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Vendor and Contractor Registration Form

The document is a Vendor/Contractor Registration Form for Hindustan Salts Limited and Sambhar Salts Limited, requiring detailed information about the firm, including legal status, financial position, past performance, and customer references. It also outlines the necessary documents to be attached for the registration process. The form must be signed by the proprietor, director, or partner, certifying the accuracy of the provided information.

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24 views

Vendor and Contractor Registration Form

The document is a Vendor/Contractor Registration Form for Hindustan Salts Limited and Sambhar Salts Limited, requiring detailed information about the firm, including legal status, financial position, past performance, and customer references. It also outlines the necessary documents to be attached for the registration process. The form must be signed by the proprietor, director, or partner, certifying the accuracy of the provided information.

Uploaded by

abernaebenezer
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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HINDUSTAN SALTS LIMITED

&
SAMBHAR SALTS LIMITED
(A GOVERNMENT OF INDIA ENTERPRISE)
G-229, SITAPURA INDUSTRIAL AREA
JAIPUR, RAJASTHAN -302022

VENDOR / CONTRACTOR REGISTRATION FORM


(To be submitted duly filled alongwith all the Documents as required)
1 Registered Name of the Firm

2 Legal Status of the firm


- Proprietor / Partnership / Public /
Private.

3 Year of Establishment

Registration
Registration No.
1) Under Companies Act
2) Small Scale Industries Act
3) Others
4 H O / Registered Office
- Contact Person
- Address

- Phone No.(Office)
- Phone No.(Residence)
- Mobile No.
- Fax No.
- E Mail
5 Address of the Factory ( if Location 1 Location 2
Applicable)
Please give location wise-details ,if
more than one

- Contact Person
- Phone No.
- Fax No.
6 Year of Commencement of
Production

7 Details of Past Performance: Average Annual Turnover(Rs. Crores) in Last 3 Yrs.

Year Annual Turnover: Rs. Cr.


2013-14
2014-15
2015-16
8 Financial Position
- Name of Bankers
- Address of Banker
- Account No
(Current/Savings)
- BG Limit allowed
9 Income tax Details (Attach Sheet If required)
- PAN No.
- Last Assessment Order- Year ,
if any
10 Tax Registration Details

1. TIN no
2. CST No.
3. VAT No.
4. SERVICE TAX No

11 Details of the facilities available at


Your plant
- Machinery Installed (Please attach separate list giving full list of machineries
alongwith calibration done by NABL during last 2 years) if any

- QA/QC Lab & Testing (Please provide details of QC system and procedure followed in
Facilities your unit)
- Quality Policy/System if
Any (ISO or similar)
- Have you received any Yes/No(If yes, please attach the copy of certificates)
Quality system certification?
12 Annual Production Capacity If
Applicable

Please give item-wise break up in


Separate sheet.
13 Details of orders executed/comple-
ted including HSL’s / SSL’s if any
during
last 3 years ( Attach the performance
certificates , if any)

14 Please provide reference of at least three major customers served by you during the last three years
Customers Reference
(a) - Name
- Address
- Contact Person
- Tel. No.
- Fax No.
- E Mail
- Approximate billing range
- Year from which the cust-
Tomer is being serviced
Customers Reference
(b) - Name
- Address
- Contact Person
- Tel. No.
- Fax No.
- E Mail
- Approximate billing range
- Year from which the cust-
Tomer is being serviced
Customers Reference
(c) - Name
- Address
- Contact Person
- Tel. No.
- Fax No.
- E Mail
- Approximate billing range
- Year from which the cust-
Tomer is being serviced
15 Present orders in hand

I certify that the above information are correct.

Signature & seal of the Proprietor/ Director/Partner.

Name:
Place:
Date :

List of Certificates, Documents etc. as per list at Annexure ‘A’ to be enclosed with the Registration
Application.
ANNEXURE ‘A’

LIST OF ENCLOSURES TO BE ATTACHED BY VENDORS

ENCLOSED NOT ENCLOSED

a) Latest Income Tax Clearance Certificate _______ ________


/Photocopy of PAN card
b) Propritory certificate/MOAA/
Partnership deed, if applicable _______ ________
c) Copies of last three years audited balance _______ _______
sheets with Profit & Loss A/cs
d) List of Plants & Machineries _______ ________
e) Details of testing facilities _______ _______

f) Photocopies of executed orders ________ ________


g) Photocopies of Performance Reports from _______ ________
the customers
h) Details of present orders in hand _______ ________

i) Reference from the Bankers indicating _______ ________


financial status of the company.

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