Vendor / Contractor Registration

FORM - "A"

* Mandatory Field  
1. Registration for *  
2. Select Category *  
3. Name of work/items for registration : *
(Select from the list of works and materials)









 
Primary Contact Information
 
4. Name of Applicant *    
5. Title / Designation *    
6. Name of Company/Firm *    
7. EMail *    
Alternate EMail *    
8. Mobile No. *    
9. Phone No. *    
 
Business Details
 
10. Name of Business/Organisation *
(Firm/Compant etc.)
   
11. Address of Organisation *
(for Correspondence) (Please do not use special character)
   
Pincode *    
12. PAN Card No. & Date *    
   
13. CST Registration No. & Date  
 
14. VAT Registration No. & Date  
 
15. Excise Registration No. & Date  
 
16. Service Tax Registration No. & Date  
 
17. Year of establishment of Organisation *    
Please check verification text
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