VAISHNAVI INFRASTRUCTURE PVT. LTD.

VENDOR ENROLMENT FORM

Name of the Vendor : ……......................................................................................................

Address of the Vendor : ……......................................................................................................

……......................................................................................................

Landphone No : ……......................................................................................................

Fax No. : ……......................................................................................................

Email address : ……......................................................................................................

Website address : ……......................................................................................................

Address of the : ……......................................................................................................

Manufacturing Unit ……......................................................................................................

Constitution of the Vendor: Public Limited / Pvt Limited/ Partnership Firm/ Proprietor

Category of Vendor : Supplier / Contractor / Both

Year of Establishment with

Registration details : ……......................................................................................................

Strength of Employees : ……........................................................................................................

(Full Time / Casual)

Firm Details :

A. PAN :
B. GST Reg NO.
C. Subsidiary Company, if any ......................................................................................................

Material / Work Details: ……........................................................................................................

Experience : …….…......................................................................................................

………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

Reference Source : Internal / External Source

Financial Capacity : Turnover of last 3 years ………………………………………………………….

Banker’s Name & Address: ……........................................................................................................

Bank Account Number :

..…….....................................................................................................

Authorized Contact Person: …….......................................................................................................

Authorized Contact Phone No: …….......................................................................................................

The following documents have to be included along with your enrolment form :-

1. Copy of registration document of the company / Proof of document of above mentioned type of
firm.
2. Copies of identification document of the Owner/ representative of the company.

I/ We, the undersigned , acknowledge all the information furnished above is true & correct to the best of
my knowledge .

Signature and Name of the Owner / Representative

Place :