SUPPLIER REGISTRATION FORM

General Information
Name of the company
Registered Address
Correspondance Address
Factory Address
Year Established
Under the Laws of
Date and place of incorporation
(Please Provide a copy of Business or Certificate of Incorporation)
Product (Type/Brand) /
Services Supplied
Contact Person and Phone number

Office Telephone
Email
Fax
Website

Type of Organization
Indiviual Partnership NGO Organization
Private Limited Liability Company Public Limited Liability Company
Others (Please specify) :

Name of the Owners or Partners

Name of the Owners or Partners

Chief Executive Officer

General Manager

Type of Business
Manufacturer Consultancy Trading
Service Provider (e.g, Transport, Warehousing etc)

Size of Business
Annual Reports from last three years (Please attach the documents)
Annual sales
Factory size (Sq.mts)
No. of Employees:
No. of International Offices:
Location of Factories:
No. of Plants:
No. of Warehouses:
Production Capacity (Month/Year)
Countries to which you export:
International Shipping terms
 Financial
Ordered Currency Incoterms
Payment Method

Quality
Is your company ISO 9000 / 9001 Yes No
certified (If yes, please provide a copy of the most recent ISO 9001 certificate)

If your company is not ISO 9001

certified, what other quality assurance
program/process is in place in your
company? Or any other certificates (Please briefly describe the program/process or attach any supporting documents)
available

Banking Information
Name:
Address:
Account Number: IFSC / Swift code:

CERTIFICATION: The undersigned, an authorised signer for the company, hereby certifies that the
information provided herein, including that on any attached pages is true and correct to the best of his/her
knowledge. The same acknowledges having read and agreed to the company payment terms

I declare the information given on this Registration Form is true and correct that best reflects the current
business situation of our company.

Name Authorized Signature

Designation Date