SUPPLIER REGISTRATION FORM
Supplier's Organisation Information
S.No. Description Particulars
1 Supplier Name *
2 Correspondence Address *
Works Address
3 Contact Details : Office*

Phone :

Fax :

Email :

Contact Details : Works

Phone :

Fax :

Email :

4 Product & Service seeking Registration *
  Registration as  
 

Manufacturer

Stockist/Agent

Civil Contractor

Electrical Contractor

Instrumentation Contractor

Mechanical Contractor

Logistics Provider

Fabricator

EPC / Turnkey

Design & Engg

Inspection Agency

Others

Stockist

5 Contact Person  
  Name of the CEO/COO/MD Mr/Ms
  Contact Mobile Number
  Name of the Authorised Person* Mr/Ms
  Contact Mobile Number
6 Nature of Industry / Business  
 

Small Scale Industry

Medium Scale Industry

Large Scale Industry

GOI / State Undertaking

Public Limited

Private Limited

Partnership

Proprietorship

Manufacture

Stockist

EPC Company

Distributor / Dealer

Channel Partner

Trader

Indian Subsidary

Others

7 Year of Commencement & Number of Years in Business *
8 Registration Particulars*  
 

a) Company Registration No.

b) VAT No.

c) TIN No.*

d) CST No

e) ECC No.

f) GST No.

g) Service Tax Regn No.

h) PAN No.*

9 Organisational Strength  
 

Design & Development

Manufacturing

Quality & Testing

Commercial

After Sales & Service

Top Management

Total

Skilled Manpower

Unskilled Manpower

Accounts

Administration

Logistics

Middle Management

Others

10 List of Infrastructure (Imp docs to be attached)*
 

Plant & Machinery

Testing Facilities

Measuring instruments

Product Outsourced

Organisation Structure

Customer References*

Performance Reports

ISO Certification

ISI Certification

Know-how Collaboration

 

 

 

 

 

 

 

 

  Financial Collaboration
 

Warehouse Facility

Material Handling

Sales Network

Service Network

Third Party Approvals

TPI Agency Associated

Special Certifications

R & D Setup

Others

 

 

 

 

 

 

11 Approved Outsorce infrastructure & Facilities if any
 

Sub Suppliers

Third Party labs

NDT & NABL associated

Manufacturing workshops

Sub Contractors

Design capablities

Third Party service support

Others if any

12 Other Products beyond Registration Request
13 Information for Stockist / Service Provider (enclose validity certificate)
 

Authorised Stockist for

Authorised Agent for

Authorised Service Provider for

Storage & Stock Points

Excise Registered & Cenvat provision

VAT registration with other states

 

 

 

 

  Financial Information*
14 Financial Turnover - Rs. In Lakhs (last 3 years)*
 

Gross Turnover 1

Gross Turnover 2

Gross Turnover 3

15 Plant Capacity & Utilisation (If Applicable)
 

Installed Capacity

Current Capacity

Spare Capacity

Last Expansion

Acquisition Year

Future Expansion

16 Financial Banking & BIFR*
 

Bank Name

Branch

Account Type

IFSC code

MICR No

Account No

17 General Informations
 

Adequate Power Backup

Registered with our group Cos.
(Specify Company Name)

Percentage of Outsourcing

Performance Feedback

Yes

No