Vendor Request Form

INDIA
Co. Code (For Office Use)
Service/ Purchase Organization

Account Group (For Office Use)

Nature of Vendor Just Another Show Events & Entertainment
Term of Payment
Order currency
Vendor Information
Supplier's/ Vendor Full Name
Registered Office Address 1:
Billing Office Address 2: 202, Akruti Arcade, JP Road, Near Azad Nagar Metro Stat
City Mumbai
State Maharashtra
Pin Code 400053
Country India
Telephone No. with Area Code
Fax No. with Area Code
Contact Persons Name & E-mail Ids

Mobile Nos. of Contact Persons

Vendor Bank Information
Name of Bank
Bank Branch Address with Pin Code
Name of Beneficiary
Bank Acount No.
IFSC Code
E-Mail ID ( Finance Person )
Vendor Compliance
PAN Number *
Service Tax Number *
TIN No/ VAT No /GST No
EXCISE Registration
TDS Section
Small Scale Industry (Y/N)

New Vendor Assessment: For Office Use Only

Comment on the vendor's ability to deliver (i.e. length of time

in business, size, financial security, available capacity to meet
demand, etc):

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Is the vendor on any restricted lists (imposed by the local
country)?

Declaration by the Requestor confirming above details:

Name Title Signature

For Finance Use Only:

I have already examined the relationship with people in our
Organization
Vendor Number Assigned:
Vendor Set up Authorised by :

Vendor's Signature with Company address, date & Round Seal :

*NOTE :
Copies of PAN, VAT, CST, Trade Licence, Excise Registration, Service Tax Registration, cancelled blank cheque are mandatory.
FORM TO BE SIGNED BY PROJECT LEAD ONLY

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orm

w Events & Entertainment

e, JP Road, Near Azad Nagar Metro Stat

400053

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 Date

celled blank cheque are mandatory.

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