Supplier Registration - Gal Oya Plantations

SUPPLIER / CONTRACTOR REGISTRATION

Galoya Plantations (Pvt) Ltd, Factory Complex, Hingurana

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1. Company Details

Name of the Institute

Registered Address

Telephone No

Fax No

E-Mail Address (For RFQs)

Web Site (URL)

2. Contact Person Details

Name

National ID No

Title / Designation

Mobile / Direct Tele No

3. Registration & Tax Details

Business Registration (BR) No

Upload BR Certificate (Image/PDF)

VAT No (If applicable)

Upload VAT Certificate (Optional)

For Construction Contractors Only:

CIDA No

Registered CIDA Category/Grade

Upload CIDA Certificate (Optional)

4. Financial & Bank Details

Bank Account Name

Bank Name

Branch

Account No

Maximum Credit Limit

Minimum Credit Period

5. Goods / Services Categories

Select the categories you are registering for:

Chemical

Hardware

Sugar

Test

Test 2

6. Registration Fee Payment

Non-Refundable Deposit: Rs. 2,500.00 per Registration.
Please deposit to: Galoya Plantations (Pvt) Ltd / Account No – 0077440665 / Bank – BOC.
Attach the clear photo/scan of the deposit slip below.

Upload Deposit Slip (Required)

I hereby confirm that I have read and understood the terms and conditions and that all information provided is accurate.