Vendor Name
Vendor Title
Vendor Address
City
Country
(Attach document in support of the address proof given above. E.g. Electricity Bills, telephone bills, any other document supporting the address)
Telephone No. Fax No. Mobile No.
Email ID
Contact Person(s)
& Designation
Legal Entity Others
(Attach documents supporting legal entity of vendor to this Vendor Master Form. Viz.: Copy of letter of incorporation, Copy of Registration certificate
issued by the registrar, certified copy of the partnership ship deal or any other document.
No. of Years in Business 0 to 1 1 to 3 4 to 10 Above 10
No. of Employees 1 to 5 5 to 10 10 to 50 Above 50
Bank Name Branch Bank Account No.
IFSC Code Bank Account Type
(Attach documents supporting bank details as supporting to this Vendor Master Form. i.e. bank details on letterhead of the bank as signed by bank manager, cancelled cheque copy as
signed and stamped by vendor, copy of Bank statement showing above details as signed and stamped by vendor. In exceptional circumstances bank particulars on its own letter head
duly signed may be accepted at sole discretion of FM / FC)
Factory License No./Shop & Establishment Reg. No./ Other No.
Permanent Account Number (PAN)
(Attach copy of PAN card duly signed by vendor as a supporting to the PAN no. being declared)
Type of Vendor
TDS Applicability YES NO
If Yes kindly mention the section under which TDS is to be deducted 194 C 194 H 194 I 194 J Other if any
Whether registered under Central Excise Act YES NO Central Excise no.
Whether registered under Sales Tax Act/VAT YES NO C.S.T
T.I.N
L.S.T.
Whether registered under Service Tax Act YES NO Service Tax Number
(Attach copy of the Registration as a supporting to the Registration no. being mentioned here for C. Excise/ CST / LST / Service Tax etc.)
Associated with any OLAM employee YES NO (If yes, provide details in a separate sheet)
Whether covered under MSMED Act,2006 YES NO
(A vendor is said to be covered under the MSMED Act 2006; if he has filed memorandum under the provisions of Micro, small and Medium Enterprises development Act, 2006)
If covered under MSMED Act, 2006; the category under which vendor is classified
( provide copy of certificate/acknowledged declaration filed)
Authorised Dealer/Distributor for
Others (Attach separate sheet if required)
DECLARATION :
I do hereby declare that the information furnished above is true and correct to the best of my knowledge.
Date : Signature :
Place : Name :
1) Address Proof Yes / No 5) Central Excise No. Yes / No
2) Legal Status Yes / No 6) Sales Tax Registration Yes / No
3) Bank Yes / No 7) Service Tax Registration No. Yes / No
4) PAN Yes / No 8) Other Yes / No
Credit Terms Vendor Material Category
Purchase Account AP Account
Taxability YES NO
Payee Name on the cheque(sort Name) Supplier Voucher Entity
Supplier PO Entity Supplier Payment Entity
Supplier PO Site
Effective Date of Addition
Vendor Creation/Approval Date
Date of Blocking/Purging
Reasons for Blocking/Purging
Vendor Approved YES NO
Vendor Master Approved By
Vendor Code Allotted in SAP
Vendor Code
Particulars Existing Details New Details
Vendor Details cross checked in system by
IN CASE OF CHANGE TO EXISTING VENDORS
Vendor Type
Additional Details for SAP Locations
APPROVAL
Vendor Master Form
Vendor Verification
Vendor Details Updated
Other Details
OLAM Agro India Ltd.
Location Name
Vendor Master Form
FOR VENDOR CREATION / MODIFICATION / DEACTIVATION
ADDITIONAL INFORMATION
Public Ltd. Company Pvt. Ltd. Company Partnership Proprietorship
MICRO SMALL MEDIUM
Supporting Documents
