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FORM FOR VENDOR REGISTRATION Ref: MM/03/R1/1999

ISO 9001

SL.NO

CHARATERISTICS EVALUATED

DETAILS FROM VENDOR
1.







Location Details
a. Name of Organisation
b. Permanent Address Office

Works

c. Contact Nos. Phone
Fax
d. Contact Person Name
Designation

NUVENTURA INC
268/3B ALLAPAKKAM MAIN ROAD
MADURAVOYAL
CHENNAI 600095

9384764787

HEEMANSHU V SHAH
PROPRIETOR

2.

Manufacturer /Dealer/Indenting/Agent-
Name / Address / Phone/Fax No.


DISTRIBUTOR

3.
If Manufacturer Type of Organisation
NA

4.
Size of Industry

NA

5.
Material



6.
a. TIN No..
Statutory Details b. Service Tax Regn No.CST No.
c. PAN No.
d. Excise Regn. No.
e. SSI No.
33081348687

7
Any other Information you wish to add
VENDORS AUTHORISED SIGNATURE WITH

NAME & DESIGNATION






APPROVED BY HOD(MM)