Vendor Declaration

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MULTI SCREEN MEDIA PVT. LTD. Interface, Building 7, 4th Floor, Off Malad Link Road, Malad(West) MUMBAI 400064 Declaration by vendors for Vendor Master Creation All fields are mandatory lontact )etails: Name of Vendor VENABLE I\4ANAGEMENT CONSULTANTS PVT Name of Contact Person TAM AGRAWAL Type of Entity ]eut ltO co lf Other please specify Residentialstatus lResiOent lf Other please specify(Please attach Proof) Address 1 414, lST FLOOR,41ST CROSS I Address 2 7TH MAIN JAYANAGAR Address 3 TH BLOCK BANAGLORE-560041 city lsANcnL-one Postar code tr0041 - | Region Country Land Line Numbe(with country & STD Code) 08066031 00 Mobile Number 9844887711 Fax No E-mail-l D ( For TDS Certificate/important communication) AGARWAT GAUTAIV@SNAPDEAL COM Bank Detais Name of Bank Bank Account Number HDFC BANK LllVlED I 28507630000461 | Bank branch and Address IFS Code-(For Local Vendor) Swift code-(For Foreign Vendor) IBAN code-(For Foreign Vendor) Name of the Account Holder Cancelled Cheque/Photocopy of Cheque should be provided for local Vendor. Cheque No. not aoolicable please write utner Details Permanent Account Number (Mandatory) lAAECV7013M X Copy attached Certificate of Incorporation (lf Applicable) [* Copy attached Service Tax Reon. No (Should be PAN based) F _l l- Copy allached Excise Regn No, (lf Applicable) f Copy attached Micro Small & Medium Status (yes/No) ( lf yes, please provide Reg no & date ) lj* Yes | | tr yes, Resn ro. F;t^"* ( Please attach Proof ) VAT Registration no. (lf applicable) l*" Copy attached CST Registration No. (lf applicable) f- Copy attached Signature T Name of Signalory Designation Company Stamp Date .t A B rJh H I \S-

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Transcript of Vendor Declaration

  • MULTI SCREEN MEDIA PVT. LTD.Interface, Building 7, 4th Floor,Off Malad Link Road, Malad(West)MUMBAI 400064

    Declaration by vendors for Vendor Master Creation All fields are mandatory

    lontact)etails: Name of Vendor VENABLE I\4ANAGEMENT

    CONSULTANTS PVT

    Name of Contact Person TAM AGRAWAL

    Type of Entity ]eut ltO co lf Other please specifyResidentialstatus lResiOent lf Other please specify(Please attach Proof)

    Address 1 414, lST FLOOR,41ST CROSS IAddress 2 7TH MAIN JAYANAGAR

    Address 3 TH BLOCK BANAGLORE-560041

    city lsANcnL-one Postar code tr0041

    -

    |

    Region Country

    Land Line Numbe(with country & STD Code) 08066031 00Mobile Number 9844887711

    Fax No

    E-mail-l D ( For TDS Certificate/important communication) AGARWAT GAUTAIV@SNAPDEAL COM

    BankDetais

    Name of Bank

    Bank Account Number

    HDFC BANK LllVlED I28507630000461 |

    Bank branch and Address

    IFS Code-(For Local Vendor)

    Swift code-(For Foreign Vendor)

    IBAN code-(For Foreign Vendor)

    Name of the Account Holder

    Cancelled Cheque/Photocopy of Cheque should beprovided for local Vendor. Cheque No.

    not aoolicable please write

    utnerDetails

    Permanent Account Number (Mandatory) lAAECV7013M X Copy attachedCertificate of Incorporation (lf Applicable) [* Copy attachedService Tax Reon. No (Should be PAN based) F _l l- Copy allachedExcise Regn No, (lf Applicable) f Copy attached

    Micro Small & Medium Status (yes/No) ( lf yes,please provide Reg no & date )

    lj* Yes | | tr yes, Resn ro.F;t^"*

    ( Please attach

    Proof )

    VAT Registration no. (lf applicable) l*" Copy attached

    CST Registration No. (lf applicable) f- Copy attached

    Signature TName of Signalory

    Designation

    Company Stamp

    Date

    .t

    A

    B

    rJhH

    I \S-