Form for Online Vendor Registration

Fields marked with ( * ) are mandatory.

Company Details
Company Name* :   Java JRE 6 or above not available, Please install and retry.
  Note: Company Name is automatically populated from your digital certificate.
Address* : Note: Please do not type name of your Company, city, state, country and pin/zip code in the address box.
City* : State* :
Country* : PIN/ZIP Code* :
Telephone* : FAX No :
Web Site : E-mail* :
Contact Details
Name* : Designation:
Email Id* :
  Telephone No :
Mobile No * :   Fax No :
Manufacturer Information
Address Of Works :
Type Of Company
Type of Ownership*:
Others*:

NSIC *: Yes   No MSME *: Yes   No
Type of Business*: Manufacturer
Whether Proprietor/
Partner(s)/Director(s)
Belongs to*:
Scheduled Caste Scheduled Tribe Other Backward Class Others Women
Product Details*

Bank Details
Bank Name*:
Branch*:
Branch Code*:
Account No* :
IFSC Code : Micr No :
Registration No Details
M.S.M.E : N.S.I.C : Udyog Aadhar No:
G e-M : R.O.C : PAN No *:
GST Registration Details
GST STATUS*:
GST IN NOs.:
Login Information
UserID*:
(Minimum 6 character)

Password* :
(Minimum 6 character)

Confirm Password* :

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