Vendor Registration || Sanx Fertilisers

Registration

Name Of Company

Address

Telephone Number

Fax Number

E-mail Address

Website Address

Name and Title Of Company Representative

Direct E-mail Address Of Company Representative

Telephone Numbers of Company Representative (Direct Number/ Mobile Number)

Date Company Was Established (Min 3 Years Required)

Gross Annual Sales of Last 3 Years

Legal Structure

Private Company

LLP

Partnership

Limited Company

Trust

Proprietary

Others

Type of Business/ Commodity Service

Retailer

Manufacturer

Wholesaler

Distributor

Consultant

Frieght/Transportation

Dealer

Professional Service

Other

Details on Goods Your Company Supplies

Geographic Service Area

Local

Regional

National

International

Have You Previously Done Business With Sanx Fertilisers PVT LTD

Yes

Have You Previously Done Business With Similar Type of Industry ?

Yes

Bank Name

Bank Address

Beneficiary Name

Bank IFSC

Account Currency

Bank Account Number

I, the undersigned, hereby accept the SFPL General Terms & Conditions, a copy of which has been provided to me, and warrant that the information provided in this form is correct and, in the event of changes, details will be provided as soon as possible :

Name

Title

Signature

Date

Registration

VENDOR REGISTRATION FORM