8/6/2019 Vendor Registration Form -VRF 3 0

1/1

GENERAL INFORMATION ABOUT THE V ENDOR Vendor Number:( To be filled after creating in System / ERP)

Vendor Name

Address

Type Opex Vendor Capex Vendor Franchisee

Telephone No. Fax No. E-Mail

Contact Person(s)

& designation

PRODUCT DETAIL

Section A

VERIFICATION OF BUSINESS LEGITIMACY

(Verifier to specifically check & tick mark the following, as applicable)

Legal Entity

Unit Category General SSI

No. of Years in Business 0 to 1 1 to 3 4 to 10 Above 10 TDS U/S

No. of Employees 1 to 5 5 to 10 10 to 50 Above 50 TDS Rate

Bankers Bank Account No.

IFSC Code Branch

PAN No./10 Digit Service Tax TIN No.(*)

Service Tax CategoryFactory License No./Shop & Establishemnt Reg. No./ Other No.

Central Excise no. Sales Tax no. : C.S.T.

(Copy of Certificate Required) L.S.T.

Associated with any SISTEMA employee YES NO (If yes, provide details in a separate sheet)

Authorised Dealer/Distributor for

Others (Attach separate sheet if required)

Vendor Verification Conducted by Date:

Section B (Declaration)

1.It is hereby declared that as per the provision of Section 203 of Income Tax Act, 1956, the TDS certificates shall be be issued to us

Estimated Annual Value

SME under SMEDA Act

SISTEMA SHYAM TELESERVICES Limited

Circle/Corporate

Vendor Registration Form (VRF 3.0)

Public Ltd. Company Pvt. Ltd. Company Partnership Proprietorship

Description Item Code Estimated Annual Qty.

on consolidated basis at year end.

2.I hereby declare that post issuance of PO/WO/Rate Contract, the bills shall be submitted along with the photocpoies of the

PO/WO /rate contract issued. IN ABSENCE OF THIS, BILLS WILL NOT BE ACCEPTED BY SSTL..

3.Whereever Service Tax/ VAT /Excise Duty etc is charged, the bifurcation of the taxes has to be provided in the invoicebills submitted & the invoices shall be submitted in duplicate. IN ABSENCE OF THIS, BILLS WILL NOT BE ACCEPTED BY SSTL.

4 We are also enclosing TDS exemption Certificate issued to us.

5 Any change in the constitution of the ownership / address will be communicated to the company within 7 days of such change.

6 Payment will be withheld if the vendor furnishes incorrect information

Vendor Signature - With Seal

Section C

APPROVAL FOR ADDITION OF VENDOR

Vendor Approved YES NO Effective Date of Addition

Approved as Vendor Master Updated By:

Approved By

APPROVAL FOR DELETION OF VENDOR (PURGING)

Delete Vendor YES NO Effective Date of Deletion

Reasons for deletion Vendor Master Updated By:

Approved By

Commercial Executive Accounts Executive Manager Accounts Payable

Attachments

1. Copy of PAN Card 3. Copy of Sales Tax / VAT Registration

2 Copy of Service Tax Registration 4. Copy of certi ficate of incorporation / partnership deed / registrat ion

5. Copy of Testimonials 6. Income tax papers required for foreign vendors eg. PE certificates etc.

Regular Vendor One time vendor

Sistema Shyam Teleservices Limited

B-2D, Shiv Marg, Bani Park, Jaipur - 302016