Tel :0542- 6701724 / 0542-2366865 FAX :2368174 dk’kh fgUnw fo’ofo|ky; BANARAS HINDU UNIVERSITY (Established by Parliament by notification No: 225 of 1916) (laln dh 1916 dh vf/klwpuk la[;k 225 }kjkLFkkfir) dqylfpo dk;kZy; ¼foÙk½ dsUnzh; Ø; laxBu Capital of knowledge Office of the Registrar (Finance) CENTRAL PURCHASE ORGANISATION VARANASI - 221005 okjk.klh &221005 VENDOR REGISTRATION FORM (1) Name of firm/ Company: (2) Complete mailing Address with Phone & e-mail : (3) Parent Company (Full legal Name & Address) : (4) Name & Address of Local Distributer/ Dealer with proper Certification (A copy of authorization certificate from manufacturer is to be enclosed) (5) Year Established : (6) TIN : (7) PAN : (8) ISO 9000 equivalent certification no. : (9) CST / VAT No./Service Tax Registration No: : (10) Nature of goods transacted (11) Turnover for the last 3 Years : (12) Bank Name : IFSC Code: Address: (13) Bank Account Number: Account Type: (14) Certification: I, the undersigned, certify that the information provided in this form is correct, and the event of changes in details mentioned above will be provided as soon as possible : Name Functional Title Signature Date (15) List of Attachments : 1. 2. 3. 4. 5. 6. 7. 8. 9.