Registration Form

1.KYC Details

Enter Valid Information

Country

National ID

Organization Name

DUNS Number

2.Contact Details

Kindly Provid valid Mobile and Email Id.

Coordination Person Name

Designation

Website

Mobile Number

E-mail

Address

Postal Code

GSTIN

MSME No.

IGBC Certificate No

AdharCard No.

3.Business Profile

Partner For

Primary Business

Business Type

Primary Categories

Primary Sub-Categories

Key Material

Secondary Categories

4.Bank Details

Bank Name

Branch

Account Number

IFCS Code

MICR Code

RTGS/NEFT/SWIFT Code

Contact Person Name

Contact Person Designation

5.Customer Details

Customer Name

Contact Person Number

Contact Person Designation

6.Organization Details

Reference Check Contact Details

Contact Person Name

Contact Number

Contact Address

Nature of Business ( select any of these -Manufacturer, Authorized dealer/Stockist, Trader,service provider)

Status of company (select any one Govt/Semi Govt., Public limited, Pvt. Ltd, Owner driven etc)

Is your company registered under company act, if yes provide registration no.

If you are Authorized dealer/Stockist mention the Name and address and contact details of the Principal .

If your are traders mention the Name of the all the product and their respective Brands.

Year of Establishment.

Annual turnover of last three Year (Rs. In lacs)

7.Following self certified documents required (FileSize Upto 2MB pdf Format only)

AdharCard(provide copy of Registration certificate)

Pancard(provide copy of Registration certificate)

IGBC Certificate(provide copy of Registration certificate)

GST Certificate(provide copy of Registration certificate)

MSME Certificate(provide copy of Registration certificate)

Cancelled Cheque(provide copy of Registration certificate)

Excise details (provide copy of Registration certificate)

PF No. (provide copy of Registration certificate)

ESIC No. (provide copy of Registration certificate)

Contract Labour License (provide copy of Registration certificate)/div>

I,being Proprietor / Partner / Karta of HUF / Director / Authorised Signatory of the company do hereby declare that the above Information / Details / Documents / Data submitted is True and Correct to the best of my Knowledge and Belief and in case any of the above information is found to be incorrect at a later date, my registration shall be liable to be cancelled and my any payment shall be withheld by the Company and any unprocessed bill shall remain withheld by the Company.

I/We further accept that, in case we do not provide copy PAN card, the Company will be deducting TDS @20% or at such rate as may be prescribed under Income Tax Act 1961.

I/We further declare that, any change in the constitution of the ownership/ address/ Bank details/ any change in statutory registration will be communicated in writing to the company within 7 days of such change.

I/We further declare that, GST collected by me/us will be paid to GST authority with in prescribed time limit as per CGST/SGST/IGST Act.