VENDOR OPENING/ CHANGE FORM

Tick the Relevant Description of Details Required Row in case of (All fields that are mandatory have an * asterik Change in against them) existing Vendor Detail. This column is not applicable for Vendor Opening.

VENDOR NUMBER IN SAP (IN CASE OF CHANGE ONLY) SECTION 1: Details to be provided by the Vendor
Name* House number and street Address Line 1 (*) Address Line 2 Address Line 3 City* PIN Code* Region (State)* Country* Telephone number* (ISD Code/STD Code + Telephone Number) Telephone Number (ISD Code/STD Code + Telephone Number) Fax Number (ISD Code/STD Code + Telephone Number) E-mail id 1* E-mail id 2 Company Website Contact Person First Name* Contact Person Last Name* Department of Contact Person* Designation of Contact Person* Mobile Number of Contact Person* Mobile No. 2 of Contact Person Year of Establishment Nature of Business*: Supply of Goods (Please specify as applicable eg: Food & Soft Bev/Liquor/Tobacco/Linen/Crockery/Chemicalsetc) Services (Please specify as applicable eg: Painting/Plumbing/Consultancy/Hiring/Banquet Services/etc..) Nature of Company *: (Public Limited/Pvt. Limited/Partnership/AOI/BOI/Sole Proprietorship) Associate and Sister Concerns (If more than one pls list in different rows).

Bank Details [Mandatory]* Please attach a xerox/scanned copy of cancelled cheque/approved letter on the Banks Letter Head as supporting of your banking details)) Account Holder Name Bank Account Number Type of Account (Savings/ Current) IFSC Code Bank Name Bank Address Details (Mandatory)* Bank Address Line 1 Bank Address Line 2 Bank Address Line 3 PIN CODE (relating to Bank Address)

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VENDOR OPENING/ CHANGE FORM

Tick the Relevant Description of Details Required Row in case of (All fields that are mandatory have an * asterik Change in against them) existing Vendor Detail. This column is not applicable for Vendor Opening.

VENDOR NUMBER IN SAP (IN CASE OF CHANGE ONLY) Note: The Bank Information mentioned above for Government Organisations like Municipal Corpora letter head

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VENDOR OPENING/ CHANGE FORM

Tick the Relevant Description of Details Required Row in case of (All fields that are mandatory have an * asterik Change in against them) existing Vendor Detail. This column is not applicable for Vendor Opening.

VENDOR NUMBER IN SAP (IN CASE OF CHANGE ONLY) Statutory Information (Please mention NA in those fields
Not Applicable to you: Mandatory fields cannot be marked as NA) Permanent Account Number (PAN)* [Copy of PAN Card Allotment Record to be attached] VAT Registration No./ Local Sales tax no. [Copy of the registration certificate to be attached ] Service Tax Registration Number [Copy of the registration certificate to be attached ] Central Sales Tax (CST) Number [Copy of the registration certificate to be attached ] TAN Number [* Mandatory in case of Liquor Vendor, Copy of the TAN number to be attached ] SSI Status* (Small Scale Industries/Micro Small Medium Enterprises/Others) SSI Registration Number [Copy of the registration certificate to be attached ] MSM Registration Number [Copy of the registration certificate to be attached ] PF Registration Number [Copy of the registration certificate to be attached ] ESIC Registration Number [Copy of the registration certificate to be attached ] Contract Labour Act No. Central Excise Registration Number Excise Range Excise Division Excise Commissionerate State Excise Registration Number ROC Registration Number Customs Act Regn No: Exim Control Act Regn No: TDS Exemption Details ( Copy of the certificate to be attached in case applicable) TDS Section under which exemption is being sought: Validity Period of the Certificate

Approved by (Name, Signature and Designation of Vendor's Authorised Signatory)

Signature: NAME: Designation:

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VENDOR OPENING/ CHANGE FORM Details Provided

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VENDOR OPENING/ CHANGE FORM Details Provided

ve for Government Organisations like Municipal Corporation etc shall be obtained on the

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VENDOR OPENING/ CHANGE FORM Details Provided

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