Vendor Registration Form

Vendor Name *

Billing Address Line 1 *

Billing Address Line 2

City *

State *

PIN Code *

PAN Number *

GST Number

Contact Person *

Mobile Number *

Email Id *

Bank Account No. *

IFSC Code *

Bank Address / Branch *

Do you have MSME Registration? [If no attach Non Declaration Form in documentation] *

MSME No. *

Nature of Business *

Type of Sale *

CDB Group Contact Person *

Plant Location *

I hereby declare we are non registered under MSME act and that the information given above and in the enclosed documents is true to the best of my knowledge and belief and nothing has been concealed therein. I understand that if the information given by us/organisation is proved false/not true, we will have to face the liabilities as per the law. Also, all the benefits availed by our organisation shall be summarily withdrawn.