Vendor registration form Vendor Registration Form Unique IDPart 1Category of the Product /ServiceMMD MedicalMMD Non-medicalHRBiomedicalName of the firm/company to be registred Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail Nature of BusinessGovt. Of India UndertakingState Govt. UndertakingPublic Limited CompanyPrivate Limited CompanyOne Person CompanyLimited Liability PartnershipPartnership FirmProprietorshipCo-Operative SocietyTrustOtherPlease select as applicablePlease specify Ownership type Ownership InformationManufacurerDealerTraderDistrbutorStockiestChannel PartnerIndian Sales officeSubsidiary of Registred foreign supplierIndian AgentsService ProviderSupplier without any shop or godownPlease select as applicableYear of commencement of Business MM slash DD slash YYYY Attach relevant documentMax. file size: 2 MB.proof of year of commencement of businessGovt registration particulars (Copy of relevant documents to be attached)Permanent Account No. (PAN) Upload PAN cardMax. file size: 2 MB.Aadhar Card No. Upload Adhar card noMax. file size: 2 MB.GSTIN (Applicable/exempted) Upload GSTINMax. file size: 2 MB.ISO Certifications ISO 9001 ISO 14000 OHSAS 1800 Select AllHiddenRegistration Particulars EPF ESIC CONTRACT LABOUR (R&A) ELECTRICAL CONTRACTOR LICENSE only for service providersInput Registration particulars proofs number Upload relevant documentsMax. file size: 2 MB.HiddenWhether the comapany already registered with SRHU YES NO HiddenWhether the company is under litigation/arbitration cases during the last 5 years YES NO Cases during 5 yearsHiddenWhether the company has been delisted/debarred from YES NO Cases during 5 yearsTECHNICAL AND FINANCIAL DETAILSCarpet Area of Warehouse/ Godown in Sq. Ft. Manpower detailsQuality Control/Inspection facilities wherever applicationReadiness for participation in e-tendring/procurement Yes No 2018Annual Sales excluding other Income (Rs. Lakhs) Profit before Tax (PBT) (Rs. Lakhs) IT paid and copy of IT ReturnsMax. file size: 2 MB.2019ListColumn 1Column 2Column 3Column 4 Add Remove