new vendor form effective may.doc.doc

8/12/2019 New Vendor Form Effective May.doc.Doc

1/4

VENDOR/CONTRACTOR INFORMATION TEMPLATE(To be filled and submitted to us on Top Pioit!"#

$% VENDOR ADDRE&& DETAIL&

a) Name of the company( 40 char)

Quest mind training center

Short Vendor Name if any( 10 Char)

J S Santhanam

b) egistered !ffice "ddress #

c) "ddress for Correspondence(anne$ure for mu%tip%e%ocations)

&' bagiyam pa%ace pu%iyur first %ane *odamba**am

Chennai + &4

d) ,hone (-ith code) 044 + &4'4&1&0

e) .a$ (-ith code)

f) mai% /d ssss10gmai%2com

g) 3ebsite

h) Vendor ocation( for -hichcogni5ant %ocation 6endordoes business) ( 10 char)

7.

'% CONTACT PER&ON DETAIL&

a) Name J S Santhanam

b) 7esignation Chief 7irector

c) Contact Number i)844401&1&9ii)844:&1&1&9

d) +mai% /d ssss10gmai%2com

e) 3ebsite

% &TAT)TOR* RE+I&TRATION DETAIL&

a) Ser6ice ;a$ egistration No2 IF TA, APPLICA-LECOPIE& OFRE+I&TRATIONCERTIFICATE&.O)LD -EATTAC.ED

b) Ser6ice ;a$ Jurisdiction

c) V"; No (if app%icab%e)

d) oca% Sa%es ;a$ No2< ;/N N!e) Centra% Sa%es ;a$ egistration

No2

g) $cise ange

h) $cise 7i6ision$cise Circ%e

$cise =one

$cise Co%%ectorate

$cise CC N!

Page 1 of 4


2/4

i) "ddress of %oca% branch depot-arehouse

;/N < >/N No2 ( /f app%icab%e) PAN CARD COP*&.O)LD -EATTAC.ED

) ,"N No*) /ncome ;a$ 3ard < Circ%e

%) ,ri6ate >onded 3arehouseicense No2 (-ith Va%idity

7ate)m) Jurisdictiona% Customs !ffice

"ddress

n) Sa%es ;a$ assessmentrangean*

b) >an*er "ddress atest Cance%%ed che?ue copyor %etter from >an*

COP* OF -AN0&TATEMENT&.ALL -EATTAC.ED

c) ,hone (-ith code)

d) >an* "


3/4

Veifi2ation3/ hereby confirm that the abo6e information is true and correct to the best of my*no-%edge2

Signature of authori5ed person -ith company sea%2

3e hereby ta*e p%easure in ha6ing business dea%s -ith you in order to ha6e atrac* on our regu%ar 6endors2 -e maintain an information temp%ate for a%% our $isting %oc* 1C &nd.%oor @ount ,oondama%%ee oadamapuram Chennai D00 0'8

Vendor Master Updation

Details to be obtained from Vendor as per format attached.

Copies of the following are to be obtained, wherever applicable

1. Certification of Incorporation for Companies

2. Certification of Registration for irms!. Cop" of #$%&. Cop" of 'ales (a) Registration* +'(*C'(*V$(

. Cop" of Central -)cise Registration

. Cop" of 'ervice (a) Registration

/. Cancelled Che0e Cop" or Confirmation from an3 with Vendor name, $cct%o 4 I'C details

5. $ddress #roof if different from the above

Page 4 of 4

new vendor form effective may.doc.doc

Documents