Servomax lndla LLd (1elecom ulvlslon) loL no 44LC complex Ad[acenL Lane Lo More super MarkeLLClL x 8oad

Pyderabad300062
|

Vendor Registration Form
Name & address of the company/firm/:


Contact Person:
Telephone/Mobile no:
Email ID:

Status of Firm/Company(tick ,%

Proprietary. Partnership. Private Ltd. other .
Type of Contract Works(tick ,%

Labourcontract. I &C . Tower Erec. Turnkey .
Civil Infra . Electrical material.
Year of commencing business:


No of Employees If (B) Contractor
Skilled
Unskilled
Engineers
Supervisors

Details of Associated co s& firms

Name of the firm Address Items manufactures/dealt


*Annual Turn Over of last financial year:

Registration Numbers of documents:
CST NO:
*TIN NO:
*Service Tax no:
*PAN card No:

Servomax lndla LLd (1elecom ulvlslon) loL no 44LC complex Ad[acenL Lane Lo More super MarkeLLClL x 8oad
Pyderabad300062
|

*Name & Address of Principal bankers:
Bank Name:
City & Branch name:
Account No:
Swift Code
IFSC CODE:

Previous worked details:
Name of the
company
Project Nature of
work
No of sites Reference
person


Documents to be enclosed
Yes(tick ,% NO(tick ,%
Service tax Registration copy
VAT registration copy
PAN card copy
ESI/Group insurance certificate
Demo Site certificate(For I/C only)
Company Profile

Declaration by Vendor:
I/We here by declared that all the information regarding our firm is furnished
correctly & truly. Any changes in details shall be informed to servomax India
Limited on priority before 15days.We/I fully aware of BOQ rates/pay
terms/condition of servomax, hence accepted to take up the works.
Date:
Place:


To be filled by servomax:
Servomax team Designation Name Signature
Ref /Recommended
Verified/Processed
By
Vendor Manager

Vendor sign & seal
Iendor Code