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VENDOR REGISTRATION FORM

Detail

r. Particulars
SukHPAL K A U
V'endor Name f.oh
Tdinsle
Chak
Permanent Address vill si Dhav
Teal.
A a l s h
b g ay ,

Correspondence

Address

PIN
PiN- 1S 2002
Corresponden

Address(wirh

Codc)
P A NN o . AxEPR 19So E
GSTIN No.*
Name of the Bank Ic1CT
Bank Account
Number
448o1S o372
Account Type ( Saving Savi Acoul
A/c Current A/c
/Cash Credit
Account)
10 Branch Address ofThe Mall Poaol f2RC
Bank
11 IFSC Code
Name of Owner/Director
12 Name of Contact
person Finance Manager
Email IDD
Name of Owner/D1rector
13
Finance Manager
14 Contact Numbers Name of Owner/Director
Finance Man:ger
Introduced in the
15
company by neither you ndt any of your
relation to the transactions/payments,
16 Anti-Bribery Anti- In authorzed or wil! make, ofter
or

Laundering/|related/associated Parties has made, offered or


Money or other advantage, whether directly or

Terrorist Financinng authornze any payment, g1ft, promise


of anv
or entity, to
or for the use or benetit
Clause through any other person where such
company or person
any enuty
or other
Governmnent Official or our

or other advantage () compre a Facilitation


would
payment, gift, promise
(i)violate the Anti-Bribery/And Aloney
Laundering Terronst
Payment, or Laws.
any other appicable
Financing Laws and Obligations or
letter head, is
declaration, per attached
format on vendors
in case. vendor is not reg1stered with GST, a as

reduired. and beliet in


declare that the details furnished above & correct to the best of my knowledge
are true
Ihereby
case anv intormatuon is tound to be talse or untrue, I will be solely responsible tor the pavment

Suthpal l a u Verified& Approved


Sinarure ot .Yuthorzed person

Name uPLpal Kau Authorized person

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