Request for Vendor Registration

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If you are not having PIN No (for selecting E & P categories), Please contact Name: krishnmoorthy kulkarni , Phone No: 022 34534535 , Email ID: kk@ril.com Name: aishvarya tiwari , Phone No: 022 34534534534 , Email ID: aishvarya.tiwari@ril.com

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Nature of Business

Nature of Business*	Logistics Manufacturing Unit Agents Dealers Distributers Stockists Traders Consultancy Service Provider

Registered Address / Dispatch / Service Location

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Registered Address / Dispatch / Service Location Details

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Contact Person

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Please note the impact If the following data are not updated in Vendor master in contact person section
1	E mail ID – Login ID for vendor will not be generated. Hence E-bidding, order processing and profile updation by vendor through portal will not be possible.
2	E Payment contact person details – E payment advice will not be sent by system to vendor

Company Profile

Industry Segment*
Contact Person Name *		Contact Person Telephone Number (With ISD/STD codes)*	Eg: +91-22-67682351
Contact Person Address		Contact Person Mobile Phone	Eg: +91-9965122250
Contact Person Email Address	Incorrect EmailID	Contact Person Fax No (With ISD/STD codes)	Eg: +91-22-67682351
Home Page URL		D & B D-U-N-S Number(Dun and Bradstreet nine digit identification number)
National Small Scale Industries Registration Number		Small Scale Industries Registration Number
Enter PAN No*	Eg:XXXXX1234XNot a PAN Format	Ownership Information* Enter Proprietor's Name*	Select
Year of Incorporation*		Registration No
ISO-9001-2000 Certification	Yes No	ISO 14000 Certification	Yes No
OHSAS-18000 Certification	Yes No	Any Other Certification	Yes No
Service Tax Category	A001 - ADVERTISING AGENCY'S SERVICE A002 - AIR TRAVEL AGENT'S SERVICE A003 - ARCHITECT'S SERVICE A004 - AUTHORISED SERVICE STATION'S SERVICE A005 - AUTHORISED SERVICE STATION- LIGHT MOTOR VEHICLES A006 - AIRPORT SERVICE A007 - AIRPORT OPERATOR'S SERVICE A008 - ATM OPERATIONS, MAINTENANCE OR MANAGEMENT SERVICE A009 - AUCTIONEERS' SERVICE A010 - AIR TRANSPORT OF PASSENGER SERVICE A011 - ASSET MANAGEMENT SERVICES BY INDIVIDUALS B001 - BANKING AND OTHER FINANCIAL SERVICE B002 - BANKING AND FINANCIAL SERVICES-OTHER CORPORATES B003 - BEAUTY TREATMENT SERVICE B004 - BROADCASTING SERVICE B005 - BUSINESS AUXILIARY SERVICE B006 - BUSINESS EXHIBITION SERVICE B007 - BUSINESS SUPPORT SERVICE B008 - BANKING & OTHER FIN SERV-MONEY CHANGING TRANSACTIO B009 - BRAND PROMOTION ACTIVITY FOR GOODS,SERVICES,EVENTS C001 - CABLE SERVICE C002 - CARGO HANDLING SERVICE C003 - CHARTERED ACCOUNTANT'S SERVICE C004 - CLEARING AND FORWARDING AGENT'S SERVICE C005 - COMPANY SECRETARY'S SERVICE C006 - COMPUTER NETWORK C007 - CONSULTING ENGINEER'S SERVICE C008 - CONVENTION SERVICE C009 - COST & WORKS ACCOUNTANT'S SERVICE C010 - COURIER SERVICE C011 - CREDIT RATING AGENCY'S SERVICE C012 - CUSTOMS HOUSE AGENT'S SERVICE C013 - ERECTION, COMMISSIONING OR INSTALLATION SERVICE C014 - COMMERCIAL TRAINING OR COACHING SERVICE C015 - COMMERCIAL OR INDUSTRIAL CONSTRUCTION SERVICE C016 - CLEANING ACTIVITY SERVICE C017 - CLUB OR ASSOCIATION SERVICE C018 - CONSTRUCTION OF RESIDENTIAL COMPLEX SERVICE C019 - CREDIT CARD, DEBIT CARD RELATED SERVICES C020 - COPYRIGHT SERVICE C021 - COSMETIC AND PLASTIC SURGERY SERVICE C022 - COMMODITY EXCHANGE SERVICE C023 - COMMERCIAL USE OR EXPLOITATION OF ANY EVENT C024 - CORD BLOOD REPOSITORY ACTIVITY C025 - CLINICAL SAMPLE STORAGE SERVICES D001 - DRY CLEANING SERVICE D002 - DREDGING SERVICE D003 - DEVELOPMENT AND SUPPLY OF CONTENT SERVICE D004 - DESIGN SERVICE D005 - SERVICE PROVIDED BY DIRECTORS E001 - EVENT MANAGEMENT SERVICE E002 - ELECTRICITY EXCHANGE'S SERVICE E003 - EMPLOYEE RECOVERIES EL01 - SERVICES TO THE UNITED NATIONS OR SUCH OTHERS EL02 - HEALTH CARE SERVICES EL03 - SERVICES BY A VETERINARY CLINIC EL04 - SERVICES BY AN ENTITY OF CHARITABLE ACTIVITIES; EL05 - RENTING OF RELIGIOUS PLACE FOR GENERAL PUBLIC EL06 - ANY RELIGIOUS CEREMONY; EL07 - SERVICES OF ARBITRAL TRIBUNAL TO INDIVIDUAL EL08 - SERV OF ARB.TRIB. TO A BUS. ENTITY OF TO<10LACS EL09 - SERVICES PROVIDED BY INDIVIDUAL ADVOCATE EL10 - SER. OF A PERSON FOR REPRESENTING ON AN ARB. TRI EL11 - TESTING OF DRUGS BY CLINICAL RESEARCH ORGANISATION EL12 - SER BY WAY OF TRAINING OF ARTS, CULTURE OR SPORTS EL13 - SERVICES PROVIDED TO OR BY AN EDU. INSTITUTION EL14 - SERVICES PROVIDED TO A RECOGNISED SPORTS BODY EL15 - SERVICES BY WAY OF SPONSORSHIP OF SPORTING EVENTS EL16 - SPECIFIED CONSTRUCTION SERVICES FOR THE GOVT. EL17 - CONSTRUCTION OF A ROAD, BRIDGE ETC.FOR PUBLIC EL18 - CONSTRUCTION OF AIRPORT, PORT, RAILWAYS ETC. EL19 - COPYRIGHT TO ORIGINAL CINEMATOGRAPH FILMS EL20 - SERVICES BY AN ARTIST IN FOLK OR CLASSICAL ART EL21 - NEWS BY INDEPENDENT JOURNALIST, PTI OR UNI EL22 - SERVICES BY HOTEL HAVING TARIFF BELOW RS. 1000 EL23 - FOOD SERVICES BY NON-AC RESTAURANTS OR MESS EL24 - TRANSP BY RAIL OR VESSEL OF PETROLEUM & OTH PRDCTS EL25 - TRANS OF FRUITS. VEGETABLES, FOOD GRAINS ETC. EL26 - HIRE OF MOTOR VEHICLE BY STATE TRANSP UNDERTAKING EL27 - HIRE OF MOTOR VEHICLE TO GTA EL28 - TRANS OF PASSANGER EMBARKING ONAIR FROM NORTH EAST EL29 - TRANS OF PASSANGER ON CONTRACT CARRIAGE EL30 - TRANS OF PASSANGER ON ROPEWAY ETC. EL31 - VEHICLE PARKING FOR GENERAL PUBLIC EL32 - SPECIFIED SER PROVIDED TO GOVT / LOCAL AUTHORITIES EL33 - SPECIFIED SERVICES OF GENERAL INSURANCE EL34 - SERVICES BY AN INCUBATEE UPTO TURNOVER OF 50 LACS EL35 - SPEC. SERV. BY AN NON-PROFIT ENTITY TO ITS MEMBERS EL36 - SERVICES BY SUB-BROKER TO A STOCK BROKER EL37 - SER BY AUTHORISD PERSON TO MEMBER OF COMMODITY EXC EL38 - SER BY MUTUAL FUND AGENT TO A MUTUAL FUND EL39 - SER BY DISTRIBUTOR TO A MUTUAL FUND EL40 - SERV BY SELLING AGENT OF LOTTERY TICKETS EL41 - SERV BY SELLING AGENT OF SIM CARDS EL42 - SERV BY BUSINESS FACILITATOR IN A RURAL AREA EL43 - SUB-CONTRACTOR PROVIDING EXEMPT SERVICES EL44 - SPECIFIED INTERMEDIATE PRODN PROCESS BY JOB WORKER EL45 - SERVICE OF A BUSINESS EXHIBITION OUTSIDE INDIA EL46 - TELEPHONE CALLS FROM DEPARTMENTALLY RUN PUBLIC TEL EL47 - SERVICES BY WAY OF SLAUGHTERING OF BOVINE ANIMALS EL48 - SERV RECEIVED FROM NON TAXABLE TERRITORY BY GOVT EL49 - SERV RECEIVED FROM NON TAXABLE TERRITORY BY TRUST EL50 - SERV RECEIVED FROM AND IN NON TAXABLE TERRITORY EL51 - SERVICES OF PUBLIC LIBRARIES EL52 - SERVICES BY ESIC EL53 - SERVICES BY WAY OF TRANSFER OF A GOING CONCERN EL54 - SERVICES BY WAY OF PUBLIC CONVENIENCES EL55 - SERV BY GOVT AUTH UNDER 243 W OF THE CONSTITUTION F001 - FACSIMILE ( FAX ) COMMUNICATION F002 - FASHION DESIGNING SERVICE F003 - FOREIGN EXCHANGE BROKER'S SERVICE F004 - FRANCHISE SERVICE F005 - FORWARD CONRACT SERVICE G001 - GENERAL INSURANCE SERVICE G002 - TRANSPORT OF GOODS BY ROAD SERVICE G003 - GOODS TRANSPORT AGENCY'S SERVICE (PLST GTA) G020 - GOODS TRANSPORT AGENCY'S SERVICE-CONSIGNOR LIABLE H001 - HEALTH AND FITNESS SERVICE H002 - HEALTH SERVICES BY HOSP.,NURSING HOME & MS CLINIC H003 - HEALTH SERVICE I001 - INSURANCE AUXILIARY SERVICE - GENERAL INSURANCE I002 - INSURANCE AUXILIARY SERVICE - LIFE INSURANCE I003 - INTERIOR DECORATOR'S SERVICE I004 - INTERNET CAFÉ SERVICE I005 - INTELLECTUAL PROPERTY SERVICE I006 - INTERNET TELECOMMUNICATION SERVICE I007 - INFORMATION TECHNOLOGY SOFTWARE SERVICE I008 - INTERNET TELECOMMUNICATION SERVICE L001 - LEASED CIRCUIT L002 - LIFE INSURANCE SERVICE L003 - LEGAL CONSULTANCY SERVICE L006 - LEGAL SERVICES- ARBITRAL TRIBUNAL (REV CHG) L007 - LEGAL SERVICES- INDVDUAL/FIRM OF ADVOCATE (REV CH) L099 - LOCAL SERVICES - SERVICE TAX LIABILITY-RECEIVER'S M001 - MANAGEMENT OR BUSINESS CONSULTANT'S SERVICE M002 - MANDAP KEEPER'S SERVICE M003 - MANPOWER RECRUITMENT & SUPPLY AGENCY'S SERVICE M004 - MARKET RESEARCH AGENCY'S SERVICE M005 - MANAGEMENT, MAINTENANCE OR REPAIR SERVICE M006 - MAILING LIST COMPILATION AND MAILING SERVICE M007 - MINING OF MINERAL, OIL OR GAS SERVICE M008 - MAINTENANCE OF MEDICAL RECORDS OF EMPLOYEES M009 - MANAGEMENT OF INVESTMENT UNDER ULIP SERVICE M010 - MOLECULAR DIAGNOSTICS & PATHOLOGICAL SERVICES M011 - MEDICAL CODING SERVICES M099 - MISCELLANEOUS CREDIT NL01 - SERVICES BY GOVERNMENT OR A LOCAL AUTHORITY NL02 - SERVICES BY THE RESERVE BANK OF INDIA NL03 - SERVICES BY A FOREIGN DIPLOMATIC MISSION IN INDIA NL04 - SERVICES RELATING TO AGRICULTURE NL05 - TRADING OF GOODS NL06 - ANY PROCESS OF MANUFACTURE OR PRODUCTION OF GOODS NL07 - SELLING OF SPACE OR TIME SLOTS FOR ADVERTISEMENTS NL08 - ACCESS TO ROAD /BRIDGE ON PAYMENT OF TOLL CHARGES NL09 - BETTING, GAMBLING OR LOTTERY NL10 - ADMISSION TO ENTERTAINMENT OR AMUSEMENT EVENTS NL11 - TRANSMISSION OR DISTRIBUTION OF ELECTRICITY NL12 - SERVICES BY WAY OF PRE-SCHOOL EDUCATION ETC NL13 - SERVICES BY WAY OF RENTING OF RESIDENTIAL DWELLING NL14 - SERVICES BY WAY OF EXTENDING DEPOSITS OR LOANS NL15 - TRANSP OF PASSANGER BY STAGE CARRIAGE NL16 - TRANSP OF PASS BY RAIL OTHER THAN IST CLASS OR AC NL17 - TRANSP OF PASS BY METRO, MONORAIL OR TRAMWAY NL18 - TRANSP OF PASS BY INLAND WATERWAYS NL19 - TRANSP OF PASS BY PUBLIC TRANSPORT NL20 - TRANSP OF PASS BY METERED CABS, AUTO RICKSHAWS ETC NL21 - TRANSPORTATION OF GOODS BY ROAD EXCEPT GTA/COURIER NL22 - TRANSP OF GOODS FROM OUTSIDE INDIA TO INDIA NL23 - TRANSPORTATION OF GOODS BY INLAND WATERWAYS NL24 - FUNERAL,BURIAL ETC INCLUDING TRNSP OF THE DECEASED O001 - OPINION POLL SERVICE O002 - OUTDOOR CATERER'S SERVICE O003 - ONLINE INFORMATION & DATABASE ACCESS OR RETRIEVAL P001 - PHOTOGRAPHY SERVICE P002 - PORT SERVICE P003 - PORT SERVICES - OTHER PORT (MINOR PORT) P004 - PAGER P005 - PROGRAMME PRODUCER'S SERVICE P006 - PANDAL OR SHAMIANA CONTRACTOR'S SERVICPANDAL OR SHAMIANA CONTRACTOR'S SERVICE P007 - PACKAGING ACTIVITY SERVICE P008 - PUBLIC RELATIONS MANAGEMENT SERVICE P009 - PROGRAMME PRODUCERS SERVICES P010 - PROCESSING AND CLEARING HOUSE SERVICE P011 - PROMOTION OF GAMES OF CHANCE SERVICE P012 - PROMOTION OF "BRAND" SERVICE P013 - PROVISION OF PREFERENTIAL LOCATION OF COMPLEXES P014 - PURGING&DEGASSING RAILWAGON-OTHERTHAN NEG-LIST SER R001 - RAIL TRAVEL AGENT'S SERVICE R002 - REAL ESTATE AGENT'S SERVICE R003 - RENT-A-CAB SCHEME OPERATOR'S SERVICE R004 - REGISTRAR TO AN ISSUE'S SERVICE R005 - RECOVERY AGENT'S SERVICE R006 - RENTING OF IMMOVABLE PROPERTY SERVICE R007 - RESTAURANT SERVICES PROVIDED R009 - RENTING/HIRING OF VEHICLES - ( REV CHG ) R010 - RENTING/HIRING OF VEHICLES(ABATEMENT-FULL REV CHG) S001 - SCIENTIFIC OR TECHNICAL CONSULTANCY SERVICE S002 - SECURITY AGENCY'S SERVICE S003 - SOUND RECORDING SERVICE S004 - STEAMER AGENT'S SERVICE S005 - STOCK-BROKER'S SERVICE S006 - STORAGE AND WAREHOUSING SERVICE S007 - SURVEY & EXPLORATION OF MINERAL, OIL & GAS SERVICE S008 - SITE FORMATION,CLEARANCE & EXCAVATION SERVICE S009 - SURVEY AND MAP MAKING SERVICE S010 - SHARE TRANSFER AGENT'S SERVICE S011 - SALE OF ADVERTISING SPACE OR TIME S012 - SPONSORSHIP SERVICE S013 - SHIP MANAGEMENT SERVICE S014 - SPONSERSHIP SERVICES(NEW) S015 - SUPPLY OF TANGIBLE GOODS FOR USE SERVICE S016 - STOCK EXCHANGE SERVICE S017 - SHORT TERM ACCOMODATION SERVICE S018 - SERVICING OF MOTOR VEHICLE S019 - SUPPORT SERVICES- GOVT/LOCAL AUTHORITY (REV CHG) S020 - SUPPLY OF MANPOWER -( REV CHG ) S021 - SECURITY SERVICES S022 - SERVICES OTHER THAN IN THE NEGATIVE LIST T001 - TELEGRAPH T002 - TELEPHONE T003 - TELEX T004 - TOUR OPERATOR'S SERVICE T005 - TECHNICAL INSPECTION AND CERTIFICATION SERVICE T006 - TECHNICAL TESTING AND ANALYSIS SERVICE T007 - TRAVEL AGENT'S SERVICE T008 - TRANSPORT OF GOODS BY PIPELINE OR CONDUIT SERVICE T009 - TRANSPORT OF PASSENGERS BY AIR T010 - TRANSPORTATION OF GOODS BY RAIL SERVICE T011 - TRANSPORT OF PERSONS BY A CRUISE SHIP SERVICE T012 - TRANSPORTATION OF GOODS IN CONTAINERS BY RAIL T013 - TRANSPORT OF GOODS BY AIR SERVICE T014 - TELECOMMUNICATION SERVICE T015 - TRANSPORT OF COASTAL GOODS THROUGH NATIONAL WATERS T016 - TRANSPORT OF GOODS BY ROAD U001 - UNDERWRITER'S SERVICE V001 - VIDEO PRODUCTION AGENCY'S SERVICE W001 - WORKS CONTRACT SERVICE W002 - WORKS CONTRACT - (REV CHG) W003 - WORKS CONTRACT(MAINTENANCE OR REPAIRS) W004 - WORKS CONTRACT(ERECTION & COMMISSIONING) W005 - WORKS CONTRACT(OTHERS) W006 - WORKS CONTRACT(MAINTENANCE OR REPAIRS) REV CHRG W007 - WORKS CONTRACT(ERECTION & COMMISSIONING) REV CHRG W008 - WORKS CONTRACT(OTHERS) REV CHRG W009 - WORKS CONTRACT(CIVIL) W010 - WORKS CONTRACT(CIVIL) REV CHRG

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Details of Associated and Sister Concerns,if any

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Name		Product
Customer		Special Tax Exemption(s)/Benefit(s) Available	Yes No

Business Related Information

Details of Final product		Per Annum Capacity
Capacity utilization %		Major Customers

B2B With Reliance

Are you willing to access Reliance Group SCM system www.scm.ril.com for Electonic RFQ ,submitting Electronic Qoute, accepting Electronic POs/WOs, uploading dispatch details etc.?			Yes No
Are you willing to support e-Cataloging ( Upload / Maintain your updated catalog into our system ) ?			Yes No

Existing Relationship with RIL

Do you have an existing relationship with any of the RIL Group sites? Please indicate the site(s) below.

Other site

To Which of the Following Reliance Group sites are you willing to supply ?

If you have supplied Materials / Services to RIL Group on prior occasions, then please describe your relationship and experience with RIL as a customer.

Labour Licence Details

Labour Licence No		State
Validity From		Validity To
No of Workmen

Last Three Year Business

S. No	Year	Total Value in(Rs Lakhs)	With Reliance Group
1	2023
2	2022
3	2021

Last Three Year Major Customers

Add New (Major Customers)

Customer / Company Name	Type of Service	Detail of Work	Period From	Period To	Value of Contract (Rs. Lakhs)	Status of Project / Work	Customer reference (Contact Name, contact details)

Upload Related Information

I hereby confirm that I am making this vendor creation request on the basis of receipt of hard copies of the following selected documents and are in my custody for reference and audit.

Vendor Name / Address ( Eg. Letterhead / Bill / Invoice / Challan)
ECC / SS Indicator / Jurisdiction Address (Eg. Scanned Certificate to upload)
Service Tax Reg No (Eg. ST Registration Certificate / Invoice / Bill)
LST / VAT TIN / CST/ EPF / ESIC (Eg. Scanned Certificate to upload)

Please Upload The File With File Size Less Than 2.5 MB

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PAN Proof

Cancelled Cheque (e-payment)

Bank Verified Letter (e-payment)

GST Proof

Others (Ex. Catalog, Litrature , Technical details etc.)

File Uploaded: 0

Declaration

DECLARATION All the details provided in this questionnaire are correct and up-to-date as per the best of our belief and knowledge. We understand that we are liable for any dispute arising out of any discrepancy in the details provided here and take full responsibility for the same, if, as and when arises.
Name*		Designation
Date		Location*

Email ID
Mobile No.
Landline No.