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 ✘ SIMPL INNOVATIVE BRANDS PVT LTD
New Potential Supplier (to be completed before any payments could be done)
Change in Supplier Data
Supplier Name: THE LIGHTRIC STUDIO
Address:
hop No. 2, Patel Avenue, Beside Gurudwara, Opp. The Grand
Bhagwati, S.G. Highway, Ahmedabad, Gujarat 380054

Pincode 380054
Phone No. (Land Line)
Mobile No. 7624000963
Fax No : NA
Homepage/ Website address NA..
E-mail address: Hiren Barot <hblightricstudio2016@gmail.com>
Supplier Main Activity: LIGHT
Suppliers Product Range: LIGHT
Constitution of the Supplier/ Vendor
Whether MSME (Micro, Small and Medium
no
Enterprise)
Whether SSI (Small Scale Industries) NA
Nature of Expenditure a. Capital Goods
Capital Goods
b. Revenue Expenditure Revenue Expenditure
Name of the Contact Person and Mobile No:

Reason for New Supplier:

✘
✘ ______________________________
Alternative
Unique Supplier
suppliers/competitior
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

Delivery Terms
F.O.R - our factory
Ex- Works
9925433610
Special Insurance Terms: NA
Payment Terms: 60 Days
(if there is no possibility to get the 60 Days IMMIDIATE
there must be an Explanation)
Tax Details
PAN Number
GST Number of State of Supply 24AALFT4143Q1ZN
State from which Supply Will be Made
HSN Code of Material-Service Supplied
Whether you are under Composit Scheme
NA
of GST
Bank Details
Name and Adress of Bank CANARA BANK

Name of Account Holder THE LIGHTRIC STUDIO

Phone Number
Bank Account Number 4820261000004

IFSC Code CNRB0004820

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

Date Date
Supplier SAP Code No.:
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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