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[{"$nulls":5},"VENDOR CODE ALLOTED"]
[]
[{"$nulls":3},"INDIAN INSTITUTE OF SCIENCE"]
[{"$nulls":3},"BANGALORE - 560012"]
[]
["Form for Registration of Vendors"]
[]
["1.","Name of the Company:"]
[null,"(in capital letters)"]
["2.","Address:"]
[]
[]
[null,null,"Telephone No.  :"]
[null,null,"Fax No.            :"]
[null,null,"Web site (if any):"]
[null,null,"E - Mail            :"]
[null,null,"Bank A/c No    :"]
[null,null,"Bank Name & Address:"]
[null,null,"IFSC CODE      :"]
[]
["3.","Type of Organization",{"$nulls":7},"Documents to be enclosed"]
[null,"a)","Proprietary",{"$nulls":6},"Trade License"]
[]
[null,"b)","Private Limited Company",{"$nulls":6},"Memorandum of Article"]
[]
[null,"c)","Others (Please specify)",{"$nulls":6},"Relevant Documents"]
[null,null,"…………………………………………"]
["4.","Nature of Business"]
["a)","Supply",{"$nulls":6},"b)","Service"]
[]
["c)","Contract (Civil/Electrical & Electronics/Manpower)",{"$nulls":6},"d)","Others (Please specify)"]
[{"$nulls":9},"………………………………………"]
[]
["5.","Commercial Information Registration details (Enclose Attested Copy wherever Applicable)"]
[null,"a)","PAN NO.        ",null,":"]
[null,null,"(PAN Card Copy to be enclosed)"]
[null,null,"Name:"]
[null,"b)","CST Regn. No.",null,":"]
[null,"c)","State ST Regn. No.",null,":"]
[null,"d)","TIN No.",null,":"]
[null,"e)","Excise Center No.",null,":"]
[null,"f)","Trade License No.",null,":"]
[null,"g)","Service Tax Regn.No.",null,":"]
[]
["6.","Area of Spcialisation "]
[null,"a)","Scientific equipment & instruments",{"$nulls":5},"b)","Electrical & Electronics items"]
[]
[null,"c)","Glass Ware",{"$nulls":5},"d)","Hardware"]
[]
[null,"e)","Computer (Hardware & Software)",{"$nulls":5},"f)","Office Automation (Furniture etc.)"]
[]
[null,"g)","Fabrication Works",{"$nulls":5},"h)","Stationery, Printing etc."]
[]
[null,"i)","Chemical items",{"$nulls":5},"j)","Medical items"]
[]
["7.","Any Other Information:"]
[]
[]
[]
["DECLARATION BY THE VENDOR"]
[]
[null,"1). I confirm that no Employee or direct relation of any employee of IISc is in any way connected "]
[null,"     as Partner/ Shareholder/Director/Advisor/Consultant/Employee etc. with the Company. "]
[null,"2) The informations furnished are correct to the best of my knowledge and belief"]
[]
[]
[]
[]
[{"$nulls":6},"Signature of authorised person"]
[null,"Place:"]
[null,"Date",{"$nulls":5},"Name:"]
[{"$nulls":9},"(In Capital Letter)"]
[{"$nulls":9},"(Seal of Vendor)"]

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