Vendor Registration Form

Fields marked with * are mandatory

1. Name of Bidder / Firm *

2. Registered Office Address of Company / Firm in Kolkata / Howrah *

Local Office Address at Kolkata / Howrah (if held)

3. Telephone No. *

Fax No.

Mobile No. *

4. E-mail Address *

5. Names of the Contact Person & Designation *

1. Name

Designation

2. Name

Designation

3. Name

Designation

6. Type of Entity — Proprietorship / Partnership Firm / Company / NSIC / MSME Category etc. *

Please attach registration certificate of Firm / Partnership agreement / Proprietorship documents.

Upload Registration Document *

PDF / JPG / PNG only (max 5MB)

7. Cost of Tender Details — DD No. *

Name of Bank (DD) *

8. PAN Card Number *

Self-attested copy of PAN card must be submitted.

GST Registration No. *

Self-attested copy of GST certificate must be submitted.

Upload PAN Card Copy *

Upload GST Certificate Copy *

9. Whether the agency has been blacklisted / debarred or given tender holiday or contract terminated before expiry by any Govt. autonomous bodies / organizations? *

Yes

Certification: Certified that the above information is true to the best of our belief and information.

Name of Authorised Signatory *

Designation *

Place *

Date *

NEFT / RTGS Mandate Form

(On the Letter Head of the Company)

Mandate for receiving payments through RTGS / NEFT — Hooghly Cochin Shipyard Ltd

1. Vendor Name *

2. Vendor Address with Phone No. *

3. Vendor Code

4. Permanent Account No. (PAN) *

5. Particulars of Bank Account *

a. Name of the Bank *

b. Name of the Branch *

c. Branch Code *

d. NEFT Code of the Bank *

e. City Name *

f. Branch Location *

g. Branch Telephone No.

h. Bank IFSC Code *

i. 9-Digit MICR Code *

Where MICR starts with '0', please take the correct code from your bank.

j. Type of Account (S.B / Current / Cash Credit) with Code (010/011/013) *

k. Account Number (as appearing on the cheque book) *

6. Email Address of Vendor *

7. Date of Effect of RTGS / NEFT in your Bank *

Upload Cancelled Cheque (unsigned) *

Please enclose a cancelled un-signed cheque leaf to enable us to verify the details mentioned above.

We hereby declare that the particulars given above are correct and complete. If the transaction is delayed or lost because of incomplete or incorrect information, we would not hold the company responsible.