Vendor / Contractor Registration Form

1. Name of the Contractor:

__________________________________________________
__________________________________________________
2. Full Postal Address:

__________________________________________________
__________________________________________________
__________________________________________________

3. Constitution of the Firm:

Proprietary:

_____________________________________

Partnership:

_____________________________________

Pvt./Pub. Ltd. Company: _____________________________

(Attach the Partnership deed/AOA and MOA)

4. Whether SSI/SME or not (If YES Attach Copy):

5. Telephone No:

__________________________________________________

6. Contact Person:

__________________________________________________

7. Email Address:

__________________________________________________

8. Contact Persons Cell No:

9. CEO / MD Name and Mobile no.: ..

10. TIN No. (Attach copy):

11. LST/CST No. (Attach copy): _______________________________________________

12. PAN No. (Attach Copy)

13. VAT No. (Attach copy): ___________________________________________________

14. Service Tax No. (Attach copy): ____________________________________________

15. Excise Registration No. (Attach copy):

16. Bank Account Name:
17. Bank Name:

__________________________________________________

__________________________________________________________

18. Bank Account No: ______________________________________________________

19. Bank Swift Code: _______________________________________________________
20. Payment Address:

__________________________________________________
__________________________________________________
__________________________________________________

21. Status (Manufacturer/ Dealer/ Trader): ________________________________________

22. Is CEO / Directors related to any employee of Emaar MGF? (If Yes): Please give the
name of the person and designation.

I hereby formally accept to abide by the terms and conditions of the Emaar MGF Land
Limited with regards to supply of the products and services.

Date:
Place:

Vendor / Contractors Name with Seal

Signature

_______________________For Emaar MGF Land Limited Use only_________________

Supplier Oracle Code:

__________________________________

Procurement Department: __________________________________

Contractor Rating:

__________________________________

Date of Opening:

__________________________________

Date: _____________

Authority Signature