VENDOR REGISTRATION FORM
VendorPort Procurement Portal
NOTE:
1. Fields marked
*
are mandatory. | 2. If MSME registered, Registration No., Major Activity & Type of Enterprise are mandatory.
Supplier / Company Details
Name of Supplier
*
Contact Person
*
Address of Supplier
*
City
*
State
*
PIN Code No.
*
Contact No.
*
Email ID
*
Nature of Supply / Name of Item
Tax & Registration Details
GST No.
PAN No.
CIN No.
(In case of Company)
Aadhaar Card No.
(In case of Individual)
Category
— Select Category —
Chemicals & Lubricants
Civil & Construction
Electrical & Electronics
IT & Computers
Mechanical Components
Office Supplies & Stationery
Packaging Materials
Raw Materials
MSME Details
Registered in UDYAM MSME?
Yes
No
UDYAM MSME Registration No.
(UDYAM-XX-XX-XXXXXXX)
Major Activity
— Select —
Manufacturing
Traders
Service
Type of Enterprise
— Select —
Micro
Small
Medium
Bank Details
Beneficiary Name
(as per Bank)
Type of Bank Account
— Select —
Savings
Current
CC (Cash Credit)
OD (Overdraft)
Bank Account Number
Bank Name & Address
IFSC Code
MICR Code
Cancelled Cheque Enclosed
Portal Account Credentials
Password
*
Confirm Password
*
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