Vendor Registration Form ('VRF')

Vendor information (To be filled by vendor representative)

1. Company Profile
Name of the Establishment (Main Office/head Quarters)
Items of Mfg/Services
Office Address:
Telephone, Fax, web site
Works: Address, Telephone, Fax

Year of Establishment
Company ownership Proprietary/Partnership/Private Ltd/Public
Ltd./CPSU/State PSU
Status of Industry Large Scale/Medium Scale/Small Scale/Micro
Unit/Subsidiary/Ancillary
Any Technical Collaboration/MOU with Foreign/indian Co.
Company Registration No. & Dt. Na Registered with
Local Representative, address, Ph No. Fax, e-mail
Parent organisation (Full legal name and address)
Major customers during last 3 years (provide documentary
evidence like PO Copies)
Address for Correspondence (if different that as mentioned above)
List subsidiaries Major Associates/ Consortium
Members in Trade or Professional Assoications/Societies
Authorized Distributers/Dealers

2. Financial Status
Total Capacity (Turnover)
Name of the Bankers :
Certificate copy to be furnished)

(Banker's clientworthiness

3. Organization
Name (s) of Proprietor/Directors/CEO
Official to be contacted (Commercial)
Name,
Designation, Phone No., Fax No., Mobile No.,e-mail ID, Address for
correspondence
Total Strength Top/Middle/Jr. Management, Executive,
Supervisory, Official Staff, Workmen
Total no. of full time employees, No. of persons employed
exclusively in quality function

4. Taxes and Duties

PAN No.
E.C.C. No.
CST No.
VAT/TIN Nos.
Service Tax Registration No.(if applicable)

5. Certificates if any
ISO certified company (Yes/No)
Any other Certifications

10. Declaration
I, the undersigned, certify that the information provided in this formate is correct, and in the event of changes in details will be provided
Signature of vendore representative
Name & Designation
Date and Place
Round Stamp of the Organization