Name of the company *
Office Address *
Country *
State *
City *
Pincode *
Contact Person Name *
Designation *
Telephone Numbers *
Mobile Number
Email Address*
Web Site Address
Nature of Business * ManufacturerAuthorized AgentTraderConsulting Firm
Type of Industry --Select--Small ScaleLarge ScaleContractorTrader
Registration Numbers
Company Registration No.*
Year of Establishment
Company Type --Select--ProprietoryPartnershipPublic LimitedPvt limitedGovtOthers
PAN No. *
GSTIN NO
MSME Registration no.
PF Reg.
ESI Reg. No.
Others (if any)
Is vendor a defaulter in GST/WCT?
Product for which registration is sought for *
Certifications obtained (ISO, OHSAS) YesNo
If yes, please specify the certification
Upload certification
Name & reference of three companies where supply is being done
Company 1
Reference Person
Contact Number
Company 2
Company 3
Turn Over of last three years
Year 1 *
Year 2 *
Year 3 *
Information of dealer network across country / state
Bank Detail
Account Number *
Account Name *
IFSC Code *
Account Type *
Bank Name *
Branch Name *
Upload Scan Cheque *
I declare that the information furnished above is true and correct to the best of my knowledge.
I Undertake to inform you at the earliest any change in details mentioned above.
Company Profile
Past Project List