KYC Zomato

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KNOW YOUR CUSTOMER FORM

Legal entity name


[As mentioned on PAN]

Category Individual Company Partnership firm Trust/Foundation

Permanent /
Registered Address
City: State: Pin Code:
PAN
[Permanent Account Number]
Goods and Services Registered Not Registered Registered under composition scheme
Tax Identification
GSTIN:
Number (GSTIN)
Billing Office Address
[As per GSTIN]
In case of multiple GSTN registrations, please fill details in Annexure

City: State: Pin Code:


Contact Person Name
Mobile No.
Email ID
TAN
[Tax Deduction and Collection In case of multiple GSTN registrations, please fill details in Annexure
Account number]
Documents Provided PAN TAN GSTIN Passport/PAN of Authorised Signatory.
[self-attested]

I/We hereby declare that the particulars provided above and the documents provided along with this KYC form
are true, correct and complete to the best of my/our knowledge and belief and have been legally obtained from
the respective issuing authorities.
(Tick the relevant clause below and strike through the others)
For registered merchants:
I/We, hereby declare that the address and GSTIN provided are of the location where the services would be
received /utilized.
For unregistered merchants: OR
I/We hereby declare that I/we are not registered under the GST law. I/we understand that no tax credit shall
be admissible to me/us for the taxes levied on the invoices raised by Zomato. In the event of registration taken
by myself/us under GST law, providing such registration information to Zomato shall be my/our responsibility
before claiming of any tax credits.
For merchants under composition scheme: OR
I/We hereby declare that I/we are registered under composition scheme under the GST law. The address and
GSTIN provided are of the location where the services would be received /utilized. I/we understand that no tax
credit shall be admissible to me/us for the taxes levied on the invoices raised by Zomato. In the event of my exit
from the composition scheme under GST law, providing such information to Zomato shall be my/our responsibility
before claiming of any tax credits.

In case of any change in any of the aforementioned particulars, I/we undertake to notify Zomato in writing and
further agree to reimburse Zomato for any GST (including but not limited to interest and penalty) or any other
liability on account of any mis-declaration made by me/us.

Place : Authorised Signatory Name___________________________

Date : Signature ___________________________


Official Seal (for all other than individuals)
KYC-Annexure

Local office PIN Code TAN Registration GSTIN Name of Email ID Mobile No.
address status under GST the
[As per GSTIN] contact
person
Registered

Not
Registered

Registered
Under
City: Composition
State: scheme
Registered

Not
Registered

Registered
Under
City: Composition
State: scheme
Registered

Not
Registered

Registered
Under
City: Composition
State: scheme
Registered

Not
Registered

Registered
Under
City: Composition
State: scheme
Registered

Not
Registered

Registered
Under
City: Composition
State: scheme

Place: Authorised Signatory Name _______________________

Date: Signature _______________________


Official Seal (for all other than individuals)
ZOMATO MEDIA PRIVATE LIMITED
Registered Address: GF-12A, 94 Meghdoot, Nehru Place, New Delhi – 110019, India
CIN: U93030DL2010PTC198141

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