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    Vendor Registration Form

    Uploaded by

    Sourabh Shrivastava
    This document is a vendor registration form from Sterlite Technologies requesting information from Emerald Telcominfra Pvt. Ltd. to facilitate direct payments through RTGS, NEFT or fund transfer. It requests details like company name and address, contact information, bank account details, GSTIN and PAN numbers, materials and services provided, and a declaration signed by an authorized representative.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Vendor Registration Form

    Uploaded by

    Sourabh Shrivastava
    380 views3 pages
    This document is a vendor registration form from Sterlite Technologies requesting information from Emerald Telcominfra Pvt. Ltd. to facilitate direct payments through RTGS, NEFT or fund transfer. It requests details like company name and address, contact information, bank account details, GSTIN and PAN numbers, materials and services provided, and a declaration signed by an authorized representative.

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    This document is a vendor registration form from Sterlite Technologies requesting information from Emerald Telcominfra Pvt. Ltd. to facilitate direct payments through RTGS, NEFT or fund transfer. It requests details like company name and address, contact information, bank account details, GSTIN and PAN numbers, materials and services provided, and a declaration signed by an authorized representative.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    380 views3 pages

    Vendor Registration Form

    Uploaded by

    Sourabh Shrivastava
    This document is a vendor registration form from Sterlite Technologies requesting information from Emerald Telcominfra Pvt. Ltd. to facilitate direct payments through RTGS, NEFT or fund transfer. It requests details like company name and address, contact information, bank account details, GSTIN and PAN numbers, materials and services provided, and a declaration signed by an authorized representative.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Sterlite Technologies Limited

    IFFCO Tower, 3rd Floor | Plot No. 3, Near IFFCO Metro Station,
    Sector 29, Gurgaon 122001, Haryana, INDIA

    Dear Sir/Madam,
    We are in the process of sending the payments through RTGS/NEFT/Fund Transfer method, for starting this
    process, we need following information from you immediately. We request you to send this form to following
    address after filling the all the below information.

    Kind Attn:-
    “Vendor Payment Registration Form”
    Please attach attested true copy of your Registration Certificate of GSTIN, PAN, Withholding tax (TDS)
    exemption/lower rate certificate (if any) and ONE cancelled Cheque along with this form.
    Please read the form carefully and fill the field of each line.
    Please note that if you have received this form and submitted to us with all the information duly filled along
    with the copies of all the registration certificates, please ignore this.

    Name of the Vendor Emerald Telcominfra Pvt. Ltd.

    Address for Communication Office Number 145 & 146, D Wing,


    Clover Center, Camp, Pune
    Street 7 Moledina Road

    City Pune

    District Name Pune

    State Maharashtra

    Pin Code 6 DIGIT ONLY 411001

    Telephone WITH STD CODE 020-41216892

    Fax WITH STD CODE

    Email-id [email protected]

    Company Web Site (if any) www.etelinfra.com

    Name and Designation of Contact Person (s) Mr. Sourabh Shrivastava

    BANK DETAILS (for direct credit facility) ECS payment

    MICR Code / Bank key 411240008

    Registered Address: E1, MIDC Industrial Area, Waluj, Aurangabad - 431136, Maharashtra, INDIA. CIN - L31300MH2000PLC269261
    Sterlite Technologies Limited
    IFFCO Tower, 3rd Floor | Plot No. 3, Near IFFCO Metro Station,
    Sector 29, Gurgaon 122001, Haryana, INDIA

    Bank Account No. 50200001212254

    Account Name (Beneficiary Name) Emerald Telcominfra Pvt. Ltd.

    Bank control key Current/ Saving/ Loan/CC CURRENT

    Name of the Bank HDFC Bank Ltd.

    Bank Address and Phone no in short KP Housing society, Gen. Thimaya Road, East
    Street, Camp, Pune

    Bank City Pune

    Bank Branch East street

    IFSC RTGS number11 DIGIT only . HDFC0000148

    IFSC NEFT number11 DIGIT only. HDFC0000148

    Branch Code

    GSTIN/INCOME TAX DETAILS

    PAN No. AADCE1467H

    GST Reg No. 27AADCE1467H1ZO

    State of registration Maharashtra

    For multiple locations please fill the required


    details below

    GST Reg No.

    State of registration

    Materials Name and HSN code supplied by you


    to Sterlite

    Service Description and SAC Codes, you are


    providing to Sterlite

    Please use below space if you need additional space to fill the data related to GSTIN

    Registered Address: E1, MIDC Industrial Area, Waluj, Aurangabad - 431136, Maharashtra, INDIA. CIN - L31300MH2000PLC269261
    Sterlite Technologies Limited
    IFFCO Tower, 3rd Floor | Plot No. 3, Near IFFCO Metro Station,
    Sector 29, Gurgaon 122001, Haryana, INDIA

    WITHHOLDING TAX DETAILS

    Recipient type

    TDS Section

    TDSRate(I.T)

    Surcharge

    Edu.Cess

    Higher.Edu.Cess

    Reasons for exemption

    Validity

    DECLARATION BY VENDOR
    I confirm that, The information furnished above in the VENDOR REGISTRATION FORM

    is correct to the best of my knowledge and belief.

    (Signature of Proprietor/Partner/Chief Executive)

    Name(In Capital Letter) – DEVEN TAYADE


    Date : 15 Jul 20

    Registered Address: E1, MIDC Industrial Area, Waluj, Aurangabad - 431136, Maharashtra, INDIA. CIN - L31300MH2000PLC269261

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