Business Partners
Vendor Information Form

All Fields with * mark are Mandatory
Max size to upload the pdf is 100 KB.

Requestor to ensure all Mandatory information is duly filled and all attachments in place before sending the form for Vendor Creation.

Contact Details

   
Company Name :
Plant (KWPCL / JPL / BOTH) :
Registered Address    
House No./Building No* :
Street Name* :
City* :
State* :
Post Office* :
Pin Code* :
Telephone Number* :
Fax Number :
Country*  
Registered Address Contact Person
Name* :
Designation* :
Land Line Number* :
Mobile Number* :
Email Id* :
Communication Address  Same As Registered Address.
House No./Building No* :
Street Name* :
City* :
State* :
Post Office* :
Country* :
Telephone Number* :
Fax Number :
Communication Address Contact Person
Name* :
Designation* :
Land Line Number* :
Mobile Number* :
Email Id :

Know Your Partner

   
Vendor Type* :
Industry / Details* :
Reference Customers* :
Reference Customers (Similar Work) by the Partner especially for orders larger than 1 Cr.
Vendor Group* :
SSI Number* :  
(If yes then attach SSI Copy and if no then attach declaration of SSI on your company letter head.)

Bank Information

   
Account Number* :  
1. Attach Cancelled Cheque along with
Payee Name* :  
2. Certification of Bank Details from Bank.
Bank Name* :
Bank Branch Address* :
Account Type* :
MICR Number* :
IFSC Code* :

Tax Information

   
Excise Registration No* :  
(Attach Copy of Registration Certificate)
Service Tax Registration No* :  
(Attach Copy of Registration Certificate)
CST/LST/VAT/TIN Registration
No*
:  
(Attach Copy of Registration Certificate)
PAN Number* :  
(Attach Copy of PAN Card on Company Letter Head)
Labour Cess Registration :  
(Attach Copy of Registration Certificate)
Import – Export Code :

Registration Process

Certified that all details given by me above in the form are true.
Certified that all the required details have been filled and attached before sending the form for Vendor Creation.
Vendor Representative Name :
Date : Select Date
Products/ Services Offered :
   

 

Disclaimer: Filling this form is the first step towards the Registration Process. The relevant team of APIL will get in touch for further actionables. This form does not register you as a Vendor / Partner of APIL.