27/04/24 17:36 PM

Vendor Registration










    Certificate Upload Not Mandatory

    [text* your-name id:name class:form-control placeholder "Enter Your Name"]
    [radio inlineRadioOptions id:inlineRadio1 class:form-check-input use_label_element "proprietorship"]
    [radio inlineRadioOptions id:inlineRadio2 class:form-check-input use_label_element "Private Limited"]
    [radio inlineRadioOptions id:inlineRadio3 class:form-check-input use_label_element "Public Limited"]
    [radio inlineRadioOptions id:inlineRadio4 class:form-check-input use_label_element "Other"]
    [text establishment class:form-control placeholder "Year of Establishment"]
    [text name-of class:form-control placeholder "Name of Proprietor/Director/MD"]
    [textarea* address_of_work x3 id:interest class:form-control placeholder "Address of Works"]
    [textarea* address_of_ho x3 class:form-control placeholder "Address of H.O.; Sales Offic"]
    [tel contact-person class:form-control id:whatsapp placeholder "Enter Contact Person"]
    [text organisation class:form-control placeholder "Enter Designation"]
    [text phone-no class:form-control placeholder "Enter Phone No."]
    [text fax-no class:form-control placeholder "Enter Fax No."]
    [email email class:form-control id:emailid placeholder "Enter Email ID"]
    [radio nature-business id:inlineRadio5 class:form-check-input use_label_element "Manufacturing"]
    [radio nature-business id:inlineRadio6 class:form-check-input use_label_element "Trading"]
    [radio nature-business id:inlineRadio7 class:form-check-input use_label_element "Other"]
    [text whatsapp class:form-control placeholder "If Other, Please Specify______"]
    [textarea* address_of_work x3 class:form-control placeholder "List of Items dealt by Organization"]
    [text m-staff class:form-control placeholder "Management Staff"]
    [text skilled-staff class:form-control placeholder "Skilled Staff"]
    [text unskilled-staff class:form-control placeholder "Un-Skilled Staff"]
    [textarea certifications x3 class:form-control placeholder "Certifications"]

    This question is for testing whether you are a human visitor and to prevent automated spam submissions.

    [checkbox sendcopy id:sendCopy class:form-check-input use_label_element "sendcopy"]
    [submit class:Read-More-btn "Submit Details"]