Supplier Registration Form

Name*

Please enter your valid name here.

Company Name*

Please enter your company name here.

Designation *

Please enter your designation here.

Mobile No.*

Please enter your valid mobile number here.

Alternate Contact No.

Please enter your valid mobile number here.

Please enter a valid email address.

Business Address*

Please provide a valid your address.

City/Village/Tehsil*

Please provide a valid city.

District*

Please provide a valid district.

State*

Please select a valid state.

Pincode*

Please provide a valid pincode.

Company/Individual PAN Number*

Please provide a valid Pan Card Number.

Annual turnover*

Please enter your annual turnover.

Business Since*

Please enter your business since.

Business Place Since*

Please enter your business place since.

Busniess Place*

Spoken languages :(one or more)*

Please select atlest one from dropdown. here.

Referral Id

Note : If you have Referral Id, please enter in the above input box else keep it empty.

Referral Name

Do you have GST no.?

Yes

Do you provide man power for work?

Yes

Do you have counter repair facility (if applicable) ?

Yes

For example : electrical material, painting material, plumbing material, etc..

For example : Polycab, Finolex, Asian Paints, etc..

Note: Registration fee for any one option(Home Place, Commercial Place, Industrial Place) is Rs900/-, any 2 options Rs 1600/- and all of three options Rs. 2500/-.

In Free Registration, you will get purchase order only if paid supplier is not available in your area.

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