Enter a value for atleast one of these fields D-U-N-S number, TIN/EIN/PAN number, or sales TAX/VAT/GST/HST

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Company name*

D-U-N-S number

PAN NO*

Corporate website

Supplier type

GST NO

Attachments information

We only accept the following file extensions: .pdf, .docx, .xlsx, .zip, .msg, .eml
Maximum file size: 1 MB

Category	Title	Upload File
PAN card *		*Choose file** Drag & drop to upload or Click to browse

GST certificate *		*Choose file** Drag & drop to upload or Click to browse

Cancelled cheque		*Choose file* Drag & drop to upload or Click to browse

FCPA form Note: Please download and upload the signed document	Download	*Choose file* Drag & drop to upload or Click to browse

NDA document * Note: Please download and upload the signed document	Download	*Choose file** Drag & drop to upload or Click to browse

Diversity form Note: Please download and upload the signed document	Download	*Choose file* Drag & drop to upload or Click to browse

Vendor information security addendum Note: Please download and upload the signed document	Download	*Choose file* Drag & drop to upload or Click to browse

GDPR compliance form * Note: Please download and upload the signed document	Download	*Choose file** Drag & drop to upload or Click to browse

Others		*Choose file* Drag & drop to upload or Click to browse

Additional information

Virtusa contact person email*

Annual turnover in INR in (₹#,##0.00)*

Total no. of employees?*

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Enter the required values

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Address name*

Address line 1*

Address line 2

Address line 3

State

City*

Postal code

Email (Additional email Id for communication)

Country code

Fax

Country code

Phone

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Address name*

Address line 1*

Address line 2

Address line 3

City

Postal code

Email (Additional email Id for communication)

Country code

Phone

Country code

Fax

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Address name*

Address line 1*

Address line 2

Address line 3

City*

Postal code*

Email (Additional email Id for communication)

Country code

Phone

Country code

Fax

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Address name*

Address line 1*

Additional address line

Street address/street name*

Address line 2*

Address line 3

State*

Province*

County/district

Prefecture

City/town*

Block or house number*

District/ward

Emirate*

Department

Area

Phonetic address

Neighborhood/Colony

Borough/Village

Level - unit number

Building name

Ciudad

Municipality

Suburb*

GST no

Postal code*

Email (Additional email Id for communication)

Country code

Phone

Country code

Fax

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Enter at least one contact.

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First name*

Middle name

Last name*

Job title

Email (To be used for accessing Supplier Portal & communication)*

Country code

Mobile number

Country code

Phone number

Country code

Fax

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Enter at least one business classification or select none applicable

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None of the classifications are applicable

Other certifying agency

Certificate Number

Start date

Expiration date

Notes

Attachments information

We only accept the following file extensions: .pdf, .docx, .xlsx, .zip, .msg, .eml
Maximum file size: 1 MB

Classification	Title	Description	Upload File
Business classification			*Choose File* Drag & drop to upload or click to browse

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Enter at least one bank account. Ensure to upload either Check copy / Stmt. / bank certified letter having full name and number on it while updating banking info, otherwise will not be accepted.

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Account number*

Account name

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Review Form Fields

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