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VENDOR'S REGISTRATION FORM
Office and Works : Umiam Industrial Area,Umiam - 793103.Meghalaya.
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* Indicates required question
Name of Firm
*
Your answer
Type of Firm
*
Proprietorship
Partnership
Company
Required
Contact Person with Designation
*
Your answer
Mobile Number
Your answer
Name of Proprietor/Partner / Director
*
Your answer
Mobile Number of Proprietor / Director
Your answer
Mail ID of Proprietorship / Director
*
Your answer
Address
*
Your answer
Phone Number
Your answer
Email ID
Your answer
Are you registered with GST Department ?
*
Choose
Yes
No
GST NUMBER
*
Your answer
Income Tax PAN Number
*
Your answer
Bank Name
*
Bank Name in which you want your payments
Your answer
Bank Address
*
Your answer
Bank Account Number
Bank Account Number in which you want your cheques to be deposited
Your answer
IFSC / RTGS Code
*
Your answer
Are you Exempted from TDS Deduction
Yes
No
If YES, provide documentary evidence
Your answer
If NO, Indicate rate of deduction
Your answer
Products / Services Intended to supply / offer
*
Your answer
Please enclose copy of the following : GST Registration Certificate,PAN Card,Cancelled Leaf of cheque
Please send hardcopy of this Form alongwith the above documents to our office address
Date
MM
/
DD
/
YYYY
Form Filled by
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