VRS FOODS LIMITED

Name & Address of proposed Party Nature of Firm. Partnership/proprietary/Ltd. co. Name of the concerned person Telephone No. Fax No. Email Id : Address/Location of the party Product proposed to be entrusted to this party. TIN NUMBER & Valid UPTO( Date) PAN NUMBER( Photocopy to be attached) Mandi license No. with Valid up to date Bank Details (Saving A/c No./ Current A/c No) details Cheque No…, dates…., An Irrecoverable Bank Guarantee in favor of VRS FOODS LTD. Cold Store / refrigerator capacity ( in cubic fit) if available Image Upload Computer (Available/Not Available) Yes NO Security Code :