Vendor Registration Form

Type of Vendor:*

Regular Labour sub contractor's (PRW)
Specialized sub-contractors with Labour & Material and
Specialized works Labour Contractor (PRW)
Specialized works Contractor with Tools /P&M (PRW)
Material Supplier & Manufacturer
Dealer/Stokist

Vender Name*

Registred Office Address With Pin Code*

Communication Address with Pin Code (If Diffrent Than Registred Address)

Supply/Invoicing Address Instead Of Communication Address (If It Is Different)

Name of Managing Director /Owner*

Contact Details Of Managing Director /Owner*

Contact details of the person for coordination of work*

Telephonic Number*

Mobile Number*

Fax Number*

Email:*

Choose one of them*

Corporation
Partnership
Sole Proprietorship
Joint Venture
Franchise

Upload Incorporation certificate

Acceptable file types: doc,docx,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.

Name of bank*

Branch Name*

Bank Address*

Benificiery Name*

Account Number*

MICR Code

IFSC Code*

Upload a Cancelled cheque*

Payment terms (if any)

PAN Number*

Upload PAN*

GST Number*

Upload GST*

EPF Registration No.

GST HSN No. Accounting code (SAC)

ITR

TDS Detail

Overall turnover for last 3 Financial years

Overall profit in last 3 years (In lakhs)

Working capital as per last balance sheet (in lakhs)

Upload Quality certificate

I/We hereby declare that the particulars are given aboveare correct and complete. If the transaction is delayedor lost because of incomplete or incorrect information, we would not hold Vishal Builders responsible*

Date