Vendor Registration Form

Name of Company : *

Nature of Business : *

Category & Business : *

Material Name : *

Sr. No.	Item Name

Address Details

Address Type :

Head-Office Address : *

Branch Address :

Plant Address :

Branch Address :

Type of Company :

Supporting Docs : Max 5 MB

Indian Registration Regulatory :

PAN : *

Upload PAN Card : Max 5 MB

GST :

Upolad GST :

ESIC :

Upload ESIC : Max 5 MB

PF :

Upload PF : Max 5 MB

MSMED :

Upload MSMED : Max 5 MB

NSIC/SSI :

Upload NSIC/SSI : Max 5 MB

Contact Information :

Contact Details :

Select Position :

Name :

Mobile No. :

Email :

Contact Person Details :

Contact Person Designation :

Name :

Mobile :

Email :

Financial Information :

Financial Year :

Turnover (In Lac) :

Support Docs : Max 5 MB

Recent Contracts (In last 3 Years) :

Organisation Name :

Value :

Year :

Support Docs : Max 5 MB

Bank Details :

Bank Name :

A/c. Number :

IFSC Code :

Account Type :

Support Docs : Max 5 MB

Quality Assurance :

ISO 9001-2000 :

Support Docs : Max 5 MB

ISO 15000 :

Support Docs : Max 5 MB

OHSAS 18000 :

Support Docs : Max 5 MB

Employees Details :

Total Employees :

No of Employees :

Engineers :

Site Engineers (Erection) :

Site Engineers (Quality) :

Site Safety Coordinators :

Site Supervisors :

Skilled Manpower :

Unskilled Manpower :

Total Manpower :

Tools & Plant & Machinery :

Support Docs : Max 5 MB

I/We undersigned, hereby accept the basic General Conditions, a copy of which has been provided to me and warrant that the information provided in this form is correct, and in the event of changes details will be provided as soon as posssible:

Name:
Signature:
Functional Title:
Date:

Note: By Completing this form it does not automatically mean you will be added to our vendor Database. There will be a review and an evaluation process that must take place first. Please Mail completed form to: Purchasethstar.net.in North Star Attn: Purchasing Department.