BUYER INFORMATION FORM

Name of Buyer* :

Billing Address* :

Goods delivery address* :

Status of the Company/Firm:* :

Proprietorship Partnership Private Ltd. Public Ltd. EOU

Nature of Business:* :

Merchant Exporter Distributor Dept. Store Manufacturer

Company Profile in Brief* :

GST No & Date* :

Establishment & Date* :

PAN No.* :

Any other licence no.* :

I.E.C. no.* :

Phone no. with code* :

Web site* :

No of Employees* :

Year of Establishment* :

Annual Turn Over* :

Billing against GST* :

Bank A\c. No., Name & Address* :

Partner or Proprietor Name* :

Mobile No.* :

E-Mail* :

Contact Person(s)* :

Required Form for Transportation (if any esle type No)* :

Name of products interest* :

Third Party Mfg. Yes No

Third Party Mfg. Yes No

Specific Requirement* :

Documents require before dispatch (Apply for Merchant exporter only )* :

CT-1   2 ORIGINAL COPY

ARE-1 IN 5 COPY

For Office use only :

Specific Requirement* :

E-zone

Credit Period* :

0

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