ADA
AERONAUTICAL
DEVELOPMENT
AGENCY
VENDOR REGISTRATION fORM
(MINISTRY OF DEFENCE, GOVT..OF INDIA)
P.B.. No. 1718, VIMANAPURA
(FOR NEW & EXISTING VENDORS)
POST, BANGALORE -560 017
NAME OF THE VENDOR IN FULL:
ADDRESS
.
TELEPI-K)\jE(S)TELEGRAM
TELEX
FAX
CONTACT PERSON(S)
WITH DESIGNATION
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MANPOWER EMPLOYED
YEAR OF ESTABLISHMENT:
TOTAL CAPITAL EMPLOYED
INCOME TAX PERM. A/C. NO.
ANNUAL SALES TURNOVER FOR LAST 3 YRS
C.S.T. NO.
S.T.NO.
YEAR
COMPANY REGN.NO. & DATE
Rs.(in lakhs)
ITEMS MANUFACTURED /INTERESTED
IN SUPPLYING
SERVICES INTERESTED IN
OFFERING
NAME & ADDRESS OF BANKER
BANK A/C. NO.
TYPE OF COMPANY (PLEASE ,I" AS APPLICABLE)
D
TYPE OF BUSINESS (PLEASE ,I" AS APPLICABLE)
D
PVT. LTD
D
PUBLIC LTD
PARTNERSHIP
D
PROPRIETORY
D
GOVT. ORGANISATION
D
MANUFACTURER
D
RETAILER
D
DISTRIBUTOR
D
STOCKIST
D
AGENT
REPUTED COMPANIES & GOVT. DEPTS WITH DETAILS OF ORDERS EXECUTED (PLEASE ATTACH LIST, IF REQUIRED)
DGFTS IMPORTER / EXPORTER CODE NO & DT.
I RBI CODE NO & DT
ANY OTHER DETAILS (ATTACH SEPARATE SHEET)
INDICATING COLLABORATORS / ASSOCIATES ETC.
ENCLOSURES (COPIES)
(PLEASE ,I" AS
D
D
'
CERT. OF INCORPORATION
D SSI UNIT REGN.
AU"HORISATION FROM PRINCIPAL FOR AGENCY ETC
D
INCOME TAX CLEARANCE CERT.
FOR LAST 5 YRS.
APPLICABLE)
DECLAR,\TlON BY DIREC~OR / PARTNER / PROPRIETOR
I declare that the information furnished above is correct to the best of my knowledge. I undertake to inform
ADA at the earliest any change in details mentioned above.
SEALOFTHECOMPANY:
-
SIGNATURE & DATE
NAME & DESIGNATION
FOR OFFICE USE ONLY
VENDOR CODE
CATEGORY CODE/DETAILS:
DATE OF REGN.
DATE OF DELlSTlNG:
REMARKS
.APPROVED/NOTAPPROVEDBY: