VENDOR/CONTRACTOR INFORMATION TEMPLATE

(All fileds are mandatory)

1 VENDOR DETAILS

a) Name of the Entity

b) Regd / Head office Address

c) Address for communication (if

different from above)

d) Nature of Business/Services
e) Entity Type Company/Partnership Firm/Propertiership/Individual/LLP Others
Pls Specify…………………………………………
f) Phone (with code)
g) Fax (with code)
h) E-mail Id
i) Website

2 CONTACT PERSON DETAILS

a) Name
b) Designation
c) Contact Number Phone:
Direct:
Mobile:

d) E-mail Id

4 STATUTORY REGISTRATION DETAILS

(Please attach all Registration Certificate Copies)

a) GSTN
b) TIN No.
c) CST No.
d) PAN No.
e) TAN No.
f) Micro Small & Medium Enterprises
Regn No.
g) PF Regn No.
h) ESI Regn No.
 i) RERA Regn No.

5 BANK ACCOUNT DETAILS

(Please provide cancelled cheque copy)

a)
Account Name as per Bank
b) Bank Name
c) Bank Branch Address

d) Phone (with code)

e) Bank A/c No
f) A/c Type

g) MICR Code
h) IFSC Code
(Please note: Bank account details provided once cannot be changed untill next Financial Year)

I/we hereby confirm that the above information is true and correct to the best of my knowledge.

Signature:……………………………………………………….

Name:…………………………………………………………….

Designation:…………………………………………………..
Signature of authorised person only with company seal

In order to have a track on our regular vendors/contractors; we maintain an information template

for all our existing and new vendors. So kindly send back the filled information in soft copy/hard copy
to the below mentioned address immediately with all relevant document copies.

Mailing address: Prestige Group ( Finance & Accounts)

Prestige Falcon Towers, No.19, Brunton Road, Bangalore-560 025.