FORM: QSF–PUR-07

,
Adex Group SN:
(Vendor Enlistment Form ) SAGE CODE:
REG COMPANY:

DETAILS OF THE BUSINESS ENTITY

1. Name of the Company/ Firm : (প্রতিষ্ঠানের নাম) Inter Thai Aluminium & Fabricators

2. Date of Establishment: (প্রতিষ্ঠার তারিখ)

3. Name of (Owner/MD ) : (মালিকের নাম) Md.Sirajul Islam

4. Address Details: (ঠিকানা) Ka- 228,Kuril, Badda,Dhaka

i. Present Office Address: (বর্ত মান ঠিকানা) Ka- 228,Kuril, Badda,Dhaka

ii. Registered Address (wbewÜZ wVKvbv)

iii. Telephone : (‡dvb b¤^i)

iv. Mobile : (†gvevBj b¤^i) 01711171076

v. Authorized Email ID Interthai2000@gmail.com

5. Contact Person Details

i. Name of the Authorized Person

ii. Contact No

iii. Email Address :

□ Public Limited
6. Type or Structure of Vendor’s Firm: □ Private Limited
(Please tick the appropriate one) √
□ Join Venture □ Proprietorship
If others please specify
□ Other

□ Manufacturer
□ Sole Distributor
□ Importer
7. Nature of Business : □ Supplier /Trader
□ Service provider
□ Contractor
□ Retailer

1.

2.
8. List of Approved Products
(Mention Brand where necessary)
3.
(You can attach price list, catalogue with this form)

4.

9. Detail of attached Document: □ Company Profile :

□ Trade License :
(Please mark items provided) √ □ VAT Registration :
□ TIN Certificate :
Please attach marked item paper along with the form □ Bank Solvency Certificate with A/C No :
A/C Title:
A/C Number:
10. Bank Account Details: Bank Name:
Branch:
SWIFT:
11. Financial Terms
1. Do you have business relation with Adex Group? Yes : □ No : □
2. How long you are doing Business with Adex Group? Year: Month :
3. Are you interested to business with credit facility? Yes: □ No : □
4. Amount of credit facility Taka : Percentage:
5. Time of credit facility (for each Invoice) Month : Days :

Prepared By Checked By Approved By