Organization Information

Company representative

(to whom all references shall be made)

Nature of the Company

Proprietor/Partner/Chief Executive of Company

Nature of Business

Bank Detail of the Vendor

Name of the Client Address Supplied Products/Services Year

Have you fulfilled your tax obligation for the last 3 years?

(Put tick in the appropriate box)
Name of Item Units Rate Specification

Decleration

Form Filled By

Note

This Vendor Registration is for Fiscal Year 2082/83. Vendor Registration does not guarantee any business without competition. Enlistment as a vendor means that the vendor will be invited to participate in any form of procurement.