KiranaKart Technologies Private Limited

Vendor Registration Form

NEW REGISTRATION CHANGES in EXISTING Vendor
SECTION I : General Company Information:

1 Name of Vendor :
: Company Individual
2 Type of Organisation
Partnership Others Please Specify -
3 Registered Office Address :
4 Mailing / GST Billing Address :
5 Nature of Service :
6 Contact Person Name :
7 Designation :
8 Mobile No. :
9 Email Address :
1
SECTION II : TAX DETAILS
1 Permanent Account Number ( PAN )
[ Attach copy of PAN Card ] (Mandatory) :

G.S.T. Registration Number (Attach copy of GST

2 Certificate) (Mandatory) :
3 Corporate Identity Number (CIN No.) :
4 TAN No. :
SECTION III : Bank Account Details
1 Beneficiary Name :
2 Bank Account No. :
3 IFSC Code :
4 Bank Name: :
5 Branch Address: :
6 Cancel Cheque (Mandatory) : Yes
7 Nature of Account: : Current Account / Savings Account / NRE account (Any other please
specify)
8 Invoice Currency: : Indian Rupees (Any others then please specify)
SECTION IV : IN CASE OF CHANGES IN EXISTING Vendor
1 Section which needs to be edited (I / II / III) & Points :

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