Vendor Registration | CAS IISERB

भारतीय विज्ञान शिक्षा एवं अनुसंधान संस्थान भोपाल

Indian Institute of Science Education and Research Bhopal

Vendor/Supplier/Contractor/Service Provider Registration

(For Indians)

* These fields are mandatory. If not applicable, please fill 'NA'.

* Do not use any honorifics/ titles / position like Mr, Ms, Dr, M/s, CA, Adv., Prof.,Er., shri, Smt etc in the "Agency Name".

Basic Details

Salutation (Add salutation here)

Agency Name(The payment will be made with this name only.)

Type of Vendor

Type of Firm

Category of Vendor

Date of Establishment

Contact Details

Country

State

District

Address

Website

Contact Person Name

Designation

Phone Number 1

Phone Number 2

Primary Email

Fax

Licence Details

PAN Number

PAN Attachment (Only pdf, max size 2Mb)

GST Number

GST Attachment (Only pdf, max size 2Mb)

Trade Licence Number

Trade Licence Attachment (Only pdf, max size 2Mb)

Factory Licence Number

Factory Licence Attachment (Only pdf, max size 2Mb)

TIN Number

TIN Date

GEM Registration Number

Service Tax Number

MSME/SSI Number

MSME/SSI Attachment (Only pdf, max size 2Mb)

DGS & D Number

DGS & D Attachment (Only pdf, max size 2Mb)

EPF Registration Number

Labour Licence Number

ESI Number

Electrical Licence Number

District Industries Center Attachment (Only pdf, max size 2Mb)

Any Department Undertaking Attachment (Only pdf, max size 2Mb)

Annual Turn Over in (₹)

Year 1

Year 1 Attachment (Only pdf, max size 2Mb)

Year 2

Year 2 Attachment (Only pdf, max size 2Mb)

Year 3

Year 3 Attachment (Only pdf, max size 2Mb)

Bank Details

Bank Name

Branch Name/Address

Account Type

Account Number

IFSC

MICR

Bank Account Proof (Only pdf, max size 2Mb)

If Authorized Dealer/Stockiest Add Item

Similar Materials

Attested Xerox Copies of purchase orders received from Govt.institutions/PSU/Reputed Organization For supply of similar materials to be submitted

ISO Certification

Whether ISO-9001/2000 Certified? If yes to submit attested Xerox copy of same(For Manufactures only)

Please Select

(Only pdf, max size 2Mb)

Capability

You are capable of executing supply order to IISER Bhopal(Mention the monetary limit as per point no.3.12 and Attach past supply orders)

Please Select

(Only pdf, max size 2Mb)

Blacklist

Whether Your Company has been blacklisted by any of the central/state government PSU,University, Any other organization
Declaration Form

Please Select

(Only pdf, max size 2Mb)

Other Details

Whether Payment after delivery,acceptance and installation is acceptable

Whether Technical Literature and catalogue of products is attached in orginal