Altxen Partner/Vendor Registration Form
Partner / Vendor Registration Forms duly filled in along with Company profile, details of past experience/involvement Projects, details of major orders. Email. partner@altxen.com Tel. No. 022 40037259 Web. www.altxen.com
Name of the Company
50
Regd.Office and Address
GST Number
15
Upload Valid GST Certificate File
Select a File
URL For Website(If Any)
Nature of Company
Select an option
Proprietorship
Partnership
Public Ltd.Co.
Private Ltd. Co.
Govt.Sector
Authorised Contact Person
Last Name
Email
Phone Number
Status of Company
Select an option
Trader
Manufacturer
Wholesaler
Authorised Stockist
Authorised Dealer
Mfgr.'s Agent
Printing Services
Job Working
Importer/ Exporter
Others
Name of the Bank
Account Number
Bank Account No. IFSC / RTGS Cod
Upload Cancel cheque Image
Select a File
Bank Branch Name & Address
PAN No.
10
Upload Pan card Image
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Payment Term
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30 Days
45 Days
60 Days
90 days
Other Services
Quality Check
Delivery Services
Sample Production
Packaging Services
Reference clientele
I agree to the terms & conditions
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