Vendor Registration Form Vendor Registration form Membership Status * VIA-LEW Member Non-Member VIA-LEW Member Registration fees: 5000/- CGST (9%): 450/- SGST (9%): 450/- Total: Rs.5900/- Validity: 1 year Non- Member Registration fees: 6500/- CGST (9%): 585/- SGST (9%): 585/- Total: Rs.7670/- Validity: 1 year Name of your Company * Name * Email Your designation in the company * Phone/Mobile Website (if Any) PAN Number (Individual/Company) * Company kyc (Any one: Udyog aadhaar/Gumasta/ROF/ROC/LLP) * Drop a file here or click to upload Choose File Maximum upload size: 1MB Type of Business * Manufactoring Trading Service Industries Description of product Date of Business Establishment * Last Year Turnover Mode of Payment (What kind of payment will Accept in your store) * Cash on Delivery Online Payment (Gateway) Wire Transfer All of the above Upload Images of the Products (Atleast Five Images) Image 1 * Drop a file here or click to upload Choose File Maximum upload size: 1MB Image 2 * Drop a file here or click to upload Choose File Maximum upload size: 1MB Image 3 Drop a file here or click to upload Choose File Maximum upload size: 1MB image 4 Drop a file here or click to upload Choose File Maximum upload size: 1MB image 5 Drop a file here or click to upload Choose File Maximum upload size: 1MB Any Referral Name Phone * I hereby declare the information provided by me is correct to the best of my knowledge and am aware that in case of any wrong and incorrect information my application is liable to be rejected. * I hereby by agree to all terms and condition laid by VIA-LEW, and accept the same Submit If you are human, leave this field blank.