Reliance Communications ADA Group
 

Vendor Details
(* marked fields are mandatory )
 Product Details
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Vendor Details
  * You are an existing Reliance Vendor Yes    No
Login Details
  * Password :
( Password should be a minimum of 8 characters )
  * Re-Confirm Password:
  * Email-Id
Company Details
  * Name of Company
  * Organization Type
  * Address
  * Telephone No.
  *Mobile No.
  * Fax No.
  * Email ID
  * How old is the company
  *Geographical Presence
(Please enter priority wise states.)
Registered Office Details
  Address
  Telephone No.
  Mobile No.
  Fax No.
  Email ID
  Company Website (URL)
ESI Registration
  ESI registration No
  ESI registration date dd/mm/yyyy
Provident Fund Registration
  Registration No
  Date dd/mm/yyyy
  No. of Empolyees Covered
Bank
  Name of bank
  Bank Account No
  Address of Branch
List of Document Attached
  Firm's Registration Certificate
  Permanent Account no.
Other Details
  * Area of operations states:  Please press "Shift" to select multiple states
  *Prefered area of operations
 states:
 Please press "Shift" to select multiple states
  * Number of sites can be
 taken in one go :
  * Ramp up capability with
 in 15 days:
     
        © 2006 Reliance Communications Limited  
  
Reliance ADA Group