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Supplier Group
Name of the supplier*

Supplier Address H.O.
(With address proof)
Pin Code
Country *

Telephone Number*

Facsimile Number*

e_Mail Address *

Whether Sales Tax Applicable or Not?
Yes
No
Whether Excise Duty
Applicable or Not?
Yes
No
Supplier Address
(Branch) if any
Supplier Bank Name with Bank Address (On the letterhead of the Company) *

Supplier Bank Account No.*

IFSC(RTGS/NEFT) Code *

Excise Reg. No.
(If Applicable)
Excise Range
LST No./ VAT No.
CST No.
Order Type
Terms of Delivery
Terms of Freight
Currency
Payment Terms
Payment Method
Whether TDS Applicable
or not?
Yes
No
PAN No.
E.S.I. Code
P.F. Code
Product / Service Item
Organization Structure
Whether SSI unit or not (Tick whichever applicable)
Yes
No

Name of the person dealing with us & contacts

1. Marketing
2. Accounts
Prop./ Partner/ Director with Tel. No.*

Associate/ Sister Concern
Introduced by
Known to any member of our staff
Dealing with other Exporter / Importer
Address of Manufacturing Unit
Production / Supply Capacity
Security Code*