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Please fill up below form to start the on-boarding process.
Enter Mobile Number*
Enter Email ID*
Have you (supplier) ever been blacklisted by Axis Bank (Yes/No)
Name of Firm
Partners Name
Pan Number
Address Details of Supplier:
Address1
Address2
Country
State
City
Postal Code
Type of Establishment
Director Indentification Number:
Director/Partner/Owner Name:
Point Of Contact:
Enter Name
Enter Mobile Number
Enter Email ID
Company Registration GST Site Details:
GST Address1
GST Address2
GSTNo.
Bank Account Information:
Bank Account Number
Name of Account Holder
IFSC Code of Account Holder
Bank Name
Branch Name
What Supply/ Services do they Provide:- list of products / services
Self Certification (Mandatory declaration to adhere to below regulation)
Do you Comply with below Mentioned Acts:
Gratuity Act
Provident Fund Act
If yes, please mention Provident Fund Code
Contract Labour Laws
If yes, please mention Contract Labour Registration Number Trade License
Equal Remuneration Act
Employee State Insurance Act
Professional Tax Laws
If yes, please mention Professional Tax Registration Number
Bonus Act
Child Labour Laws
Forced/ Compulsory Labour Laws
Minimum Wages
Environment Laws
Occupational Health and Safety Laws
Have you read and agree to comply with the Bank's Supplier Code of Conduct? Click here to download
Are there any penalty/ show cause notices, legal action, criminal/ civil cases pending against you?
Is there any direct/ indirect financial interest of Director(s) in Axis Bank?
If yes, please mention Investment Details
Do you comply with Sexual Harassments of women at workplace Act
Are you liable to pay any Statutory dues? (if yes attach acknowledgement copy of the dues paid)
Turnover of Last 5 Years
Do you have any Blood Relative in Axis Bank? If yes, please mention name(s) and department(s)
Is there any direct/indirect financial interest of your Directors/Partners in Axis Bank?
MSME Details :
Are you registered under MSMED Act 2006 ?
If Yes provide MSME Registration Number
Date of Registration
Is E-invoicing applicable for you?
Documents upload section :
PAN Copy* : PDF, JPG ( Upto 10 MB)
Adhaar Copy : PDF, JPG ( Upto 10 MB)
GST Certificate : PDF, JPG ( Upto 10 MB)
IT Return Copies (for last 2 FYs) : PDF, JPG ( Upto 10 MB)
Profit and Loss Statements (for last 2 FYs): ) : PDF, JPG ( Upto 10 MB)
Balance Sheet (for last 2 FYs) : PDF, JPG ( Upto 10 MB):
Memorandum of Association : PDF, JPG ( Upto 10 MB)
Articles of Association / Certificate of Incorporation : PDF, JPG ( Upto 10 MB)
Partnership Deed : PDF, JPG ( Upto 10 MB)
Power of Attorney : PDF, JPG ( Upto 10 MB)
Attested MSME Declaration and Certificate* : PDF, JPG ( Upto 10 MB).Click here to download declaration format
Attested Supplier Code of Conduct* : PDF, JPG ( Upto 10 MB)
PAN Card or Aadhar Card of Authorized Signatory : PDF, JPG ( Upto 10 MB)
PAN or Aadhar of Karta : PDF, JPG ( Upto 10 MB)
Cancelled Cheque Copy (coloured scan)* : PDF, JPG ( Upto 10 MB)
Board of Resolution Empowering Authorized Signatory to Deal with Bank: PDF, JPG ( Upto 10 MB)
Cliental List : PDF, JPG ( Upto 10 MB):
Experience Certificate from any other Bank
Civil Suit (if any)
Are you / your company registered with Axis Bank with any other name. (if yes details):
Nature of Services
Terms & Conditions
Your application has been submitted. We will get in touch with you shortly.