Submersible Pumps | Openwell Pumps Manufacturer & Exporter

F-Tech Pumps › Supplier Registration Form

Supplier Registration Form
(* Indicates mandatory field)
Personal Information
Organization Name *
Contact Person *
Correspondence Address *
City/Town *
Country *
Pincode
Landline Number * STD NO.
Landline Number 2 (Only number, no STD)
Fax Number (Only number, no STD)
Mobile Number * 10 Digit Mobile Number without '+91' or '0'
Email Id *
Business Information
 
Reg. No. of Firm *
Type of Business * Manufacturer    Dealer    Distributor
Enter Name of Promoters/Directors & Annual Turn Over (Last 3 Years) *
Registration Details
Sr Regn. Name Tax Name Registration Number
Division/Range/Circle/Ward		 Registration
Date
1* VAT (Sales Tax)
2* CST (Sales Tax)
3 ECC (Excise)
4 PAN (Income Tax)
5
6
Bank Details
Sr Bank Name Branch Name Account Type Account Number IFSC Code
1*
2
Orders Supplied / On Hand (During Last Six Months)
Sr Description Name of Firm Remarks, if any Supply Date
1
2
Attach Your Business Profile (if any)
Attach Your Business Profile
Only .doc,.docx, .rtf, .pdf, .zip, .rar		  (Space b/w file name is not allowed)
Antispam Code: *