Vendor Registration

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) *

Maximum upload size: 1MB

Type of Business *

Description of product

Date of Business Establishment *

Last Year Turnover

Mode of Payment (What kind of payment will Accept in your store) *

Upload Images of the Products (Atleast Five Images)

Image 1 *

Maximum upload size: 1MB

Image 2 *

Maximum upload size: 1MB

Image 3

Maximum upload size: 1MB

image 4

Maximum upload size: 1MB

image 5

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

Vendor Registration Form

Upload Images of the Products (Atleast Five Images)

Any Referral

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