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Vendor Registration Form
Firm / Company Name
Firm Type (Public Sector/Private sector etc)
Address of the company (With State, City, PIN)
Dealing Office
Address (With State, City, PIN) :
Contact Person
Designation :
Phone Number
Fax Number
Email ID
Website if any
Year of establishment
Select Year
1900
1901
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1911
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2012
2013
2014
Banker's Name
Manufacturer/Trader/Others
Manufacturing facilities available
Sales Tax Registration Details
State
Central
Tin No.
CST No.
Ecc No.
Any Special Information
If Dealer of other companies provide details
Please upload the following Note : File Size of each File being uploaded should not exceed 2MB.
List of products / Services and other facilities with supporting catalogue / leaflets
List major customers with whom you are registered
Latest Income Tax clearance certificate
Annual Profit / Loss account / Balance sheet for last three years
Business Enquiry
Cell- 098931 44333, 090099 44333
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Contact Us
Site Plot No. 435 A, Sec. C, Urla Industrial Area, Raipur - 493 221 (Chhattisgarh)
Ph. : 0771 - 4217 311 / 322 / 333 / 300 Fax : 0771 - 4217310
Write Us :manish@navdurgaispat.com
Visit us at : www.navdurgaispat.com