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SUPPLIER REGISTRATION FORM

Company Name :Contact Name :-

R.S.IMPEX
MR.HARSHAD U.SHAH PO Box :Place / City :Province :- 83,NARAYAN DHURU STREET,MUMBAI Country :Phone :- 022-23437711/23442430 Fax :022-23437711 Website :- www.rsimpex.in E-mail :info@rsimpex.in/account@rsimpex.in MUMBAI INDIA

General Information

Address :-

Other Contact Name (if any) :- MR.MILIND SANGHVI Types of Business :- DEALER Manufacturing Trade Company Do you belong to a parent company ? Are you a Zamil Steel Customer No No Services Contractor Other's(specify) (if Yes pls specify the name) (if Yes pls specify the your customer No.) Branch :- ABDUL REHMAN STREET,MUMBAI A/C No :-315301010037638 Effective Date for the Validity of this A/C

Bank Details

Name of Bank :-UNION BANK OF INDIA Address :- ABDUL REHMAN STREET,MUMBAI A/C Title :-R.S.IMPEX Currency:- RUPEES

Terms of Payments :-

WITH IN 15 DAYS INR Payment Currency:- INR Payment Methods :-CHEQUE

Payment

Invoice Currency:Terms of Payment Basis Dat.

Shipping Location :-

Bill to :Sea Air Land Origin Prepaid :-

Purchasing Addn;l Imf.

Shipping Mode :-

Normal Basis of Shipments :- CIS Freight :-

VAT/CST Number

27330620712 V w.e.f.1-2-2008

PAN Number :- AACPS9040G Excise Registration Number

Kindly send your latest company profile and catalogues(CD or Soft copy if available) to us for our refrence and record.

Note :-Any changes in the above information should be noted to Zamil Steel . FORMAT NO :-ZS/PR/SRF/11/R1