Vendor Management

Vendor Management System

Registration Form

Already Registered ? - Check Status

States (Supply to be made)*

Vendor Registration for*

Name (Individual / Company)*

Upload Company Profile

Contact Person (Add Min. Two)

Name*

Email*

Contact No.*

Full Address of Entity

Full Address*

Country*

State*

City*

Pin Code*

Email*

Mobile*

Name of website, if any

Type of Entity*

Do you have Aadhar Card
Yes No

Nature of business: (Give details about your Services / Products)*

Type of vendor i.e. whether Manufacturer/ Stockist/ distributor/ dealer/ c & f agency / Retailer/ Trader*

Is registered in MSME? (attach registration certificate)
Yes No

Details of authorized Contact person (Min 2 with their designations)

Name*

Designations*

Mobile No.*

Landline No.

Fax No.

E-mail ID*

PAN No.*

PAN No (Attach documentary proof)*

Do you have GST
Yes No

Add GST details (Note : Multi-state vendor is required to fill separate registration form for each state.)

GST Registration No.*

GST Registration Certificate (Attach Certificate Documentary Proof)*

Bank details

Name of Bank*

Name of Bank Branch & address

Name of Account holder*

Bank Account No.*

RTGS/ IFSC code*

Cancelled Cheque*

Details if any relative working in ACIL

Reference of any two companies with those currently associated besides ACIL with Name of company, office address and contact person name & contact No.

Company Name

Office Address

Contact Person Name

Contact No.

In case of SITC by vendor the copy of PF, ESIC & insurance needs to be submitted along with this form
Yes No

This is to certify that the vendor/company/firm who's details are above is not blacklisted by any Govt. Agency or ACIL.