CRISIL Group

VENDOR REGISTRATION FORM

A PERSONAL DETAILS
1 Full Name of your Organization* SHARAD VITHALDAS NAIK
2 Vendor GST Number & State** (Attach Annexture for multiple NOT APPLICABLE
GSTIN numbers)
3 Permanent Account Number (PAN)** AABPN0481B
4 Micro, Small and Medium Enterprise Registration Number** NOT APPLICABLE
5 Complete address* B-1003, TREASURE PARK, SANT NAGAR,PARVATI
6 City* PUNE
7 State* MAHARASHTRA
8 Country* INDIA
9 PIN Code* 411009
10 Category INDIVIDUAL
(Individual/Partnership Firm/Company/Others - Specify)*
11 Nature of Transaction* External Technical Consultant
12 Payment Terms* 1) 20% upon commencement of study and receipt of engagement letter
from SAARC Energy Centre
2) 50% upon receipt of all technical inputs and draft report write-up
3) 30% upon acceptance of report and final payment by SAARC Energy
Centre

13 Company Website NOT APPLICABLE

B Communication Details
1 Company Email address* svnaik@gmail.com
2 Contact person at your office - For Busines related Matters Mr. Sharad V Naik
3 Contact person at your office - For Tax Related Matters Including GST Mr. Sharad V Naik
4 Email address of the Contact person ( For Business & GST Spoc ) svnaik@gmail.com
5 Mobile No. of the contact person ( For Business & GST Spoc ) Mr. Sharad V Naik Mobile no -9890566276
6 Tele No. with STD codes & Extensions ( For Business & GST Spoc ) Mobile no - 9890566276
7 Fax No. with STD codes
C BANK DETAILS* (Attached annexture if multiple bank accounts
maintained for different sites)
1 Mode of Payment Electronic
2 Bank Name ICICI Bank
3 Type of Account Savings
(Current / Cash Credit / Overdraft / Savings / Others - Specify)
4 Account No with your Bank 033701506762
5 Branch Name & Address Sahakar Nagar Pune Branch, Shop No 1 to 3, Grd Flr Sr No
82,Aranyeshwar Park, Sahakar Nagar, Pune 411009
6 Personalized Original Cancelled Cheque ( Of all Bank accounts )** Posted
7 MICR (Magnetic Ink Character Recognition) No. 411229052
8 RTGS (Real Time Gross Settlement) Code
9 NEFT (National Electronic Funds Transfer) Code
10 IFS (Indian Financial System) Code ICIC0003692
11 SWIFT CODE

Verification By Bank ( Mandatory if Personalized Original Cancelled Cheque Not Provided ) **

The above party (as per details in A -above) is having an operational account with us as mentioned above and we have verified all the details given in "C" above
and certify to be correct as per our records

Personalized Original Cancelled Cheque is provided.

Signature of the Bank Official with Bank seal

Counter Verification by Vendor

We have verified all the details mentioned in A, B & C above and certify to be true as per our records and to the best of our information.
Any change in part C will inform seperately through separate communication on our letter head

Name & Signature of Authorised Signatory with Company seal

* Mandatory Fields. Pls mentiioned NA if not applicable
** Please provide documentary evidence eg : Tax registration identity, Company/ Firm Registration certificate etc.

For CRISIL use only

Vendor creation request sent by Approved by - Director, ___________________________________

( Name & Signature ) ( Name & Signature )

For CRISIL Finance use only

Vendor Code in OFA

Reviewed Vendor Created by Vendor Approved by

by