XXX PVT. LTD.
D-33, DSIDC Industrial Complex, Rohtak Road, Nangloi, Delhi - 110041

Vendor Account creation request form
Vendor Name
Address
PAN No.
Sale Tax/LST/TIN No.
Service Tax No.
Excise No.
Payment Terms
Contact Person
Contact Number
Mail ID
Date of Bill
Vendor's Bank name
Bank Branch
Bank Account Number
IFSC Code
Bank Branch address
CHPL - Relationship employee
CHPL - Unit
Prepared By                                           Checked By Approved By
 
Date:                                                                                   Date: Date



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