Last three years turnover :
(Rs. in lakhs)

Product list shall be sent by courier? : *

ISO Certificate Registration copy shall be sent by courier? : *

Authorized Dealer Certificate copy shall be sent by courier? : *