You are on page 1of 1

MANDATORY FIELDS MARKED AS*

Date :

DIRECT CUSTOMER REGISTRATION FORM *


PERFECT PACKING ASSOCIATES
Company Name

PLOT NO. BG/P-191, MIDC, BHOSARI PLOT NO. BG/P-191, MIDC, BHOSARI
Bill To Address Office Address/ If different

City PUNE State MAHARASHTRA City PUNE State MAHARASHTRA


Country INDIA Postal Code 411026 Country INDIA Postal Code 411026
Contact Person BHAVESH SHAH Contact Person BHAVESH SHAH
Phone No 020-40758810 Phone No 020-40758810
Fax No Fax No
Mobile No 9373311661 Mobile No 9373311661
Email Address Email Address
Tax Details (Attach Copy of Certificate along)* Billing Details*
PAN No.* AAAFP0563F Mode of dispatch ROAD
ESIC No. NA Payment Terms * 60 DAYS
Delivery Terms * DOOR DELIVER
CIN No. NA
Scope of Insurance AT YOUR
Other Details Purchase of Goods or Services GOODS
Other Details Billing Currency RUPEES
Location of Operations (if more, please attach list) Region
with GST Nos. GST NO. 27AAAFP0563F1ZJ

If Already a Customer in Mutual (Please provide details_ with Customer


No Reason for New Registration PURCHASE PRODUCTS
Code )

If Direct Customer _ Distributor Reference


CUSTOMER KEY MANAGERIAL DETAILS

MD/ Director/ Properitor/ Partners Name BHAVESH SHAH

Contact No. 9373311661


Email Id purchase@perfectpacking.in
Business Classification
Category Manufacturer Contractor Trader Agency Other If Any: TRADER
Tax Status SEZ EOU Export Normal Other If Any: NORMAL
Company Status Private Public limited Partnership Proprietorship Other If Any: PARTNERSHIP
Segment Process OEM Construction Pharma Accoflex

Status of Firm/ Organization Micro Small Medium Not Applicable Year of Establishment 1992

MSME YES

Financial Details (for last 3 audited reports in INR Lacs)*

Last Year Turnover 150840828.9 1 Year before Last Year Turnover 134520812.6 2 Years before Last Year Turnover 105024397.1

Business Proposal
Expected Business current
18 CR Mode of payment BANK TRANSFER Credit Days 60
year

Credit Limit Product Category Echo Bubble Guard Mov Free Leo HH Leo Stationary

Banking Details (Copy of Blank Cheque)


Bank Name AXIS BANK LTD Branch CORPORATE BANKING MUMBAI,
Bank Account No. 917030082004679 Bank Address MWBC - Mumbai I 12 A Mittal Tower 1st Floor I Nariman Point I Mumbai – 400021
IFSC Code UTIB0001394 SWIFT CODE
Documents to be attached along with this Form (wherever applicable)
1. Company Documents 4. PAN CARD

2. GST Certificate

3. Cheque Copy

I certify that the information above is true and correct. Also all fields are mandatory unless if not applicable. This form should preferably be signed by an authorized person.

Customer Sign & Seal Date:


For Customer Master CSD Use
Customer Service Dept Person (Name, Sign & Date)
Customer Code

Customer Original Status Active / Inactive Approved by Manager (Name, Sign & Date)

Approval Matrix

Name

Sign

Designation &Department RSM /General Manager - Sales Vice President - Sales & Mktg CFO - Mr. Jigar Desai

You might also like