Vendor
Registration
Form

Complete each section. Fields marked * are required. Where a document is marked Yes, attach the file. Submitting this form sends it to info@hygienx.in.

Section 1Basic information

Company name *
Type of business *	Proprietorship Partnership Pvt Ltd LLP Others
Year of establishment *
Nature of business / products supplied *

Section 2Contact details

Registered office address *
City *
State *
Pincode *
Contact person name *
Designation *
Mobile number *
Email ID *
Website

Section 3Business and compliance details

GST number *
PAN number *
MSME registration no.	Leave blank if not registered.
CIN number	Required for Pvt Ltd and LLP.
Bank name *
Account number *
IFSC code *
Branch *

Section 4Product / service details

Category of supply *
Key products / services offered *
Brands dealt with

Section 5Experience and clientele

Years of experience *
Major clients *

Section 6Pricing and commercial terms

Credit period (days) *
Pricing structure *
Delivery timeline *

Section 7Documents checklist

GST certificate *	Yes No
PAN card *	Yes No
Cancelled cheque *	Yes No
MSME certificate *	Yes No
Company registration certificate *	Yes No
Product catalogue *	Yes No

Choose Yes or No for every document. A Yes answer needs the file attached. Total attachments, including the signature, must stay within 10 MB.

Section 8Declaration

Authorised signatory name *
Designation *
Signature and stamp *	Draw in the box, or upload a signature / stamp image.
Date *

I confirm that the information in this vendor registration is true and complete, and that I am authorised to submit it for the company named above. Hygienx India Private Limited may use these details for vendor onboarding. *

The completed form and attachments are emailed to info@hygienx.in. A copy of what you typed is kept on this computer until you submit or clear the draft.

OfficeFor office use only

Vendor code
Approved by
Approval date
Remarks