Vinsak
Your Name*
Location*
Your Email*
Registration Category*Original Equipment ManufacturerDistributor/Dealer/StockistMicro/Small EnterprisePublic Sector UnitGovt. DeptConsortium/State/Govt. AgenciesOthers
Name of Individual/Firm/Company* Registration Number Registration Authority Date of Registration
Name of the Director / Owner / Partner Email Landline. No. (prefix std code) Mobile
Name of the contact person Designation of the contact person Email* Landline. No. (prefix std code) Mobile*
Add More Contact Person
Company website address
Address Street City District State Mandal Pincode Telephone Fax Mobile Email Alternate Email
Add More Branch Address
Category of Industry as per MSMED Act, 2006MicroSmallMediumSC/ST owned MSE Women owned MSE
Do you have ISO 9000/9001/9002 certification? If Yes Valid Upto
If you are Micro/Small Enterprise,please enclose Udyog Aadhaar (Memorandum and Acknowledgement) & EM-II Certificate (if applicable) full set of self certified photocopy . Upload Udyog Aadhaar
Floor area of factory Number of workers employed Number of employees in QC/Inspection
Collaborators Details of plant and machinery Inspection equipment Test facilities
Permanent Account No* Upload PAN
GST Registration Number* Upload GST
Bank Account Name Bank Account Number Accout type
Bank Name & Address IFSC MICR Code
Upload Bank Document
Bank Account Name SWIFT CODE IBAN Upload Bank Details (out of India)
* Mark fields are mandatory
Vendor Name*
Address
City
Steet
Country
Postal Code
Contact Person Name
Contact Person Mobile*
Contact Person Email*
Vendor Website
Name of Individual/Firm/Company Registration Number Registration Authority Date of Registration
Name of the contact person: Designation of the contact person: Email Landline. No. (prefix std code) Mobile
Name
Designation
Department
Reporting
Email ID
Official Contact No
Emergency Contact No
Street
Block
Area
Pin Code
