Vendor Group
Domestic
General Details
1
2
3
Vendor Name
Nature of Business:
Vendor Type
4
4 a)
Registered Office
Address
4 b)
4 c)
4 d)
4 e)
4 f)
City
Pin Code
State
Phone No
Fax No
Public Ltd
5 a)
Factory/Branch Address:
(If applicable)
Address
5 b)
5 c)
5 d)
5 e)
City
Pin Code
State
Phone No
6
6 a)
6 b)
6 c)
6 d)
Contact details:
Name
Phone No (with Extn, if any)
Mobile No
E Mail ID
7
8 a)
8 b)
8 c)
9
10
11
12
13
PAN No.
Excise Reg No.
Excise Range
Excise Division
Service Tax No.
VAT TIN
CST No & Date
PF Reg No.
ESI Reg No.
Essae-Teraoka Limited
Company Status:
Others
Manufacturing
Plot No. 4B
Bommasandra Industrial Area
Bangalore
560099
Karnataka
080 - 30999100
Head of Establishment
S K Renuka Prasad
080 3021 3009
09342255989
info@essae.com
User Dept
Accounts Dept
Bank Details
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13
14
15
16
17
18
19
20
21
22
Branch Name
Account No
Account Type
RTGS Code
IFSC Code
Swift Code
MICR No
Branch Code
23 Payment terms:
23 a) Mode of Payment
Details enclosed
RTGS
(If mode of payment is cash, please obtain prior approval from Management)
23 b) Credit Period
as per requirement
(Credit period for Raw Material, Parts & Regular items cannot be less than 60 days)
24 Any other information
-
Prepared by
Purchase Dept
Authorised by
HOD-Purchase
Checked by
Accounts Dept
Test 1
60
Page 2
Vendor Name
Nature of Business:
Vendor Type
4
4 a)
Registered Office
Address
4 b)
4 c)
4 d)
4 e)
4 f)
City
Pin Code
State
Phone No
Fax No
Essae-Teraoka Limited
Manufacturing
Others
5 a)
Factory/Branch Address:
(If applicable)
Address
5 b)
5 c)
5 d)
5 e)
City
Pin Code
State
Phone No
6
6 a)
6 b)
6 c)
6 d)
Contact details:
Name
Phone No (with Extn, if any)
Mobile No
E Mail ID
7
8 a)
8 b)
8 c)
9
10
11
12
13
PAN No.
Excise Reg No.
Excise Range
Excise Division
Service Tax No.
VAT TIN
CST No & Date
PF Reg No.
ESI Reg No.
Chalta No.10
Street no. 8
Chandrawada Fatorda
Margao Goa
403602
Goa
0832-3294037
Head of Establishment
S K Renuka Prasad
080 3021 3009
09342255989
info@essae.com
12
13
14
Details enclosed
15
16
17
18
19
20
21
22
Branch Name
Account No
Account Type
RTGS Code
IFSC Code
Swift Code
MICR No
Branch Code
23 Payment terms:
23 a) Mode of Payment
RTGS
(If mode of payment is cash, please obtain prior approval from Management)
23 b) Credit Period
as per requirement
(Credit period for Raw Material, Parts & Regular items cannot be less than 60 days)
24 Any other information
-
Prepared by
Purchase Dept
Authorised by
HOD-Purchase
tration Form
Vendor Group
Domestic
Details
Essae-Teraoka Limited
Company Status:
Others
Public Ltd
Chalta No.10
Street no. 8
Chandrawada Fatorda
Margao Goa
403602
Goa
0832-3294037
User Dept
Details
Details enclosed
Accounts Dept
gainst delivery
RTGS
e obtain prior approval from Management)
as per requirement
& Regular items cannot be less than 60 days)
-
Checked by
Accounts Dept