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Ver 3.0
VENDOR REGISTRATION FORM

Vendor Code

(To be Filled in by the ERP VMF Operator)
Company Name

Plant (KWPCL / JPL / BOTH)

Registered Address
House No./Building No*

Street Name *

City *

State *

Post Office *

Pin Code
Telephone Number *

Fax Number

Country*

Registered Address
Contact Person
Name *

Designation *

Land Line Number *

Mobile Number *

Email Id *

Communication Address
House No./Building No. *

Street Name *

City *

State *

Post Office *

Country *

Telephone *

Fax Number *

Communication Address
Contact Person
Name *

Designation *

Land Line Number *

Mobile Number *

Email Id





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Ver 3.0
VENDOR REGISTRATION FORM
Vendor Type * (Service / Turnkey / Materials / Spares / Stationery/
IT/ HR/)
Industry / Details * Specialisation of the Vendor in Brief
Reference Customers * Reference Customers (Similar Work) by the Partner
especially for orders larger than 1 Cr.
Vendor Group * Domestic Capex / Opex, Foreign Capex/Opex,
Avantha Group company, One Time Vendor,
Statutory Vendor, Transporter, Secured Loans,
Mutual Fund
Is the Partner Directors /
Partner Account
Representative related to any
Employee of APIL/ JPL/ KWPCL
If Yes give Details :
Is the Partner Directors /
Partner Account
Representative related to any
Director of APIL/ JPL/ KWPCL
If Yes give Details :
SSI Number *

(Please provide the Registration Number under MSME Act
2006 and also attach a copy of Registration Certificate)
PF Code As per Labours Laws compliances
(Attach copy of PF Registration Certificate)
Account Number *
1. Attach Cancelled Cheque along with
Certification of Bank Details from Bank.

2. Please attach duly certified Annexure 1 for
Electronic Clearing Facility.
Payee name *
Bank Name *
Bank Branch Address *
Account Type *
MICR Number *
Excise Registration No * (Attach Copy of Registration Certificate)
Service Tax Registration No * (Attach Copy of Registration Certificate)
CST/LST/VAT/TIN Registration
No *
(Attach Copy of Registration Certificate)
PAN Number* (Attach Copy of PAN Card on Company Letter Head)
Labour Cess Registration (Attach Copy of Registration Certificate)
Import Export Code


All Fields with * mark is Mandatory

Requestor to ensure all Mandatory information is duly filled and all attachments in place before sending the form for
Vendor Creation


Vendor Representative Name
& Sign

Certified that all details given by me above in the form are
true.
Date
Requested By Name &
Signature
Certified that all the required details have been filled and
attached before sending the form for Vendor Creation.
Date
Approved By & Date Finance Department




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Ver 3.0




Checklist for Vendor Creation


1. New format of Vendor Application Form Ver -2.0 and fulfil all columns. ( )
2. Copy of PAN with signed and stamp or copy of PAN card on Company Letter Head ( )
3. Original cancelled cheque (Yes/No) ( )
4. Certification of bank details from bank on attached format or Company Letter Head ( )
5. SSI Number (if he has) with Self Attested document or if not then declaration on
attached format on Company Letter Head. ( )
6. Service Tax (if he has..) With Self Attested document ( )
7. CST/LST/Vat/Tin (if he has.) with Self Attested document ( )
8. Excise Number (if he has.) with Self Attested document. ( )
9. Signed of Vendor on the Vendor Form (Vendor Representative Name & Sign) ( )
10. Approved by Finance (Name & Signature on the Vendor application Form) ( )





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Ver 3.0










SMALL SCALE INDUSTRIES DECLARATION

Whomsoever it may concern________________________________________________________,
this is to certify that we are not registered under Micro, Small and Medium Enterprises Act.



Yours sincerely,
_______________________
Date : __________________
Place :__________________

*Printout on Vendors letter head only *.





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Ver 3.0


Bank Details Required for Electronic Clearing Service

Company Name



Registered Address



Bank Name



Bank Branch Address



Account Type



Account Number



MICR Number



IFSC / NEFT Code of Bank



Authorized Signatories
Name
Date
Certified that the particulars furnished above are correct as per our records.


Signature of the authorized Official from the Bank with Stamp