Vendor Information Request Form

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Dear Valued Vendor,

We kindly request you to provide your details to help us maintain updated and accurate records for a smooth and efficient process.

Note: Please fill NA if anything is not applicable to you

Vendor Information Request Form

Name of the Establishment: Nature of Company — Ownership: Full Name of the Promoters / Directors / Partners / Proprietor: Address: State: Country: ZIP/PIN Code: IEC Code: GSTIN No: MSME Number: CIN Number:

Contact Information

Purchase Dept Contact Person 1: Purchase Dept Contact Number 1: Purchase Dept Email ID 1: Purchase Dept Contact Person 2: Purchase Dept Contact Number 2: Purchase Dept Email ID 2: Accounts Dept Contact Person 1: Accounts Dept Contact Number 1: Accounts Dept Email ID 1: Accounts Dept Contact Person 2: Accounts Dept Contact Number 2: Accounts Dept Email ID 2:

Bank Details

Bank Name: Branch Name: Beneficiary Name: Type of Account: Account No: IFSC Code: SWIFT Code: Location of the Branch (Address) / Any other info: Bank Canceled Cheque or Bank Authorization Letter (Required):