LST Number YES NO □ □ CST Number YES NO □ □ PAN Number YES NO □ □ TIN Number YES NO □ □ Service Tax Registration No. YES NO □ □ Withholding Tax Details YES NO □ □ ESI NO. (AS APPLICABLE) YES NO □ □ PF NO.(AS APPLICABLE) YES NO □ □ Registration Copy of the Company YES NO □ □ Copy of Cancelled Cheque YES NO □ □ MSMED Certificate YES NO □ □ ISO Certificates ISO 9000 YES NO – □ □ ISO 14000 YES NO – □ □ ISO 18000 YES NO – □ □ Dealership Certificates YES NO □ □ Organisation Chart YES NO □ □ Annual Report / Balance Sheet of 3 years YES NO □ □ Environmental Clearance Documents YES NO □ □ Pollution Control Board Documents YES NO □ □ Statutory Compliance Documents YES NO □ □ List if Major Customers YES NO □ □ Declaration I / We declare that the information furnished above is correct to best of my / our knowledge and I / We undertake to inform you at the earliest of any change in detail mentioned above. Name of the Person Designation Signature Company Seal
LST Number □ YES □ NO CST Number □ YES □ NO PAN Number □ YES □ NO TIN Number □ YES □ NO Service Tax Registration No. □ YES □ NO Withholding Tax Details □ YES □ NO ESI NO. (AS APPLICABLE) □ YES □ NO PF NO.(AS APPLICABLE) □ YES □ NO Registration Copy of the Company □ YES □ NO Copy of Cancelled Cheque □ YES □ NO MSMED Certificate □ YES □ NO ISO Certificates ISO – 9000 ISO – 14000 ISO – 18000 □ YES □ NO □ YES □ NO □ YES □ NO Dealership Certificates □ YES □ NO Organisation Chart □ YES □ NO Annual Report / Balance Sheet of 3 years □ YES □ NO Environmental Clearance Documents □ YES □ NO Pollution Control Board Documents □ YES □ NO Statutory Compliance Documents □ YES □ NO List if Major Customers □ YES □ NO Declaration I / We declare that the information furnished above is correct to best of my / our knowledge and I / We undertake to inform you at the earliest of any change in detail mentioned above. Name of the Person Designation Signature Company Seal
vendor_registraction_form.docx