Customer Vendor

“Annexure A” - 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

MTO /FFI LICENCE NUMBER / IEC Code (if applicable)

OFFICE CONTACT NUMBER/ FAX NUMBER

1
2

EMAIL ID FOR RECEIVING CRO, BL DRAFT, EXPORT QUERIES, INVOICES

1
2

EMAIL ID FOR RECEIVING ARRIVAL NOTICES, DO, IMPORT QUERIES, INVOICES

1
2

Is your company MSME (Micro/Small/ Medium Enterprises) Registered (Y/N)

ESCALATION CONTACT WITH NAME (In case of Emergency)

Bank Details* ( from which account you are Going to make payment)

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

Upload PAN card copy(PDF / JPEG)max 300KB

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

1. MTO Licence or FFI Licence & PAN card copy – all duly self-attested by the Authorised Signatory of“Name Of Customer”

2. Self- attested copy of electricity/ landline bill/address proof. (KYC form self-attested on letter head duly attested by Customer’s Bank)

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 Shippers and Consigneesand will produce the same as and when required in case of any investigation.

4. ** GST Registration number location based – Provision / Final

For“Name Of Supplier/ Vendor & Stamp”