Vendor Registration Form

 
Name Of The Firm :
Address for Communication :
Contact Person & Designation :
Telephone nos :

Fax nos :

Email Id :
Website Address :
Branches :
Telephone nos :

Fax nos :

Email Id :
Website Address :
Contact Person :
Designation :
Please state, if your firm is a :
Are you a :
Products list :
Are you/your associates already doing   business with us? If so, give details :
Have you executed any order placed on you by any other instrumentsmanufacturer. If so, particulars of such orders should be furnished :
Kindly furnish the following :
(a) Local VAT Registration No :
(b) Excise Registration No :
 
Certified that all the information furnished are true and correct to the best of our knowledge.
Name :
Designation :
Place :
Date :

 

                              

 
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