Vendor Registration Form

Vendor Registration Form /

CYSD invites potential Vendors/Suppliers/Manufacturer/Agencies/ Service Providers/consultants/ individuals willing to empanel as a registered Vendor of CYSD may like to furnish the registration form appended below.

*CYSD reserves the right to accept or reject any or all application without assigning any reasons whatsoever.

If any technical support contact Mr Deepak Kumar Bihari, Mob- 9861411346

(* Fields are Mandatory)

Vendor Information

Name of the Firm/Manufacturer/Agencies * :

Telephone/Mobile * :

Email * :

Point of contact name & title * :

Contact phone -1 :

Contact phone -2 :

Mailing Address * :

Website :

Contact email :

Establishment/firm overview

Date of Establishment * :

Business type * :

Gross annual sales * :

Legal structure Registration/license number

PAN * :

(maximum file size : 2mb ; only (.jpg/.jpeg/.pdf) files are allow)

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GST :

(maximum file size : 2mb ; only (.jpg/.jpeg/.pdf) files are allow)

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EPF :

(maximum file size : 2mb ; only (.jpg/.jpeg/.pdf) files are allow)

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ESI :

(maximum file size : 2mb ; only (.jpg/.jpeg/.pdf) files are allow)

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Food License :

(maximum file size : 2mb ; only (.jpg/.jpeg/.pdf) files are allow)

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Existing Reference Client :

Credential Certificate from reputed organisation:

(maximum file size : 2mb ; only (.jpg/.jpeg/.pdf) files are allow)

Choose file

Additional information :

Banking Information

Bank Name * :

Beneficiary Name * :

Type of Account * :

Account Number * :

IFSC Code * :

Bank Address * :

I hereby affirm that all information supplied is true and accurate to the best of my knowledge and belief, and I understand that this information will be considered material in the evaluation of quotations, bids, and proposals.

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