Vendor Registration

1. Company Name

Company Name: *

2. Company Address

Address1: *

Address2: *

Address3:

Country: *

State:

City/Town: *

Pin: *

3. Contact Details

Prefix:

First Name: *

Middle Name:

Last Name: *

Designation: *

Country Code: *

Area Code: *

Telephone No.: *

Fax No.:

Mobile No.: *

Email Address: *

4. Name of the Group

Name of the Group(if any):

5. Local Office Communication Address

Same as Above

Address1: *

Address2: *

Address3:

Country: *

State:

City/Town: *

Pin: *

6. Factory/Facilities Locations Details

Please specify how many locations :

Country: *

State:

City/Town: *

Built up Area in Square meters Location 1: *

Country Location 2:

State Location 2:

State:

City/Town Location 2:

Built up Area in Square meters Location 2:

Country Location 3:

State Location 3:

State:

City/Town Location 3:

Built up Area in Square meters Location 3:

7. Business Interest with Indus Towers

Interest (eg. We are ISO 9001 certify company and would like to supply and service air-conditioners): *

Region of Supply (PAN-India, North India, South India, East India, West India, Name of State(s)): *

8. Date of company establishment

Date: *

9. Scale of the Company

Large Scale (Turnover of more than Rs 500 Crores.)

Medium Scale (Turnover between Rs 100 Crores. to Rs 500 Crores.)

Small Scale (Turnover less than Rs 100 Crores.)

Currency: *

Turnover in Crores: *

10. Nature of your Business

If Trader, Agent or Representative Company, not involved in the manufacture of the product, please provide:

1) Certification from your principals that you are authorized to deal with their products or to act on their behalf. :

Upload only a PDF file

2) A list of business transacted in the last year for the products you wish to register, giving names and address of customers and value of contracts.:

Upload only a PDF file

If annual maintainance contract is selected then please fill the details.

If consultancy is selected then please fill the details.

11. Area of Service/ Product you would like to supply

12. After Sales Service

Do you have an established PAN India after sales service set up?:

Yes

kindly attach annexure indicating details:

Upload only a PDF file

13. Company Portfolio/Brochure

Upload only a PDF file

14. Current Customers

Top 5 Customers : *

Whether similar products or services are being already offered to any other Telecom customer ?:

Yes

15. Undertaking

Date: *

I /we certify that the above particulars submitted by me / us are true and will keep this updated as per the policy of Indus Towers Limited or whenever any change to the above happens.