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Please read theInstructions carefully before Filling the Application Form. Fields marked as * are Mandatory

Category of Registration
1.Please indicate the class to which registration is sought (The upper limit indicates the maximum value of single Purchase Order (PO) that will be awarded to the applicant). Applicant should have executed at least a single work of value 70% of the class upper limit to which registration is sought and the total turn over for the past 3 years should be at least equal to the class upper limit for which registration is sought, failing which the application will be summarily rejected. For class I, for the purpose of evaluation, the class upper limit is Rs. 15 Lacs.
Class 1(More than Rs 15 lakhs)
Class 2(More than Rs 7 up to Rs 15 Lakhs)
Class 3(Up to Rs 7 Lakhs)
Minimum value of PO interested, if any (In Rs ) :

Vendor General Information
Name *
Address *
City
State *
Zip/Postal Code *
Phone *	std code phone number
Fax Number *	std code fax number
E-Mail *
Contact Person
Mobile Number
Note : Only pdf and jpg files of Maximum size of 1 MB can be uploaded
Any one of the Documents specified from 2 to 5 are mandatory
1. PAN *
Copy of PAN Card *
2. CST-TIN *
Copy of Registration Certificate *
3. VAT-TIN *
Copy of Registration Certificate *
4. Service Tax TAN
Copy of Registration Certificate
5. E.C.C.
Copy of Registration Certificate

Organization Details
1. Type of Organization:
Sole Proprietorship Partnership Private Public Sector Public Ltd
Note : Attach atleast one Document in pdf or jpg format from 1 to 3
1. Attach Relevant Document *
2. Attach Relevant Document *
3. Attach Relevant Documents *
2. Nature of Business:
Manufacturer Authorized Dealer Trader Authorized Service Provider
Note : Attach atleast one Document in pdf or jpg format for 1 and 2
1. Attach Relevant Documents *
2. Attach Relevant Documents *
3. Past Turnover:
2012-2013
Attach Relevant Pages of Audited Copy of Balance Sheet *
2011-2012
Attach Relevant Pages of Audited Copy of Balance Sheet *
2010-2011
Attach Relevant Pages of Audited Copy of Balance Sheet *
4. Maximum Value of Past Supply (In Rs ): (In the order of higher value first)
1
PO Copy
2
PO Copy
3
PO Copy
5. Past Performance
1. Completion of Supplies (Mentioned at 4. Above)
Completion Certificate *
2. Does your Organization Follow any Quality Assurance / Quality Control Programs ?	yes no
3.Does your organization have any Health, Safety and Environment policy?	yes no
Enter verification code


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