SAP VENDOR CODE TO BE ALLOTTED (For ITC Ltd.

use only)
Vendor code already allotted by ITC Limited, if available

LEGAL NAME/TRADE NAME OF THE VENDOR AS PER

PAN CARD OR as per "Form GST REG-25 / 06" (To be
mentioned on Cheque/NEFT/RTGS payment) to be
updated in ITC vendor master
TRADE NAME OF THE VENDOR AS PER "Form GST
REG-25 / 06"/ TRADE LICENCE COPY
CONSTITUTION OF THE FIRM ( Pvt. Ltd. Co. / Public Ltd.
Co. / Co-operative Society / Partnership / Limited Liability
Partnership / Proprietorship or Individual / HUF / CLUB /
TRUST / AOP / BOI )
GST REGISTRATION NO. as per "Form GST REG-25 /
# 06" & DATE if Registered
Name of the contact person & contact no.

Designation of contact person

Whether Composition scheme availed under GST Law

GST Registered ADDRESS / Communication address

CITY
CITY PIN/POSTAL CODE
DISTRICT
STATE / UNION TERRITORY WITH CODE
COUNTRY
E-MAIL ID
LANDLINE TELEPHONE NO.
MOBILE PHONE NO.
FAX NUMBER
WHETHER REGISTERED UNDER "The Micro, Small and
Medium Enterprises Development Act, 2006" OR NOT

If registered under "The Micro, Small and Medium

# Enterprises Development Act, 2006", provide
REGISTRATION NO. & DATE #
INCOME TAX PERMANENT ACCOUNT NUMBER [PAN ]
# (Please attach copy of the PAN Card / Allotment Letter
only) #
Total no of GST Registrations (pan India)

* MODE OF PAYMENT *
VENDOR BANK NAME & BRANCH
VENDOR BANK A/C NO.

OTHER INFORMATION :
Items to be supplied / nature of services to be rendered
1 by the Vendor (Provide HSN/SAC codes in separate
format)
Whether the Vendor is a manufacturer or the authorised
2
dealer of the original manufacturer
Whether there is an existing Vendor for the same
3
items / services
4 Reasons for adding a new Vendor

VENDOR'S SIGNATURE WITH NAME and SEAL SIGNATURE OF THE AUTHORISING MANAGER / HOD OF THE REQUESTING DEPARTMENT

COMMERCIAL MANAGER / FINANCE MANAGER

# Submission of self Attested Copy is mandatory.

* Duly certified bank details declaration to be provided, if the vendor opts for Direct RTGS/NEFT payment to their Bank account.
Note: (1) A declaration as to the particulars are correct must be declared by the vendor in his/her letterhead,
specifying the communicating address.
(2) Vendor updation will not be done in SAP without the necessary documents attached.
(3) For creation of "Limited" company Vendor code please attach "Certificate of Incorporation" copy Registrar of Companies;
(4) Vendor updation will not be done if GSTN certificate or a declaration of non registration under GST law is attached.
(5) For Creation of new additional vendor codes in SAP_MDO Vendor master with multiple GSTIN nos. separate signed/sealed
declaration as per SOP to be taken from the vendor in their letterhead.
 ANNEXURE TO THE MAIN VENDOR ADDITION / MODIFICATION FORM

Vendor Code with Sl. No. Description of Goods/Services supplied to ITC Limited HSN/SAC Codes
ITC Limited