Vendors Reg. Format - BPL

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BHUJIALALJI PVT.

LTD
CORP. OFFICE :- G1-2
KARNI INDUSTRIAL AREA
BIKANER (Raj) - 334001
Phone :- 9374-277-277
Email :- care@bhujialalji.com

CONTACT DETAIL VENDOR REGISTRATION FORM


Name OF
ORGANIZATION

ADDRESS

NAME & DESIGNATION


OF THE COMPANY
REPRESTATIVE

E-MAIL ID OF THE CONTACT NO. OF


ORGANIZATION THE ORGANIZATION

CONTACT NO. OF
EMAIL
THE REPRESENTATIVE

a. .Proprietorship ( ) b. Partnership Firm ( )

TYPE OF ENTITY c. Company ( ) d. LLP ( )

e. Others, Specify ( …………………………………………………….)

COMPANY OVERVIEW
GENERAL
DETAILSOF
SERVICES/GOODS
GST REGISTRATION
NUMBER
(if registered Please
attach the Certificate)

DATE COMPANY
PAN NUMBER
ESTABLISHED

GST DETAIL
Registered ( ) Unregistered ( )

FIRM REGISTERED
UNDER MSME Micro ( ) Small ( ) Medium ( ) Not registered ( )
(enclose a copy)

TYPE OF BUSINESS /
Retailer ( ) Manufacturer ( )
COMMODITY
SERVICES
Whole seller ( ) Distributor / Dealer ( )
(CHECK ONE)

ADDITIONAL INFO
BANKING INFORMATION

BANK NAME

BENEFICIARY NAME

ACCOUNT NUMBER

IFSC CODE

Bank Address

CERTIFICATION

I hereby affirm that all information provided hereby is true and accurate. Notice must be given of any change in status
impacting the information provided above with immediate effects.

PRINTED / TYPED
DESIGNATION
NAME

SIGNATURE
DATE
(with Seal)

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