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KYC of The Customer

The document is a Know Your Customer (KYC) form for Crystal Distributores, detailing the organization's information, nature of business, and financial data. It includes confirmation of the accuracy of the provided information and agreement to terms for credit facilities. Enclosures required for verification are also listed, including incorporation certificates and identification documents.

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12 views2 pages

KYC of The Customer

The document is a Know Your Customer (KYC) form for Crystal Distributores, detailing the organization's information, nature of business, and financial data. It includes confirmation of the accuracy of the provided information and agreement to terms for credit facilities. Enclosures required for verification are also listed, including incorporation certificates and identification documents.

Uploaded by

dumasiyavicky
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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(Letter Head)

Know Your Customer

Name of the Organization: Crystal Distributores Date of Incorporation/DOB:


Address: No 12/27. 26-27 Near Dargah, Agnovad, saiyedura, Surat - saiyedura, Surat – 395003, Gujarat

CIN No/ LLPIN :


No of Branches:
MSME Regn No: (Udhyog Aadhar No):
IEC No:
Telephone No.: 9825141807 Fax No.: E-mail:
Company Type: Public Limited  Private Limited  Partnership  Sole Proprietary  LLP 
Nature of Business: Manufacture - Medical Equipment’s No. of employees:
PAN No : AACFC0006E TAN No:
GST No : 24AACFC0006E1ZG
Banker: Branch: Account No.:
IFSC Code: Swift Code: Address of the Bank:
Contact Person Name: Mr.Rohinton jal
Katpitia
Contact Person Hand Phone:
+919825141807
Contact Person email id:
Accounts Person Name: Mr.Rohinton jal
Katpitia
Accounts Person Hand Phone:
+919825141807
Accounts Person email id :
Commodity: C-ARM Compatible Operating
tables, Surgical OT Lamps, Surgical
Instruments
Major Load Ports/Destination Port :
Credit Days : Freight on delivery

Financial Data Current and preceding Year

Particulars Current YEAR FY FY


Period
Paid up Capital
Annual Turnover
Expected Monthly Tonnage / Volumes
Air Exports -
Sea Exports -
Air Imports -
Sea Imports -

We confirm that the information provided in the annexure is true and correct in every aspect. All monies on account of services rendered
and disbursements incurred (which shall include, without limiting the generality of the foregoing, all freight charges, terminal fees and
warehouse charges) shall be paid to the company by us. In the event of granting the credit facility, we shall abide and be bound by the
terms & conditions as annexed below by you for granting the credit facility from time to time. We undertake to pay all bills on this account
as per credit granted without any delay. In the event of default in payment beyond the credit granted we agree to pay all costs incidental
to the collection of the account. We confirm that we have read, understood and agree to be bound by the company’s standard trading
conditions.
For -----------------------------

Sign and Seal


Name: Mr.Rajesh
Designation: National Sales Head
Date: 30/09/2024

Enclosures:-

1. Company/LLP incorporation Certificate


2. Copy of the PAN Card
3. Copy of the TAN Card
4. Copy of the MSME Certificate
5. Copy of the GST Certificate
6. Copy of the IEC Certificate
7. Copy of the Banker’s certificate for Account no
8. One Utility bill for Address proof
9. Directors Details/Partner details as per MCA
10. Incase of Proprietor require Aadhar Details along with consent letter for validation.

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