Name of the Individual/Firm/Company*
Password : *
Confirm Password : * (Re-enter your Password for confirmation.)
Constitution or Legal status
Private Ltd./Public Sector/Sole Proprietory/ Partnership.
Manufacturers / Distributors / Stockiest / Trades (Documentary evidence to be enclosed)
Registration number *
Registering authority *
Date of registration *
Registered address *
Contact person name *
Contact person designation *
Address for correspondence *
Telephone No
Mobile No*
Fax No.
E-mail address *
Year Of Establishment/Formation *
Whether Registered As SSI/NSIC Unit Yes No
Whether Delivery Commitments Maintained in past Yes No (Documentary evidence to be enclosed)
List Technical & Supervisory personnel in employment along-with organization set up
List of plant / equipment / tools & Tackles owned by applicant
Whether the firm is registered with government agencies viz. registration under factories act / DGS&D / DGSTD Etc. Yes No (Documentary evidence to be enclosed)
Are you on the list of approved supplier of any govt. Deptt./ Govt. of India Enterprise/ undertaking or any other authority. If so, furnish details Yes No
Whether the firm is ISO 9000-2000 certificate holder
Collaboration if any
List of Major customers for the last three years
Name of the customer
Address of the customer
Purchase Order(PO)
Reference Date
Description of materials supplied :
Value in Indian Rupees
Delivery time as PER P.O.
Actual Delivery time taken
Total Capacity
Maximum Value Of Single Order Executed In Last Three Years
Annual Turnover During Last Three Years
(Audited Balance to be enclosed)
Year 1
Value 1
Year 2
Value 2
Year 3
Value 3
Total Order Value Booked For The Current Year
Sales Tax Registration No.(If Any) & Date
(Copy Of Registration Certificate & Sales Tax Clearance Certificate Should Be Enclosed)
Sales Tax Registration No.
Copy Of Current Income Tax Clearance Certificatge With Pan
(Copy To Be Enclosed)
Details Of Registration With Excise Authority
(Copy Of Registration Certificate & Sales Tax Clearance Certificate Should Be Enclosed – Applicable For Indian Manufacturers)
Quality Aspects
Whether The Company Have Standard Quality Assurance Plan (Qap) ?
If Yes, Copy To Be Enclosed.
If No, Please Specify Detail Procedures Followed In All Stages Of Manufacture.
Whether There Is Any In House Testing Facility ? If Yes, List Of Testing Equipment To Be Enclosed.
If No, How & Where Testing Are Carried Out.
Whether Materials Supplied With Third Party Inspection By
Particulars / Range / Items Offered For Enlistment :-
Sl. No. Description Ranges & Sizes Production Capacity Lead Time
Manufacturing Standard –
Source Of Materials