Supplier Registration Form

Ozat Pump's Supplier Registration Form

Supplier Registration Form

Please fill out the below form completely. You will be contacted by one of our representatives shortly regarding your product.

All information is considered confidential and will not be disclosed or sold to anyone.

Vendor Registration Form
 
* denotes mandatory field

Personal Information

*Organization Name:
*Contact Person:
>*Address:
*Contact Phone:
Include country/area code
Fax:
Include country/area code
*Email Address:
*Firm Type:
Private     Public     Other
*Reg. No. of the firm:
*Type of Business:
Manufacturer     Dealer/Distributor     Other

Business Details

*Enter Name of
Promoters/Directors &
Annual Turn Over
(Last 3 Years):

Registration Details

SR Regn. Name Tax Name Registration Number
Division/Range/Circle/Ward
Registration
Date
1
*2
*3
4
5
6

Bank Details

SRBank NameBranch NameAccount TypeA/c. Number
1
2

Orders Supplied / On Hand (During Last Six Months)

SR Description Name of Firm Remarks, If any Supply Date
1
2
 
* Antispam Code:
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