AIIMS Bhuneshwar

Vendor Registration Form

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Name

Contact No

Contact Person

Registered Address

Communication Address Same As Registered Address *

GST Registration *

GSTN No

Balance Sheet Year

Balance Sheet Year 2

Balance Sheet Year 3

Income Tax Return Year

Income Tax Return Year 2

Income Tax Return Year 3

Profit and Loss Account Year

Profit and Loss Account Year 2

Profit and Loss Account Year 3

Vendor GSTIN No (Upload GST Registration

Pan Card No

Upload PAN Card (Mandatory Registration)

State *

District *

City *

Type of Service Engaged *

Note:-N.B. - Regarding MSME registered Start up companies, the necessary Udyog Adhar/ Udyam/ NSIC Certificate issued by MSME or any Govt. agency may be uploaded accordingly.

AIIMS Bhubaneswar All India Institute of Medical Sciences, Bhubaneswar