JAI SUSPENSION SYSTEMS PVT. LTD.

TITLE : REQUEST FOR VENDOR MASTER CREATION

To, VENDOR CODE ALLOTTED :-
(Not to be entered by person creating Customer code)
Vendor not available in present master - Checked Yes / No
Description of field Fill in Details
ADDRESS VIEW
Name of The Firm :
Status :
Type of Vendor : Purchase / Service
Type of Service : Commercial / Technical
Rate of TDS if applicable
Name of Material/service
Address Details Regd. Office Address: Works:
Room number/Floor/ Building:
Street :
City :
District :
Pin code :
Region/State :
Country :
COMMUNICATION
Phone No :
Fax No :
Mobile No :
E-Mail id :
Contact Person & Designation:

CONTROL DATA
Covered under MSME YES
GSTIN No.
Excise Regn No/CE Reg No./ECC Code no.
Excise Range
Excise Division Address
Sales Tax Reg No VAT
CST
TIN /VAT Reg. No:
PAN No
TAN No.

BANK DETAILS: 1.For updating bank details submit physical form duly signed by authorized signatories.
2.Provide us copy of cheque for verification of IFSC Code and Bank Details)
Bank A/c No.
Name of the Bank &
Address (Branch)
IFSC Code

PAYMENT DETAILS AS PER YOUR TERMS

Payment Term Incoterm Payment mode ECS Currency INR

SME Details : As per "The Micro, Small and Medium Enterprise Development Act, 2006" (Please attach photo
copy of the Registration Certificate)
Type of organization
SME Registration Number
Date of Issue of Certificate
Currency

Important Instructions and Documents required to be submit along with Vendor Master Addition Form
Instructions : (1) Please fill all the fields in the form. (2) Incomplete form will not be accepted. Documents
Required :(1) Shop Act License/Partnership Deed/ Certificate of Incorporation (2) Xerox copy of cheque for verification of IFSC Code and Bank Details. (3)
Registration Cetrificate as per "The Micro, Small and Medium Enterprise Development Act, 2006" (4) Xerox copy of Excise/VAT/CST Registration Certificate (5)
Xerox copy of PAN Card (All the documents should be self attached by authorized Signatory)

NB:- To be filled by Vendor NB:- To be filled by person Authorizing Vendor code.

Sign
Sign, Name
& Date
& Date
Name
For - Supplier -- Sig. For Bank Details Data Entry Person

Requested By Approved By