Vendor Registration

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First Name*

Last Name*

Gender*

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Other

Company Name*

Company Registration Number (if any)

Your Designation in the Company*

Country*

Company Address Line 1*

Company Address Line 2

Company Zip Code or Postal Code*

Phone Number*

Mobile Number*

E-mail Address*

Secondary E-mail Address

Product / Service Type

GST Registration or Tax Registration Number (if any)

Username*

Password*

Confirm Password*

By checking this box, I confirm that I am authorized to act on behalf of the company and that the information given in this form is true, complete and accurate.

By checking this box, I hereby acknowledge, confirm that I have read and understood and agree to the Terms & Conditions , Privacy Police and Terms of Use of EQT Yard.

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