“Annexure B” - KNOW YOUR VENDOR- KYV

(To be submitted on Supplier’s Letterhead)

Maxicon Shipping Agencies(DivOf SLAPL)

NAME OF THE SUPPLIER

ADDRESS ALONG WITH STATE, PIN CODE & WEBSITE

CONSTITUTION – Type of Customer - (Shipping Line, Exporter, Importer, CHA, Freight Forwarder, Business Associate, Pvt.Ltd., LTD, Partnership, Proprietorship, Others (specify))

NAME OF DIRECTORS / PARTNERS

PERMANENT ACCOUNT NUMBER (PAN)

VAT/CST /TAN details

SERVICE TAX REGISTRATION No.

CIN (Corporate Identity Number

GSTN ** Details

Office / Billing Branch Address	State	GST Provisional ID	Final GSTIN	Remarks ** Please attach copy of ARN acknowledgement

Other License Copies (if any as per statute)

OFFICE CONTACT NUMBER/ FAX NUMBER

1
2

EMAIL ID FOR COMMUNICATION

1
2

DESCRIPTION OF GOODS AND SERVICES SUPPLIED

1
2

HSN**(HARMONISED SERIAL NUMBER) OF GOODS IN EIGHT DEGITS

Particulars of Goods	HSN Code (autocomplete on type)
(autofill as per HSN Code)

SAC** (SERVICE ACCOUNTING CODE) FOR SUPPLY OF SERVICES

Particulars of Services	SAC Code (autocomplete on type)
(autofill as per SAC Code)

NAME & MOBILE NO, TEL NO AND E-MAIL ID OF DECISION MAKER OR AUTHORISED PERSON INTERACTING ON DAY TO DAY BASIS FOR BUSINESS

Bank Details*

Name & Address
Telephone No. (Bank)
A/c. No.
MICR No. of the bank
IFSC Code No.

We hereby certify that the aforesaid details are true and correct. Please find attached

1. PAN card copy – all duly self-attested by the Authorised Signatory of“Name Of Supplier/Vendor”

2. Self- attested copy of electricity/ landline bill and KYV form details on Supplier’s/Vendor’s letterhead.

3. Incase of any change in above details, we agree to keep your office informed and re-submit the relevant documents along with revised KYC form. We also undertake that we are responsible for maintaining KYC’s of our Manufacturers in case of products and Principal Service Providers and will produce the same as and when required in case of any investigation.

4. ** GST Registration number location based – Provision / Final – based on latest updated status

For“Name Of Supplier/ Vendor & Stamp”