CLIENT REGISTRATION FORM

(***All fields are mandatory for on-boarding***)


COMPANY DETAILS
1. Entity Name (as appears in GST certificate)
2. Address Details (Registered Office Address)
3. Address Details (Billing Address)
4. Type of Business
  • Sole Proprietership
  • Partnership
  • Private Limited
  • Public Limited / Listed Company
  • LLP
  • Others
5. Nature of Work/ Business
6. Company Registration Number
7. PAN Number (Not applicable for foreign entity)
8. TAN Number (Not applicable for foreign entity)
9. GST Number (Not applicable for foreign entity)

CONTACT DETAILS
10.1 Company Website (if any)
10.2 Marketing Contact Name & Designation
10.3 Marketing Contact Number
10.4 Marketing Contact Email address
10.5 Finance Contact Name & Designation
10.6 Finance Contact Number
10.7 Finance Email address

INVOICING DETAILS
11. Invoicing Currency

BANK/NEFT DETAILS
12.1 Bank Account Number
12.2 Name of the Bank
12.3 Bank Address
12.4 IFSC Code
12.5 IBAN #
12.6 Swift Code

DECLARATION

  1. I/We declare that all the information provided herein (including the enclosures) are true to the best of my/our knowledge:
  2. I/We declare that me/we are authorized to provide information for updating vendor database in company's records.
  3. The email-ids provided above are official and authorized. Any communication regarding creation/updation of details in Company's records including bank details, change in name/address, updating PAN and GST details etc. received from these email ids, as applicable shall be considered to be authorized by us and be taken on record and taken forward for further execution. We shall keep you informed as and when there is change in the aforementioned information. We shall indemnify company against all payments, claims, expenses, proceedings, actions, liabilities, losses and damages arising out of or in connection with any act or fraud or default or omission or negligence regarding communication from above e-mail ids and resultant actions.
Authorized Signatory
 
(Date & Signature)   (Name & Designation)   (Company Seal/Stamp)
 
Note: Please attach soft copies of below documents (Mandatory)
1. GST Certificate
2. MSME Certificate (if applicable)
3. PAN card
4. TAN
5. Company Incorporation Certificate
6. Tax Exemption Certificate/Letter (applicable for tax exempt entities)