VENDOR REGISTRATION FORM Doc no.

: PUR/R/08

Rev no.: 00
Date: 18.05.2017

NATURE OF BUSINESS: - Date:

(This form is only for registration and does not signify approval as a Vendor)

1. Name of the company:

1.1 Address (Office): Tel. No. E-mail.

Fax. No. Website.

1.2 Works: Tel. No. E-mail.

Fax. No.

2. Private Ltd./Partnership/Proprietary :

3. Names and addresses of Directors / : Mobile No.

Or Partners. Fax. No.

4. Names of Executive to be contacted :

For business

In office : Mobile No.

Fax. No.

In works : Mobile No.

Fax. No.

5. Associates and sister concerns, if any:

6. BANK Detail
(a) Bank Name :
(b) Bank Address :

(c) ACOOUNT NO. :

(d) IFSC CODE :
6.2 Statutory Registration required :

(e) Permanent Account Number (Income Tax) :

(f) Professional Tax Reg No. :
(g) E.C.C. No. :
(h) GST PRIVISIONAL ID NO :
(i) Employee State Insurance Reg. No. (ESIC) :
(j) Provident Fund Registration No. :
(k) Applicable Legal Compliance :

7. Nature of Business :

7.1 Delivery lead-time :

8. Total Investment :

9. Annual Sales in Rs. for last 3 years :

10 Employment details :

10.1 Staf : Engineer/Technical Others

10.2 Workers : Semi / Unskilled Skilled

11. If you are registered as a :

Small scale industry with
State Directorate of Industries
Your registration No.

12. If you have declared yourself :

As an Ancillary Industry to
Major Industrial Units your
Registration no. and names of
Such units.

13. Quality Systems :

13.1 Is your Co. ISO 9001 / 14001 Certified : Yes / No.

(If yes attached a copy & certificate)

13.2 Do you have a written QA procedure : Yes / No.

 Which is practiced by you?

If no, when would you prepare and :

Implement the same.

13.3 Are your Elect. & Mech. Measuring : Yes / No.

Instruments calibrated?
- If yes, calibrated by whom
- What is the frequency of calibration once in - 6 months?
1 year
2year

13.4 Number of trained personnel in QA :

Please specify number of inspectors /

Testers, Lab Technicians etc.

13.5 How do you handle customers :

Complaints

14. Inspection & Test Facilities :

14.1 Raw Material: Are in house : Mech. tests Yes / No.

Laboratory facilities Chem. tests Yes / No.
Available for Elec. tests Yes / No.

If no in house laboratory exists, Yes / No.

Do you get test certificates from
Your Sub suppliers?

Or

Test Certificates from Independent : Yes / No.

test Lab?

14.2 Is In Process Inspection .................Continuous / Random / None?

14.3 Is Final Inspection..............................100% / Sampling / None?

If sampling what is the sampling

Plan followed?

If none, what is the inspection system followed?

14.4 Are Inspection Records available? Yes / No.

If yes, can supplies be traced back
to manufacturing batch?

14.5 Can you send inspection / Test certificates Yes / No.

 With every supply?

14.6 Mention Inspection & test equipment and

Measuring instrument in use.
(Description make, size)
Enclose additional sheet if required.

___________________________
Signature of Proprietor / Director

Prepared by: Approved by: