Doc. No.

ISCPROF08 NEW VENDOR REGISTRATION FORM (NVRF)

Date: 11-12-14, Version - 4.0 Karvy Innotech Limited
1 Section 1. Vendor Basic Details (To be filled by Vendor):
✘ New Vendor
1(A) Type of Registration

Maxxtouch Impex India Private Limited

1(B) Vendor Name:

Complete Address with Postal Road No-12, 8-2-684/4/b, Beside Audi Showroom Anand Banjara Hills, Hyderabad,Telangana
1(C) 500034
code (PO address):
Sreedhar Porandla 9177769169
1(D) Contact person name: 1(E) Contact person Designation: Vice President 1(F) Contact person Telephone no.:
9177769169
1(G) Contact person Mobile no.: 1(H) Contact person E-mail id: shree.porandla@gmail.com 1(I) Contact person Fax no.:

Manufacturer/ OEM Tier 1 Distributor Channel Partner (Other than Landlord Transporter
✘ ✘ ✘ Tier 1 distributor)
Type of Organization :
1(J) (please select type of Staff Augmentation Service Professional Services Other then
organisation based on your Telecom Service Provider H/W Service Provider ✘ S/W Import & Related Services
Provider S/W related services.
business type)
MSME
SEZ Others

✘ Private Ltd. Public Ltd Proprietorship Partnership Public Sector Unit (PSU)
1(K) Form of Company
Individual
Manufacturing, Trading and Software Solutions
1(L) Nature of business

Vendor Category based on list

1(M) of required mandatory
documents.
1(N) Bank Account No.: 38099255421 1(O) IFSC Code: SBIN0020684

1(P) Account Holder Name: Maxxtouch Impex India Private Limited 1(Q) PAN no.: AALCM1539Q

1(S) GSTIN Status

1(R) GSTIN: 36AALCM1539Q1ZT (Registered/Unregistered/Under 1(T) Vendor Rating from GSTIN
Composition Scheme/SEZ
Acceptance on Karvy I/We full internet access, and I/we have read and understood Karvy Innotech Limited Code of conduct through given internet link https://uat.karvyclick.com/codeofconduct.pdf and agree to abide by the same in
Innotech Limited code of all respects. We undertake that all our employees, directors and representatives conduct our business while maintaining full compliance with Karvy Innotech Limited Code of Conduct at all times while dealing with
1(U) conduct: all Karvy Innotech Limited group entities, internal and external stakeholders.

Declaration : I/We declare & confirm that information & documents submitted herein are true and correct to the best of my/our Knowledge, and accordingly consider our request for registration as a Vendor with Karvy Innotech
1(V) Limited who may choose to deal with us.

Authorized Signatory - Name Sreedhar Porandla 1(X) Authorized Signatory - Designation Vice President
1(W)

Signature and Company Seal & 1(Z) Date:14/02/2020 1(AA) Place: Hyderabad
1(Y) Stamped

2 Section 2. Other Details (To be Filled by Karvy-Requester):

Account Group: Domestic Products/Services - Carrying & Frwdg Agent - CFA Retainers - RET Overhead - OHD Manufacturer - OEM
DOM
2(A)
Import Products/Services Small & Medium Enterprise Related Parties - REL Landlords/Rental - LND CAPEX - CAPX
-IMP (MSME) -SME
Company Code: 1000 2000 3300 ✘ 3400 3600
2(B)
3700 3800 4000

2(C) Purchasing Org: 2(D) Payment term: 2(E) Purchasing group:

Currency: 2 (G) Plant Code(applicable for 2(H) Customer Code(applicable for
2(F) related party code only): related party code only):
Parent Vendor Code, where all mandatory documents are already attached in SAP(applicable for partner function
2(I) code only) To be filled by Procuement
Requester Name: 2(K) Requester Manager Name: 2(P) Name of Purchase Head:
2(J)
Requester Designation: 2(M) Requester Manager 2(Q) Designation:
2(L) Designation:
Requester Signature: 2(O) Requester Manager Signature: 2(R) Signature:
2(N)

3 Section 3. Withholding Tax inputs (To be filled by Karvy-Taxation team):

Withholding Tax Percentage, if 3(B) Withholding Tax Section number, if
3(A) applicable: applicable:
Finance Approvee name: 3(D) Finance Approvee Designation: 3(E) Finance Approvee Signature:
3(C)

4 Section 4. Vendor code details. (To be filled by Karvy-MDM Team):

4(A) Request Received Date: 4(B) TDS Inputs Received Date: 4(C) Code creation Date :

4(D) Alloted Vendor code: 4(E) Vendor Confirmation Received Date: 4(F) Code Activation Date :

4(J) Screen shot uploaded in 4(K) Screen shot uploaded in SAP

4(G) Activity Checklist: 4(H) Vendor confirmation 4(I) All documents uploaded in
mail uploaded in SAP SAP SAP for verification done in for verification done in Govt.
Govt. websites for PAN websites for GSTIN

4(L) Creator name: 4(M) Creator Designation: 4(N) Creator Signature:

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