VENDOR SUBSCRIPTION FORM

Name of Firm/ Company/Trade Name

Contact Person
Address

City
State
Pin Code
Phone/ Mobile No. #
Fax#
Email ID
PAN No.
GST Registered (Yes/No)
GST Number
GST Registered Type (Regular/Composition)
PP Type (Exclusive/Inclusive of GST)
Name of the Bank
Bank Account No.
Account Holder’s Name (Payee Name)
Bank Address
MICR Code (Nine-digit code on cheque)
IFSC Code
Type of Account (Current/ Savings)

Sign &
Stamp………………….
Name:
(Filled By)
Date: