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Vendor Registration Form

This document contains a vendor registration form requesting key information such as contact details, address, tax details, and bank account information from Jyoti Kadam, who operates a waterproofing and painting business. The form requests mandatory fields be completed such as name, address, phone number, tax IDs, and bank details. Additional documents such as PAN card, NEFT details, and tax registrations are also requested to be provided.

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krishna sangale
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© © All Rights Reserved
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294 views

Vendor Registration Form

This document contains a vendor registration form requesting key information such as contact details, address, tax details, and bank account information from Jyoti Kadam, who operates a waterproofing and painting business. The form requests mandatory fields be completed such as name, address, phone number, tax IDs, and bank details. Additional documents such as PAN card, NEFT details, and tax registrations are also requested to be provided.

Uploaded by

krishna sangale
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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To printed on

Company Letter Head


Date:
Name (As you would like to be printed
1 on the cheque and TDS certificates)
(*) Jyoti Kadam
2 Nature of Business
Waterproofing & Painting

3 Complete address with PIN code(*)


Sr No 15/9,Flat No 8, Pritam
Apartment,Kothrud,Pune,411038

4 Region state and Country


Maharashtra,India
5 Pin Code (*)
411038
6 Contact Details (*)
9730729534
Name of contact Person (Please
a Mr Ganesh Kadam
mention at least two names)

b Phone Nos (*)


Landline Number with STD code (If
i
Any)
Mobile Nos of the contact Person(If
ii
Any)
iii Fax No (*) with STD code

c Web Site

E-mail ID (Please mention e-mail ID's


d [email protected]
Contact Person)

7 Tax Details (*)

a PAN No
Tax Identification Number (TIN
b
Number)
c
Service Tax Number
d
Sales Tax / VAT TIN Number
e
WCT Number
f
CST Number
8 Additional Information

a
SME registration No

Note: If the registration is not in place for any of the above tax please mention NA

9 Bank Details for NEFT


Name of the Bank (*)
a
Axis
Branch (*)
b
Kothrud
Address (*)
c
PUNE
City (*)
d
MICR Code (*)
e
IFSC Code (*)
f
UTIB0000104
SWIFT Code (*)
g
Account Number (*)
h
916010048740206

Company stamp and sign of authorized person

(*) Fields are mandatory


Scan copy of additional document required:

1. Pan Card
2. NEFT details & Cancelled Cheque
3. Service Tax Registration (In case of Service Provider)
4. Excise Registration
5. VAT,TIN,CST registration number incase of material supplier

Important Note:
Please inform immediately if there is any change in any of the details submitted
in above which will occur in future

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