Dhanbad Club
Vendor Registration Form
Company Name
Name
Vendor For
Select Product Type
Grocery
Dairy And Bkery Items
Green Vegetables
Cold Drink-m Water
Non Veg Items
Paper Items
Cooking Gas
Icecream
Email
Mobile
Established Year
Firm Type
Aadhaar Number
PAN Number
GST Number
PAN Card Upload
GST Document
Trade License
Bank Name
Account Number
IFSC Code
Account Holder Name
Address
Years of Experience
Existing Client (Minimum 2)
Experience with Dhanbad Club
Product Types
Select Product Type
Grocery
Dairy And Bkery Items
Green Vegetables
Cold Drink-m Water
Non Veg Items
Paper Items
Cooking Gas
Icecream
Last Supply Date
Have Reference
Reference Name
Reference Contact
Declaration
I/We hereby declare that the above information is true and correct to the best of my/our knowledge.
I/We agree to abide by the terms and conditions/laid out by Dhanbad Club and understand that registration does not guarantee the award of work.
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