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F-05

VENDOR ENROLMENT - QUESTIONNAIRE


Nature of Service Chemical Supply

Company Name Yaji Developmental Solutions

Contact Person Venkat

Contact No 9949079800

Address 29-16, Simhapuri Colony Phase2 Layout, Vepagunta,


Visakhapatnam-530047
Type of Organization Partnership

Registration No. 1114 of 2014

No. of Employees 10

Insurance Details
(Employee Insurance)
Banking Information ICICI Bank, A/c No: 111205500383, IFSC Code: ICIC0001112

PAN No. AABFY4886H

GST No. 37AABFY4886H1ZM

ESIC No.

PF No.

Please attach copy of PAN,GST,Cancelled Cheque, PF, ESIC, registration details

Authorized Signatory
Date:7.10.2021
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F-05
VENDOR ENROLMENT – QUESTIONNAIRE
Company Name: Yaji Developmental Solutions Date: 7.10.2021

Description Details Remarks

Nature of Service Chemical Supply

Total Years of Experience in 6Years


the relevant field
Experience in multi-storied Yes
building
O&M Experience

Capacity Magnitude (Plant


Size)

Eligible Licence GST

Training Facilities

Supporting Staff 10members

Any other info -

Note: Provide details in a separate sheet, wherever required

Authorized Signatory
Evaluation Details:

Verified By

Recommendations

Signature with Date

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