Class of Stores
(Category) for which
Registration is applied
|
:_____________________________
|
| 1. Name
of firm. |
:_____________________________ |
| 2.
Correspondence Address. |
:_____________________________ |
| 3. (i)
Telephone No. |
:_____________________________ |
|
(ii) FAX No. |
:_____________________________ |
|
(iii) E mail address |
:_____________________________ |
| 4. Year of
Establishment |
:_____________________________ |
| 5. Whether
Manufacturer/ Dealer/ : |
:_____________________________ |
6. If
authorized Dealer/ Agent or :Stockist,
please indicate the name & address
of your
Principals. |
:_____________________________ :_____________________________ |
7. Date of
appointment as Dealers/ Agent/
Distributor/Stockist. Photo copy of
valid
dealership certificate/ copy of latest
appointment letter should be attached. |
:_____________________________
:_____________________________ |
| 8. Is your
firm/factory Registered under: |
|
|
(i) Indian Factories Act, 1948. |
:____________________________ |
|
(ii) Indian Partnership Act, 1932 |
:_____________________________ |
|
(iii) Shops & Establishment Act |
:_____________________________ |
| 9. Quote your
Central and State Sales |
:_____________________________ |
|
Tax Registration Nos. & Date |
:_____________________________ |
(Also enclose a copy of Sales Tax Registration
Certificate). |
:_____________________________ |
| 10. Name and address
of your bankers |
:_____________________________ |
| 11. Capital
Investment |
:_____________________________ |
| 12. No. &
Categories of Staff/Employees |
|
|
(i) Engineers/Managers |
:_____________________________ |
|
(ii) Skilled |
:_____________________________ |
|
(iii) Semi-Skilled |
:_____________________________ |
|
(iv) Un-skilled |
:_____________________________ |
13. Is your firm
incorporated under the Companies
Law. If so, please give the names of
Partners/Proprietors/Directors. |
:_____________________________ :_____________________________ |
14. Are you
having Branches of your firm. If so,
please indicate the name of places
with
complete address/ telephone/FAX
Nos. |
:_____________________________ :_____________________________ |
15. Income Tax
Clearance Certificate No.: and
date. Photo copy to be attached. |
:_____________________________ |
16. Are
you registered with DGS&D. If so, attach
a photo copy of
Registration. |
:_____________________________ |
17. Does your
firm fall under the scope :of Small
Scale industries (Single point
Registration). If
so, attach a copy of permanent
enlistment
certificate. |
:_____________________________ |
18. If you are
a manufacturer (owning a :factory),
please attach list of the
machinery/equipment
installed in your workshop/factory
indicating
their capacities. Factories
undertaking
casting/machining/ fabrication
jobs should
invariably give complete list of
machines/
equipments. |
:_____________________________ :_____________________________
|
19. Are you
having any Laboratory of your own.If
so,attach list of testing
machines/instruments/
equipments installed. |
:_____________________________ |
20. Please
give names/ address of your satisfied
customers (with names &
designations of
officers concerned) especially
Central PSUs/
Fertilizer Sector/ Large Scale
Process Industry
in Private Sector. Photo copies of
POs
executed for last 5 years should
be enclosed. |
:_____________________________ :_____________________________
:_____________________________ |
21. Please
attach literature/catalogue, guarantee/
test certificate in support of
your product. |
:_____________________________ |
| 22. Are you
exporting your product : |
:_____________________________ |
23. Please give
your consent to accept payment
within 15 days of receipt
and acceptance of
material at our site. |
:_____________________________ |
24. Money limit
upto which orders can be
executed without any advance
payment. |
:_____________________________ |
25. Whether you
maintain staff of Engineers,
Machanics capable of rendering
technical
assistance. If so, submit list of
the same. |
:_____________________________ |
26. Turnover
during last three years. Please
attach copies of balance sheets
for the last 3
years. |
:_____________________________ |
27.
Details pertaining to relatives employed in
NFL. |
:_____________________________ |
