SRF

Name of Entity:*

GST Registration:*

Yes No

Provide Manpower Services:*

Yes No

Country:*

Currency:*

Pincode:*

Billing Address (As per GSTIN):*

Pincode:*

Correspondence Address:*

Pincode:*

Warehouse/Workstation Address:*

Type of Organisation:*

Private Ltd Limited Partnership (Including LLP) Sole Proprietorship

Contact Person (Primary):*

Mobile No (Primary):*

Email ID (Primary):*

Contact Person (Secondary):

Mobile No:

Email ID:

Landline No:

Holisol Contact Person:*

PAN Card No (Supplier):*

Name as per Pan:*

CIN No:

MSME Registration:*

Yes No

MSME Registration No:

Bank Name:*

Swift Code (Only for Foreign Remittance):

Aggregate annual turnover:*

GST Certificate:*

PAN No:*

Cancel Cheque Copy:*

MSME Certificate if any:*

Incorporation Certificate:*

Date of Incorporation/Formation (On PAN CARD):*

Date of Birth (On PAN CARD):*

I on behalf of do hereby declare that all the information provided is true and nothing has been concealed. I further declare that no information shared by Holisol will be disclosed to any third party. I will not offer any bribes to representatives of Holisol. In any such case Holisol shall have right to terminate the Service agreement without any prior notice. In case any representative of Holisol contacts me for any type of unethical business practice, I will inform to the office of Holisol.

Name and Designation of Signing Person:
Signature:

Seal of the company

OK