— VENDOR REGISTRATION FORM HV ELECTRA ENVIRO TE [vendor Nano (Loge! Name) [Bt Jrendor Type Hleanpany inawamsoe represr — Clpatestio Clots Dur lreristered Addresst [SGP NO-B,_OFP VASHORANT HOSPITAL, NDA ROAD. SHIVANE A102 Gi HE) tipcae CT TOTe sito © UMMA] oumtey [no] [biting Vendor None * [GREEN ELECTRA ENVIRO TCH sitting Address+ [op N0-0,_ OPP VASHORAT WOSPITAL, NDA WOAD, SIVAN AILO25 it torent fom rnistared a city TNE Gerrerets) sure [STA] =a ontact Detail = Sales Contact Persone ow]. femait te [ireenelectraenvieotech@gmailcom [ee meee] ae Tel. No contact Details = Finance est ae EEE es ee Vendor Typet [Liswernan Cea Cate PAN of the Vendor #¥ stu | service Tax No. 3 Gate cc Ree. No. neon [| lscoiety Rog, No # (In case of cas) [mm ie RAM DETAILS (Attach copy of the cancelled Cheque) eank / Branch Address [ROA ROAD SHLVANE a JAccount Name [GREE LECTRA VINO Teo ___ [Account Number (TT4OSOOZOZO | — Account Type cure © Sovng [becraRATION N/a VINAYAK ANIL PATIL, in the capacity of Our Conpany do hereby declare that the sbore information is trie fo. the best of ay / our knovledge, Any change in the shove information shall be intimated to you jamediately. in case above information is found to be wroag or any change is not intimated , 1/Fe will not old LAROD Tndta Prt Ltd. responsible for any Joss/danaged caused, ? Place : PUNE for tN pormats ue conor for Fore