Future Enterprises Ltd

Vendor Registration Format

(On letterhead)

Project:

1. Name of Vendor:

2. Organization Status: Individual/Partnership Firm/Limited Company/Others ________(Specify)

3. Addresses for Communication:

4. Telephone No.:

5. Fax No.: 6. Mobile No.:

7. E-Mail Address:

8. Name of Proprietor/Partners/Directors:

9. Sales Person Name & Contact No:

10. Sales Tax Nos.: IGSTIN NO. _________________

SGSTIN NO. ______

WCT No.________________

11. ESIC Regn No.:

12. Permanent Account No.:

13. Works Contract TAX No.:

14. ECC.No.:

15. Excise Range & Address.:

16. Bank Name & Branch.:

17. Bank Account No.: RTGS/NEFT IFSC.:

Note:

1. WCT TDS if any applicable will be deducted & deposited on your behalf.
2. Kindly attach Xerox of PAN Card, GST Registration
Certificate, Cancelled cheque.

DECLARATION

I/We hereby declare that above information submitted by us is true and correct and has been
verified by us.

Date: Signature of Vendor

Place: Stamp of Company