Vendor-Registration

1.

Name of Firm/Company

2.

Status of Organization (Proprietorship/Pvt./Public Ltd.)

3.

Year of Establishment

4.

Name of Proprietor/Director/MD

5.

Address of Works

6.

Address of H.O.; Sales Office

7.

Contact Details

Contact Person

Designation

Phone No

Fax No

E-Mail ID

8.

Nature of Business

9.

Is the Firm registered with SME Act
(MICRO, SMALL AND MEDIUM ENTERPRISE DEVELOPMENT ACT, 2006)

 If Yes, Please Attach Copy of Registration

10.

List of Items dealt by Organization

        1.
        2.
        3.

11.

Total Installed Capacity-in MT
(Only If Nature of Business is Manufacturing)

12.

Production in Last Year(MT)

13.

 Firm is Registered under ESI Act

14.

Manpower (Nos)

 Management Staff

 Skilled Staff         

 Un-Skilled Staff

 Total Manpower

15.

Last 2 years Turnover
(in Rs. Lacs)             

16.

Customer List

        1.
        2.
        3.

17.

Management System Certifications

To be Filled by Vendor

Enclosures (Please Attach a Copy of Applicable Registrations):

1.TIN No / CST No:

Yes

No

2.PAN No:

Yes

No

3.PF Registration:

Yes

No

4.Service Tax Registration:

Yes

No