(Refer Instructions below)

Vendors Details:

Address :

(Registered Office Address)

Name of Vendors:

Address Line 1 :

Type of Industry:

Address Line 2 :

Product Names:
Type of Vendors :

Address Line 3 :
City :
PIN Code :

Entrepreneurs Memorandum No.

(EM No.)- under MSMED Act

State :
Country:

Tax Details

Bank Details :

PAN Number :
Service Tax Registration Number :
Excise Registration No.:
Local Sales Tax Number :
Central Sales Tax Number
TAN Number :
ESIC Reg. No.
Provident Fund Reg. No.
NNMC Cess Reg. No.

Beneficiary Name of Vendors in Bank :

Beneficiary Bank Name :
Account Type :
Beneficiary Bank Address :
Beneficiary Bank Account No :
IFSC Code :
MICR Code :
Bank Contact No.

Contact Person Details:

For Business:

For Finance / Accounts:

Name:
Designation:
Contact No:
E-Mail:

Supporting Documents:(Copy of PAN / Service Tax Registration / NEFT form etc. please specify)
1) Copy of PAN Card

4)NEFT form alongwith Cancelled cross cheque

2) Copy of ROC Registration Certificate

5) Copy of TAN

3) Service tax Registration Certificate

7) Copy of Lower Tax Tax Deduction Certificate, if
any

6) Copy of VAT & CST

9) Letter of undertaking for Non Applicability of

the any of the above said Taxes

8) Copy of Abatement Notification for Service Tax, if any

10) Compliance Certificate

I, Mr. ____________________ (Designation) hereby declare that our organisation is / is not Registered under MSME Act, 2006. We
further declare that above information are true and correct to the best of our knowledge and belief.
Name & Signature of Vendors
Name:
Signature:
Location:

Photo of
Authorised
Signatory

Date:

FOR OFFICE USE- NAAPTOL OPERATION TEAM

Reviewed & approved by:

________________________________________
Signature

Date:

FOR OFFICE USE- NAAPTOL FINANCE TEAM

Tally GL Name:
Remark if any:

Email id: In case any query Please contact - pallavi.mhatre@naaptol.com

Effective Date:
Updated by:

Instructions to Fill Vendor Registration Form

Vendor Details:
Name of Vendor:
Type of Industry:
Product Names:
Type of Vendor :

Entrepreneurs Memorandum No.

(EM No.)- under MSMED Act
Tax Details (enclosed copy of RC) :
PAN Number :
Service Tax Registration Number :
Excise Registration No.:
Local Sales Tax Number :
Central Sales Tax Number
TAN Number :
ESIC Reg. No.
Provident Fund Reg. No.
NNMC Cess Reg. No.

Name of Vendor as per PAN Card

Service Industry/ Manufacturing/ Others -Pls. specify if Others
Name of Product
Company / Proprietorship / Partnership/HUF/Ltd. CO.
MSMED Registration Certificate if registered or Non applicabliity
undertaking letter (Refer Annexure 1)

Copy of PAN Card Required

Form ST-2 if registered or Non applicabliity undertaking letter (Refer
Annexure 2)
Excise Reg Certificate if registered or Non applicabliity undertaking
letter (Refer Annexure 2)
Local Sales Tax Reg Certificate if registered or Non applicabliity
undertaking letter (Refer Annexure 2)
Central Sales Tax Reg Certificate if registered or Non applicabliity
undertaking letter (Refer Annexure 2)
TAN Certificate if registered or Non applicabliity undertaking letter
(Refer Annexure 2)
ESIC Certificate if registered or Non applicabliity undertaking letter
(Refer Annexure 2)
Provident Fund Certificate if registered or Non applicabliity
undertaking letter(Refer Annexure 2)
NNMC Cess Certificate if registered or Non applicabliity undertaking
letter (Refer Annexure 2)