Are you (Please select one):
New VendorExisting Vendor

Location
Main ClubGolfBoth

Supplier Trade Name:

Supplier Legal Name:

Contact Person:

Mobile:

Telephone:

Email:

Type of Organisation:
SelectSole ProprietorPartnership FirmLLPPrivate Limited/Public CompanyTrustOthers

CIN/Other Identification No:

Type of Business:
SelectManufactureService ProviderTrading

Pan Card:

PAN and Adhaar Linked: (Only if Sole Proprietor/Individual)
YesNONA

Udyam Adhaar:
YesNO

GST:
YesNO

VAT/CST No: (Only if Available)

Profession Tax No.: (PTEC No.)

ESIC Registration:
YesNO

PF Registration:
YesNO

Other Relevant Information to Be Furnished: (Only if Available)

I, Authorised person signed hereunder, hereby declare that:

1. The information provided in this registration form is true, accurate, and complete to the best of my knowledge and belief.

2. I understand and agree to comply with all applicable laws, regulations, and guidelines governing suppliers and business operations in India.

3. I have the necessary licenses, permits, and approvals required to conduct the business activities mentioned in this registration form, and I undertake to maintain the validity of these documents throughout the duration of our business relationship.

4. I commit to conducting business in an ethical and responsible manner, adhering to principles of fair trade, transparency, and integrity.

5. I acknowledge that any misrepresentation or omission of material facts in this registration form may result in the termination of our business relationship and may subject me to legal action.

6. I understand that providing false information or engaging in fraudulent activities may lead to penalties, including but not limited to fines, legal sanctions, and blacklisting from future business opportunities.

7. I authorize the company/entity requesting this registration to verify the information provided herein through appropriate means, including but not limited to background checks, reference checks, and site inspections.

8. I agree to promptly inform the company/entity of any changes to the information provided in this registration form and to provide updated documentation as necessary.

9. I understand that this declaration forms a binding agreement between myself and the company/entity requesting this registration.

For, Supplier Name:

Designation:

Date:

Place: