AGENCY NAME

NEW SUPPLIER INFORMATION REQUEST

Please returnsignedform and relatedattachmentsto theattention of: [XXXXXX XXXXXXXXXX, TITLE, AGENCY
NAME, EMAIL ADDRESS, PHONE NUMBER]

Supplierdetails (To be completedbythesupplier)

Company legal name:

MAHANAGAR MULTIMEDIA PVT. LTD.

Operatingname (ifdifferent):

Address:

H-113, MALVIYA INDUSTRIAL AREA , JAIPUR RAJASTHAN 302017

Phone Number:

0141-2751075, 09887848001

Company registration number:

021188

Local tax number (VAT, othertaxes):

TIN - 08694103370

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 AGENCY NAME

NEW SUPPLIER INFORMATION REQUEST

Operational Contact - Name&title: (Key Operational Manager + Alternate Key Operational Manager)

Jigyasu Sharma
General Manager

Operational contact - Contactdetails:

09887848001

Finance Contact - Name&title:

Aishwarya Sharma

Finance Contact - Contactdetails:

9540566302

Bank details

Bank:

Punjab National Bank

2, Nehru Place, Tonk Road,
Jaipur

Accountnumber:

4064002100021473

Branch/sortcode:

PUNB0406400

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 AGENCY NAME

NEW SUPPLIER INFORMATION REQUEST

IBANnumber:

N/A

Swift code:

N/A

Invoicing procedures and payment terms

[As per the agreement]√

 Have you reviewed and signed the WPP Code of Conductforsuppliers Yes No

 You have reviewed GroupM declaration policy & understand the Gift policy Yes No

If not, please provide details below:

N/A

 Do you or any of your employees have a related party relationship with any
member of the agency? No

WPP Policies
Have you reviewed and signed the WPP Code of Conductforsuppliers Yes
You have reviewed GroupM declaration policy & understand the Gift policy Yes

If not, please provide details below:

Do you or any of your employees have a related party relationshipwith any

memberof the agency? No

Definition of related party relationship - Extract of WPP Policy book

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 AGENCY NAME

NEW SUPPLIER INFORMATION REQUEST

“4.16 Conflicts of Interest

Staff must seek to avoid situations in which there is, or there may be a perception of, a conflict between the best
interests of the Operating Company and the self-interests of the staff member. Examples include, but are not
limited to, the following:

- competing against or acting for any third party that competes against any Operating Company in the
Group;
- encouraging clients to do business with a third party in which the employee, or family member or close
associate, has a financial interest;
- using, or encouraging the use of, a vendor in which the employee, or family member or a close
associate, has a financial interest; and
- the operating company leasing property owned by an employee or family member or close associate.”

If yes, please provide details below:

 Are you registered under MSMED act of 2006? No

If yes, Please attach the MSMED Certificate copy
If No and registered in future, please keep us updated

Volume of business done in the last 3 Financial Years

Volume of Business

1. 2014 – 15 2,65,57,618.90

2. 2013 – 14 3,31,09,282.80

3. 2012 – 13 2,54,35,631.27

Specify the documents attached :

1. Pan copy
2. ST Copy / Declaration
3. ROC copy
4. Cancelled cheque copy
5. Partnership Deed copy
6. MSMED Act Certificate copy
7. Related Party Declaration
8. CSR questionnaire
9. WPP Code of Conduct
10. Vendor Agreement

Quality control checks to meet the business requirement :

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 AGENCY NAME

NEW SUPPLIER INFORMATION REQUEST

You confirm that the company has sustainability policy / meets Government policy on Labour standards / Health
and safety Practices (If No, then kindly explain)

YES

Please document any additional information you may find relevant below:

N/A

Please sign below confirming the accuracy of the above information:

Name and position:

GOPAL SHARMA

DIRECTOR

Signature:

Date:19/01/2016