Supplier Registration

Application for Registration of Suppliers – 2026

01. Name and Address of Supplier:

02. Contact Details:

03. Nature of Registration of the Business:

04. Registration, as a:

05. Business Registration Number and Expiry Date:

Attach photocopy of certificate below

06. Name of Bankers and Account Numbers:

Bank Name	Account Number

07. VAT registration number: (Submit proof of active VAT payer) Max file size: 5MB (PDF / JPG / PNG)

08. Income Tax files no. (If any):

09. Whether agreeable to give 45 days credit facility:

10. Any other facilities (transportation, storage, etc.):

11. Contact Person:

Amount Paid (Rs):

Date of Payment:

Branch:

Paste the Cash Receipt Here (Upload): Max file size: 5MB (PDF / JPG / PNG)

Certification:
I / We hereby certify that all the particulars furnished above are true and accurate to the best of my / our knowledge and that I / We are aware that if any information furnished by me / us is found to be false or misleading, my / our names will be removed from the Suppliers Register and included in the defaulting supplier’s list.

…………………………
Name of Applicant

…………………
Authorized Signatory

Date: ………………….

Business Frank