Date of creation : 13.09.2011 date of updation :25.12.2013/ 26.6.

2014

New Vendor Opening/Updation Form

(In case of Multiple Location Please
fill separate Vendor Form for each
Location
✘ HRPL PRIVATE LIMITED
New Potential Supplier (to be completed before any payments could be done)
Change in Supplier Data
Supplier Name: HIGHLIFE TRADING
Address:
1,VRJVIHAR SHOPPING CENTRE,TIMES OF INDIA
ROAD,SATELITE,
Pincode 380009
Phone No. (Land Line)
Mobile No.
Fax No :
Homepage/ Website address
E-mail address: greensilkplants@gmail.com
Supplier Main Activity:
Suppliers Product Range: GREN PLANT
Constitution of the Supplier/ Vendor
Whether MSME (Micro, Small and Medium
Enterprise)
Whether SSI (Small Scale Industries)
Nature of Expenditure a. Capital Goods
Capital Goods
b. Revenue Expenditure Revenue Expenditure
SANJAY
Name of the Contact Person and Mobile No:
079 64500158,
ARTIFICIAL PLANT
Reason for New Supplier: ✘
✘ __________________________________________
Alternative
Unique suppliers/competitior
Supplier in Product Range
c. Unique supplier in product range ✘ Better Terms
Alternative
Unique / Conditions
__________________________________________
suppliers/competitior
Supplier in Product Range
✘ YES NO ✘ Better Terms / Conditions
Contract available: (All agreements have to If No, then please give reasons
be in the written form).

General Terms and Conditions available

✘ YES NO

F.O.R - our factory

Delivery Terms
✘ Ex- Works
Special Insurance Terms:
Payment Terms: 60 Days
(if there is no possibility to get the 60 Days IMMIDIATE
there must be an Explanation)
Tax Details
PAN Number ADFPS9877H
GST Number of State of Supply 24ADFPS9877H1ZV
State from which Supply Will be Made
HSN Code of Material-Service Supplied
Whether you are under Composit Scheme
of GST
Bank Details
Name and Adress of Bank SOUTHINDIAN BANK LIMITED

Name of Account Holder HIGHLIFE TRADING

Phone Number
Bank Account Number 0727073000000049

IFSC Code SIBL0000727

Name and Signature : (Prepared by) Approved by (Head of procurement)

Date Date
Supplier SAP Code No.: 1602159
Account opened by:

Date & Signature: supplier/ vendor signature (name and date)

* 1. All information has to be filled in capital letters only

2. Attach the certified copies of all applicable Tax Registration Certificates
3. Attach one cancelled cheque leaf of your bank account.
4. All field are compulsorily and mandatorily to be filled. If Not applicable then please write NA.
5. If there is no response on MSME status then it will be deemed that you does not fall under MSME Act.
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