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Vendor form MRPL

The document is a vendor form for Mangalore Refinery & Petrochemicals Ltd. detailing the electronic funds transfer payment and tax information for AMBIKAGROW IT SOLUTIONS. It includes vendor particulars, bank account details, tax registration numbers, and organizational information. The form is signed by the vendor's authorized signatory and requires certification from the vendor's bank.

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VINAY SHARMA
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46 views

Vendor form MRPL

The document is a vendor form for Mangalore Refinery & Petrochemicals Ltd. detailing the electronic funds transfer payment and tax information for AMBIKAGROW IT SOLUTIONS. It includes vendor particulars, bank account details, tax registration numbers, and organizational information. The form is signed by the vendor's authorized signatory and requires certification from the vendor's bank.

Uploaded by

VINAY SHARMA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MRPL VENDOR FORM FOR ELECTRONIC FUNDS TRANSFER PAYMENT & TAX

DETAILS

Vendor data - ver-9


To: GGM – Materials
Mangalore Refinery & Petrochemicals Ltd.,Kuthethoor P.O., via Katipalla,
Mangalore. (Karnataka), Pin Code-575030, INDIA
The following is a confirmation or updation of our bank account details and I or we hereby affirm our
choice to opt for payment of amounts due to us under various contracts through electronic mode.
1. Vendor or Contractor particulars:
(i) Name of the Company: AMBIKAGROW IT SOLUTIONS
(ii) Corporate Identity No. (CIN)
(iii) Existing Vendor Code (given by MRPL)
(iv) Unique GeM seller ID
(v) Complete Postal Address:
601-B,6TH FLOOR,BUILDING NO-89,NEHRU PLACE
(vi) Pin code or ZIP code: 110019
(vii) Telephone nos. (with country or area codes): +91-11-44128202
(viii) Fax No.: (with country or area codes): NO
(ix) Cell phone Nos.: +91-8826201078
(x) Contact persons or Designation: REKHA - DIRECTOR
(xi) Email IDs: [email protected]
2.Bank Account Particulars:
(i) Name of the Account holder: AMBIKAGROW IT SOLUTIONS
(ii) Complete Bank Account No. (for Electronic
Funds Transfer): 258826201978
(iii) Account type : CURRENT
(iv) Bank Name : INDUSIND BANK
(v) Bank Branch: NEHRU PLACE
(vi) Bank Branch Contact Nos.: 1860 267 7777
(vii) 11 Digit IFS Code (for Bank Branches in
India) INDB0000370
(viii) Swift Code (for Bank Branches not in India)
3. Tax Registration numbers: *(Please fill in the applicable fields and attach relevant proofs)
(i) Income Tax PAN no.: AVHPR1094F1ZG
(ii) Vendor type as per GST Act (tick any one) Registered Not
Registered Compounding SEZ
(iii) GST No.: 07AVHPR1094F1ZG
(iv) TAN No.:
(v) Registered address as per GST No. B-6,43,CHIRANJIV TOWER,LALA LAJPAT RAI MARG,
NEHRU PLACE,SOUTH EAST DELHI-110019

(vi) Contact Names, Nos.& email IDs for GST matters (Please mention primary and secondary
contacts):
Accounts Deptt. 1.
2. REKHA:- +91-8826201978
Material Dispatch Deptt. Or Services Deptt. 1.
2. VINAY:- +91-9911855980
(vii) Are you registered under TReDS No or Yes with RXIL or A-TREDS or M1xchange 10
digit Reg No-
4. Organization information (MSMEs refer to Micro, Small and Medium Enterprises
Development Act, 2006):
(i) Company or Partnership Firm or Proprietary Concern or Society or Trust or NGO or Others (Please
Specify):
(ii) Whether Proprietor or Partner belongs to SC or ST category. (Please
specify names and percentage of shares held by SC or ST Partners): PROPRIETOR
(iii) Micro or Small or Medium Enterprise or SSI or Govt.
MICRO
Deptt. Or PSU or Others:
(iv) Name of MSME Registering Body (NSIC or DIC or KVIC
or KVIB etc.): NSIC
(v) MSME Registration no. (with copy of registration) UDYAM-DL-08-0032763
(vi) Udyog Aadhaar Memorandum no. 729077319914
(vii) MSME-Women Entrepreneur No or Yes -YES
(viii) Start-Up recognized by DIPP, Ministry of Commerce, No or Yes, copy of certificate from DIPP
Govt of India attached
I or we hereby confirm that the particulars given above are correct and complete and also
undertake to advise any future changes to the above details.

REKHA
Digitally signed by REKHA
Date: 2024.12.06 16:41:52
______________________________________
+05'30'

Name, Seal & Signature of Authorized Signatory for the Vendor with date
TO BE FILLED BY AUTHORISED BANKER OF THE VENDOR:
Certified that the Particulars as in Sr. No. 2 above are correct as per our records

__________________________
Bank Seal & Signature with date

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