Format – 1: Vendor Profile Form

 
PLEASE COMPLETE THE INFORMATION REQUESTED BELOW:
 
COMPANY NAME: X2 Logics Staffing Solution, Inc.
 
FIRM NAME: X2 Logics Staffing Solution, Inc.
ADDRESS: 355 SW 162ND
CITY: Pembroke Pines STATE: Florida PIN: 33027
PHONE : 952-516-9454 PAN: VAT No.:
FAX :      GST Registration No.: GST Provisional ID No.:

ESI Regn No: PF Registration No: SSI/ NON-SSI SSI REGISTRATION No.
NA NA NA NA
LEGAL STATUS: * Individual √ Partnership Pvt Ltd Ltd./Govt
REGISTRATION: *MICRO/SMALL/MEDIUM (Choose the category) MEDIUM
NORMAL CREDIT PERIOD (In Days) 30
CONTACT PERSON: Malik Fazal Ahmed
CONTACT PHONE 952-516-9454
E-MAIL ID: malik.ahmed@x2logicsstaffingsolution.com
PAYMENTS TO BE MAILED TO (if different than above):
NAME: Tariq Khurshid
ADDRESS:   2430 BUNNY RUN LN
CITY: FRISCO STATE: Texas PIN  75034
:
BANK DETAILS
NAME:       X2 Logics Staffing Solution, Inc. MICR CODE :
BB&T Bank
BANK ACCOUNT NO:   1440017363194 Routing: 111017694
ADDRESS:   5125 Preston Rd
CITY: Frisco STATE: Texas PIN 75034
:
CHEQUE IN FAVOUR OF X2 Logics Staffing Solution, Inc
Authorized Signatory Tariq Khurshid
Name Tariq Khurshid
Designation VP
FOR OFFICIAL USE ONLY Ref No  
Database Code  
Account Code    

 
Received & Verified By Entered By Approved By
Note:

1. All fields are Mandatory else the Profile will be rejected.

2. All fields are to be compulsorily filled, in case of non-applicability of any clause write”NA”.

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3. Copy of below documents required with vendor profile
a. PAN Card
b. GST Registration Documents
c. Registration Documents
d. VAT registration Documents
e. Bank Document – Cancel Cheque
4. It is mandatory to provide declaration of registration under MSME’s Act 2006. If the
Same is not provided it will be presumed as “NOT-RGISTERED”.
5. As per income tax act, TDS will be deducted at higher slab as prescribed, if the deductee does
Not provide PAN to the deductor.

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