WELCOME TO VENDOR EMPANELMENT SYSTEM
Vendor Empanelment Form (IT and Portal Development)
Vendor Name
*
Status of Applicant
*
Select status
Individual
Private Limited company
Sole Proprietorship concern
Public Ltd Company
PSU
Other
Email Address
*
Address for Communication
*
Website
*
Mobile No.
*
Fax/ Telefax Number
Authorised Person
Name
Designation
Email
Mobile No.
Telephone No.
Alternate Person
Name
Designation
Email
Mobile No.
Contact No.
PAN No.
GeM ID
GST Regn. No. with Address
*
Beneficiary’s Complete Bank Details
Bank Account No.
*
IFSC / NEFT Code
*
Name of the Bank
*
Address of the Bank
*
Turnover 2023-2024
*
Turnover 2022-2023
*
Turnover 2021-2022
*
Sales turnover in Crores
*
Detail of Person Filling This Application
Name
*
Designation
*
Document Uploads
Are you a MSME Unit? If yes, please furnish Registration Details, Name of the DIC/State. If yes, upload MSME Certificate
*
Select option
Yes
No
If you are MSME, is it owned by SC/ST Entrepreneurs or Women Entrepreneurs? If Yes, please specify the Name of the Owner who is SC or ST or Women Entrepreneur (as applicable)
Select option
Yes
No
Are you a Startup? If yes, upload Startup Certificate
*
Select option
Yes
No
Please enter the Captcha Code
*
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