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BIGBLOC - Dealer KYC Form

This document is a dealer KYC form for BigBloc Construction Limited. It collects information such as the name, address, and type of firm or company. It also requests details like PAN number, GST number, bank account information, and documents to verify the applicant such as incorporation certificates, address proofs, and financial statements. The form is used to collect Know Your Customer information from dealers to comply with regulatory requirements.

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Suresh NXT
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© © All Rights Reserved
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570 views

BIGBLOC - Dealer KYC Form

This document is a dealer KYC form for BigBloc Construction Limited. It collects information such as the name, address, and type of firm or company. It also requests details like PAN number, GST number, bank account information, and documents to verify the applicant such as incorporation certificates, address proofs, and financial statements. The form is used to collect Know Your Customer information from dealers to comply with regulatory requirements.

Uploaded by

Suresh NXT
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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BIGBLOC CONSTRUCTION LIMITED

CIN NO. L45200GJ2015PLC083577


Regd. Office: 6th Floor, A-601/B, International Trade Centre, Majura Gate, Ring Road, Surat 395002
Tel No: 0261-2463261/62/63, E-mail ID: [email protected]
Dealer KYC Form

Name of the Firm/Company/ Proprietor (Full


legal entity name) :

Type of Firm Proprietor / Partnership / LLP / Pvt. Ltd Company / Public


:
Ltd. Company
Address of the Firm/Company/ Proprietor (Full
legal entity name)
:

Status of Address of Firm : (A) Own (B) Rental


Date of Establishment of business :
Income Tax PAN :
Corporate Identification Number (CIN No.) :
GST Number :
Aadhar Card Number of Authorised Person/
Director/Partner/Proprietor :

Current Business Line


:

Correspondence Address:
Plot/Flat/Unit No. & Floor :
Name of the Premises :
Road :
Taluka / Locality :
District :
State :
Pin Code :
Contact Number :
e-mail ID :

Address for Place of Supply of Goods & Services:


Plot/Flat/Unit No. & Floor :
Name of the Premises :
Road/ Landmark :
Taluka / Locality :
District :
State :
Pin Code :
Contact Number :
e-mail ID :
GST Number :
BIGBLOC CONSTRUCTION LIMITED
CIN NO. L45200GJ2015PLC083577
Regd. Office: 6th Floor, A-601/B, International Trade Centre, Majura Gate, Ring Road, Surat 395002
Tel No: 0261-2463261/62/63, E-mail ID: [email protected]
Dealer KYC Form
Bankers Details
Name of the Bank :
Branch Address (With PIN Code) :
IFS Code :
RTGS Code :
NEFT Code :
Account Type :
Account Number :

Details of the Sales/Service/Contract Authorised Person:


Name :
Residential Address :
Mobile Number :
e-mail ID :

Documents to be attached : Whether Attached (Yes OR No)


Certificate of Incorporation/ MOA & AOA of
Company
PAN Card of Firm/Company/Partnership
Firm/Proprietorship
Aadhar Card Number of Authorised Person/
Director/Partner/Proprietor
GST Registration Certificate
Address Proof (Rent Agreement/ Utility Bill/
Govt. approved certificate & license)
Cancelled Blank Cheque
Last 6 months Bank Statement or Last 6 month
GST Return
Last 2 Years Financial Statements (Balance
Sheet) along with ITR
Blank Security Chaque
NOTE:- Please attach relevant documents.

The above particulars are true to the best of my knowledge and belief. Any change in the information will be
intimated to you.
Date:

Place:

(Signature of Proprietor/ Partner/ Director) with stamp/ Seal of Firm

Name & Designation


Office Use Only
Approved By : Name & Sign :
Date : :
Place: :
:

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