Vendor Name*		Site*	SELECT Ahmedabad Hazira Port ICD Patli Kattupalli Khavda KILA RAIPUR KISHAN GARH Krishnapattanam Maliya Mundra Nagpur Singrauli Smart Meter Taloja TUMB Virochannagar	Phone*	Phone number must be exactly 10 digits.
Block No*		ZipCode*	*	City*
Street*		State*	SELECT Andaman and Nicobar Islands Andhra Pradesh Assam Bihar Chandigarh Chattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Islands Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Pondicherry Punjab Rajasthan Sikkim Telangana Tripura Uttar Pradesh Uttarakhand West Bengal	Email*	Enter valid Email.
PAN No.*		CIN		Payment Type*	NEFT
MSME Applicable*	Select Yes No	MSME No.*		MSME Document*	Please select a valid file type (PDF, JPG, JPEG, PNG). Invalid file type. Allowed types: PDF, JPG, JPEG, PNG.
GST Applicable*	Select Applicable Not applicable	GST No.*	Please enter valid GST Number.	GST Document*	Please select a valid file type (PDF, JPG, JPEG, PNG). Invalid file type. Allowed types: PDF, JPG, JPEG, PNG.
PAN Document*	Please select a valid file type (PDF, JPG, JPEG, PNG). Invalid file type. Allowed types: PDF, JPG, JPEG, PNG.

Person Name*		Designation*		Email*
Mobile No.*	Mobile number must be exactly 10 digits.