Individual Registration

* 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 "Name".

* Only for Expert Invitees/Consultants/Guests/Advisors/Visiting Faculties/Statutory Committee Members/Others Individual Person.

Basic Details

Salutation (Add salutation here)

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

Contact Details

Country

State

District

Address

Contact Person Name

Phone Number 1

Phone Number 2

Primary Email

Fax

PAN Card Details

PAN Number

PAN 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)

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)

Blacklist

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

Other Details

Whether Payment after delivery,acceptance and installation is acceptable

Whether Technical Literature and catalogue of products is attached in orginal