Vendor Registration Form

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Tel :0542- 6701724 / 0542-2366865 FAX :2368174
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BANARAS HINDU UNIVERSITY
(Established by Parliament by notification No: 225 of 1916)
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Capital of knowledge
Office of the Registrar (Finance)
CENTRAL PURCHASE ORGANISATION
VARANASI - 221005
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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.
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