GINNI INTERNATIONAL LIMITED

Plot No. SP-2(1A) & 2, Riico Industrial Area, Neemrana -Distt. Alwar ( Rajasthan) _ India
Tel No: 01494-246069, Fax No: 01494-246070, Mobile No. +91 9351131415 E-mail ID: umesh.rohilla@ginniint.com

Mailing Address: Riico Industrail Area, Neemrana,- 301 705 (Rajasthan), Tel: 01494-246069

Vendor Registration Form

Date : XX /XX /XXXX
S. N. Nature of Information Required : Information

A) Vendor `s Business details

Nature of Vendor business activity : Goods Supplier / Service Provider / Works
Contractors
Constitution of business :
Propritorship Firm

Supplier Category (Imported / Indigeneous) :

Supplier Type (Mfg. / Trader) : Trader
Annual Turn Over of last 3 year :
Dealing in Commodities with HSN Codes & Tax Rate :

B) Vendor `s Name
Name of Vendor : SU SAUMYA ENTERPRISES
Name of the Propritor (in case of propritorship firm) : SHAKUNTALA AJAY SAINI
C) Address for Communication
:
3RD FLOOR, 306 AABHUSHAN COMPLEX, 17,
Address -1 MAHADEVNAGAR SOCIETY, STADIUM ROAD,
NAVRANGPURA
Address -2
Place AHMEDABAD
District AHMEDABAD
State GUJARAT
Country INDIA
Pin Code 380014
Contact Person AJAY SAINI
Contact Number 9327923696
Email ID saini@smimpex.co.in
D) Address for place of supply of Goods & Services :
3RD FLOOR, 306 AABHUSHAN COMPLEX, 17,
Address -1 MAHADEVNAGAR SOCIETY, STADIUM ROAD,
NAVRANGPURA
Address -2
Place AHMEDABAD
District AHMEDABAD
State GUJARAT
Country INDIA
Pin Code 380014
Contact Person AJAY SAINI
Contact Number 9327923696
Email ID saini@smimpex.co.in
E) Vendor`s Statutory Details:
Income Tax PAN No. [*] : AMJPS8923R
CIN [*] :
MSME Reg. No. & effective date (if applicable) [*] :
GST Registeration Number [*] 24AMJPS8923R1Z2
GST Compliance Rating :
Status of Dealer Reg. (Normal / Composition) :
S. N. Nature of Information Required : Information

Existing Indirect Tax Registration Numbers:

VAT TIN No. & effective date :
CST TIN No. & effective date :
Works Contract Registration Number :
Excise Registration Number :
Service Tax Registration Number :
Status of ISO / EMS Certification :

F) Details of applicability for statutory deductions:

Whether applicable for deduction of WCT-TDS :
Whether applicable for deduction of Income Tax :
Whether eligible for Non-deduction or deduction at lower rate
of Income Tax - TDS :

Details of the Jurisidication, which issued TDS Exemption /

:
Lower deduction Certificate
Certificate Reference No. [*]
Certificate Date
Validity of Certificate

G) Banker`s Details (In case of payment by RTGS) :

Name of the Bank : BANK OF BARODA
Branch Address (With PIN Code) S P COLONY BRANCH, NAVRANGPURA, AHMEDABAD-
: 380014
Bank Account No. [Attach Proof] [*] : 03410200002783
Bank Account Type : CURRENT
IFS Code : BARB0SARDAR
MICR Code :

H) Contact details of Authorised person of the Sales/Services

Name of Contact Person : AJAY SAINI
Name of Authorised Signatory : SHAKUNTALA AJAY SAINI
Telephone Nos. :
Mobile No. : 9327923696
E-mail ID : saini@smimpex.co.in

I) Details of the Commercial Authorised Person:

Name : Darshan
Mobile No. : 9227077721

E-mail ID : smimpex2007@gmail.com, smimpex2015@gmail.com

J) Attach documents:
PAN Card : Yes/No
GST Registration Certificate : Yes/No
MSME Registration No. : Yes/No
TDS Exemption/Lower Deduction Certificate : Yes/No
Cancelled Cheque : Yes/No

[*] Note: - Please attach copy of registartion where marked *

Name of the Person :

Signature :
Rubber Stamp :