Vendors Reg. Format - BPL
Vendors Reg. Format - BPL
Vendors Reg. Format - BPL
LTD
CORP. OFFICE :- G1-2
KARNI INDUSTRIAL AREA
BIKANER (Raj) - 334001
Phone :- 9374-277-277
Email :- care@bhujialalji.com
ADDRESS
CONTACT NO. OF
EMAIL
THE REPRESENTATIVE
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)