Vendor Registration Form

Products / Services *

Name *

Constitution *

Year of Inception *

Geographical Area of Operation *

Registered Address *

Phone *

Fax *

E-Mail *

Communication
Address *

Phone *

Fax *

E-Mail *

Details of Contact Person

Name *

Designation *

Mobile *

Email *

Details of Head of Organization

Name *

Designation *

Mobile *

Email *

Details of Contact Person in Accounts

Name *

Designation *

Mobile *

Email *

Bank Details

Name ( As per Bank Account) *

A/c Number *

Bank Name *

Branch *

Address *

SWIFT *

IBAN *

Nature of Business ( Manufacturer/ Trader / Service Provider) *

Total Strength ( No of Employees) *

Sales Turn over ( Past Three Years) *

Year	Currency	Sales Turn over

Details of Manufacturing
Set up *

Details of QC/QA set up *

Certifications and Accreditations *

Key Customer Reference (Please provide for Min 3 customers. You may annex the list of additional customers ) *

Experience in this business ( Years) *

Details of R&D Set Up *

Preferred currency of Business *

Payment Terms Offered to Kirby *

Material delivery Terms offered to Kirby *

Bank details on the company letterhead along with Authorised Signatory. * [.pdf,.jpg,.jpeg Only ]
[File size should not exceed more than 2 MB]

Commercial Registration Certificate* [.jpg,.jpeg,.png,.gif Only ]
[File size should not exceed more than 2 MB] [To select multiple options please press (CTRL+Click)]

* Documents Required

Commercial Registration Certificate.
Bank details on the company letterhead along with Authorised Signatory.

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Vendor Registration Form