Know Your Customer (KYC)

Dear Customer, please fill the form. This form will help us to serve you better and strenghen our business relationship. The
information is kept in strict confidence.
S# Particulars Details
1 * Company Name :
Constitution (Pvt. Ltd., Public, Proprietory,
2 *
Partnership, Dealer, Trader)
i * Name of the Owner/Partners/Proprietor
Name of the Sister Concerns /
3 :
Associated Firms
4 * Office Address :
i City: :
ii Landline No. :
iii Fax Number :
5 * Resident Address :
* Owned / Rental House
i * City: :
ii Landline No. :
iii Fax No. :
6 * Contact Person :
7 * Name of the Purchase Manager
i * Mobile Number :
ii * Contact email ID :
8 Name of the Factory Manager
i Mobile Number :
ii Contact email ID :
9 * Name of Accounts Manager
i * Mobile Number :
ii * Contact email ID :
10 * Name, Authorised Signatory for Payment
11 * Year of Company Establishment :
12 Factory Address
13 Factory : Owned / Rental
14 Select Industry (Select from drop box) :
15 * Products Manufactured / Trade :
16 * Turn over in last 3 years :
17 * No. of Employees :
18 * Existing Customer 3 names & Tel. No. :
Existing Suppliers 3 names & Tel. No.
19 * :
(other than our Product)
20 * GST No. and Copy of GST Registration :
21 * PAN No. and Copy of PAN Card :
22 * Bank Name with Branch Name and Code :
23 Balance Sheet of Last 3 Years
24 Purchase Process/Decision Taker :
25 Preferred Time For Meeting :
Note - '*' fields are mandatory
Note -'*' GST Registration, Pan Card, AADHAR Card copies are mandatory.