ICAI Vendor Registration Form

* Fields are Mandatory

Personal Details

1 E-mail (Contact Person) *
2 Mobile Number (Contact Person) *
3 Name of Company/Firm/Organisation *
4 Year of Establishment *
5 Date of Establishment ( Attach Company Certificate) *
6 Type of Firm (Partnership /Proprietary firms/company) *
7 Communication address *

KYC Details

8 GST Number (Attach GST Certificate) *
9 PAN Number (Attach PAN Number) *
10 Bank Account Details (Attach Cancelled Cheque) *
11 Status of Company *
12 Aadhar Number (If Proprietorship)
13 TDS Details (if applicable)
14 Is Your Firm MSME (Yes/NO) *
15 If, Yes, Attach MSME Certificate

Details of Vendor

16 Registered Address *
17 City *
18 State *
19 Country *
20 Pincode *
21 Company’s Contact Number(Landline) *
22 Website
23 Name of Authorized Person *
24 Designation of Contact Person *
25 Mobile Number ( Authorized Person) *
26 Email ID of Authorized Person *
27 Attach Authorization Letter from Director if Authorized Person is not Director

Company Profile

28 Number of Employees
29 Number of Technical Employees
30 Number of Projects Delivered
31 Details of Major Clients (Attach Documents)
32 Details of Similar Assignments (Attach Supporting Documents)
33 Attach Quality Certificates/OEM Certification/Partnership Certificates
34 Annual Turnover (in Lacs) 2018-2019 *
35 Annual Turnover (In Lacs) 2017-2018 *
36 Annual Turnover (In lacs) 2016-2017 *
37 (Attach Please enclose audited Balance Sheet)
38 Total Number of Business/Service Locations *
39 Weather Your Company has been blacklisted
in last 5 years Govt./BFSI/PSU Govt. Dept. /Regulator/statutory body (Yes/NO)
(Attach Self Declaration) *
40 Type of Items/Services Interested in Supply/Services

Printing & Stationery Items

General stationery items(Pen/Note pads etc)
Audio cassettes
File Covers
Envelopes
Bags, Packing materials, stamps, etc.
Lamination sheets
solo folders
Printing items (certificates, visiting cards, calendars, greeting cards, diaries, stamps etc.)
Papers( A4/A3/Color etc)

Sanitary and House Keeping

Dusters
Rubbing Duster
Phynele
Finit
Metropol cubes Odoni
Black hit
Toilet Rolls
Colin
Dustbins
Broom Phool
Narial Broom
Acid
Sanitary Cubes
Aggarbatti
Lizol
Surf Excel
Liquid (5 ltr. Bottle)
Fem Soap
Baygon
Nepthene Balls
All-out
Room Freshner
Mug
Brasso
Harpic

Electrical Items

Bulbs
LED's
CFL's
Switches
Sockets
Tube Rods
MCB
Halogen Tube
MCCB
TPN
Fuse
Electronic Ballast
Spike
Buster
Plug Top
Gang Box
Wall Fans
Wires
Pliers
Live tester
Screw Driver
Telephone Instrumenet

Computer consumables & accessories

Cartridges
CD’s
DVD’s
Refilling of cartridges

Corporate Gifting Items

Conference bags & Folders
Mementos
Lapel Pins
Cufflinks
Tie pins
Ties
Scarves
customized gifting items

Services

Chairs Repairing
Fire extinguisher
santiser
painting
DG maintenance
flower decoration
Memento
Catering
Audio video on rent
Xerox
Courier Services
envelop
Bags
wall fans
Telephone instruments
Plumbing

IT Services

Cloud Services
Content Management
Video/Audio Editing
Networking/Cable
HTML Content Designing
Scanning Services
Data Entry Services
Content Management Services
Webcast Services
Video Conferencing Services
Server on Rent
Desktop/Laptop on Rent
Data Recovery Services
Mass Email
Mass SMS
Scorm Content Development
UPS Power/Electricity Audit
IT Network Audit
Chart/Flow Designing

IT Hardware

Laptop
Desktop
All in One Desktop
Multifunction Printer
Scanner
Wireless keyboard/Mouse
USB Keyboard/Mouse
Laptop battery
Computer Cables
Web Camera
PC Speakers
Headphone
Pen Drive
LED Panel
Projector
Firewall
Router
Network Switch
Wireless Presenter
Wireless USB Adaptors
External Hard Disk
External DVD R/W
Laptop RAM (DDR-4/DDR-3)
Desktop RAM (DDR-4/DDR-3)
VGA/HDMI/Network Cable
iPad Accessories (Charger, Cable, Pen etc.)
LED Video Wall

Software Development/Procurement

Website/Portal Development
Mobile App Development
API Integration
Adobe Software
Antivirus Software
41 Amount * INR 500/- + 18 GST= 590/-

Disclaimer

I/We hereby declare that We would like to Apply for Vendor Registration Process in ICAI for list of Activities Selected. All the information/Documents Submitted in this Form are True any misleading/false information contained in it may lead to permanent disqualification for ICAI.

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For any queries/clarifications, please contact icaivendor.registration@icai.in