AXIS BANK

STATUTORYREQUIREMENT
(To be required on Vendor letterhead along with Stamp and signature)

Date

Axis Bank I.imited.

ASC Address

Dear Madam/Sir

(a) This is to intimate you that i/we do not have any objection to Axis Bank conducting my/our and our firm
CIBIL check for the purpose of empanelling us as Direct Selling Agency/Connector for SBB product at
location name>
(b) /we confimthat we have taken an acknowledgement from all our Employees & 3rd party appointed by us
on the Code of Conduct & NDA undertaking shared by the Bank.
/weconfimthat every employee & 3rd Party appointed by us have signed the statement and he / she has read
this Code of Conduct & NDA and understands it provisions and agrees to abide by them.
(c)1/We confim that we have received, read and understood the provisions of IBA Model Code of conduct for
Direct Sclling Agents (DSA)/ Connector and I/ we agree to abide them. [NA for
by connectors]
(d) I/ We confirm the below under various Statutory Acts
Service ProviderName
Statutory Compliance Yes/ Registration | Has the service If
No No
Not If not complied
provider applicable providee timelines
complied with all provide for compliance.
the provisions reasons.
including
payments thereon
PAN available (Yes/ No)

Income Tax AC1

Payment, Self
Assessment Tax
Advance Tax, TDS
provisions filing of
return
Service Tax
registration. payment of
service tax on due date.
filing of return
Regn under Contract
Labour Act

ESIS Registration &

Payment

EPF Registration &

Payment