APPLICATION FOR REGISTRATION
CONTRACTORS / CONSULTANTS / MANUFACTURERS / SUPPLIERS (OEMs)
Please write NOT APPLICABLE (N.A.) in any section that does not pertain to
your line of business
Categories of Registration
Details of Product /
Services for which
Registration is
sought
(Add more sheets
if required)
Contractor Class to which registration is sought:
Please strike out those not applicable. The Upper Limit indicates the maximum
value of single work that can be awarded to the applicant.
Class
Upper Limit (Rs. Crores)
> 100 Crores
II
> 50 Crores but < 100 Crores
III
> 10 but < 50 Crores
IV
Between 1 to 10 Crores
(The above classification can be revised by CIDC)
1 | VENDOR REGISTRATION /Aug2014/CIDC/CONFIDENTIAL
APPLICATION FOR REGISTRATION
CONTRACTORS / CONSULTANTS / MANUFACTURERS / SUPPLIERS (OEMs)
GENERAL INFORMATION:
Organization Name
Head Office / Registered Office:
Address/ City/ State / Pin Code
Telephone
Fax
E-Mail
Details of contact person
Name & Designation:
Mobile Number
Email:
Branch office Details
Address/ City/ State/Pin Code
Telephone
Fax
E-Mail
Details of contact person Name &
Designation:
Mobile Number
Email:
PAN No.
Central Sales Tax No.
VAT TIN No.
PF Registration No.
Service Tax Registration No.
ESIC Registration No.
2 | VENDOR REGISTRATION /Aug2014/CIDC/CONFIDENTIAL
APPLICATION FOR REGISTRATION
CONTRACTORS / CONSULTANTS / MANUFACTURERS / SUPPLIERS (OEMs)
Organization Details:
Type of Organization
Document to be enclosed
Sole Proprietorship
Registration Certificate
Partnership
Partnership deed
Private Ltd.
Prospectus, Memorandum of Association, Articles of Association
Public Sector/Public Ltd.
Prospectus, Memorandum of Association, Articles of Association
Manpower Employed:
Sr. No.
Particulars
Nos.
Documents
Submitted
1.
Total no. in permanent
employment
2.
Number of Graduate / Diploma
Engineers
3.
Nos. in Safety/Inspn./QC
4.
Others
5. For Electrical Contractors, whether the
applicant possesses:
Valid Electrical Licenses For LT / HT
Works?
- Valid Electrical Contractors License Electrical
Valid
Supervisor License
Nos. of Licensed Electricians
3 | VENDOR REGISTRATION /Aug2014/CIDC/CONFIDENTIAL
APPLICATION FOR REGISTRATION
CONTRACTORS / CONSULTANTS / MANUFACTURERS / SUPPLIERS (OEMs)
Equipment / Facility Details:
1.
Workshop Details:
Workshop Owned?
Yes / No
Area of workshop
Location
2.
List of Tools / Machinery / Erection & construction equipment owned:
3.
List of Tools / Machinery / Erection & construction equipment
hired/leased:
4.
Details of Facilities Available for Design/Drafting.
Pre-Qualification Questionnaire
1
Nature of past jobs done
Value of at least one single job done during
lasts years is greater than 70% of the class
upper limit applied for
Yes / No
Total turnover of the past 3 years is atleast
equal to the upper limit of class applied for
Yes / No
The maximum value of similar work done in
the past three years.
Rs.
The minimum value of works that you shall be
interested in.
Rs.
Does your organization follow any quality
plans / programs?
Yes / No
Does your organization have laid down any
safety policy?
Yes / No
Does your organization have ISO/ISRS
Yes / No
Certification
4 | VENDOR REGISTRATION /Aug2014/CIDC/CONFIDENTIAL
Exactly same as applied
for / similar to what
applied for
APPLICATION FOR REGISTRATION
CONTRACTORS / CONSULTANTS / MANUFACTURERS / SUPPLIERS (OEMs)
Past Performance
1.
Details of works
executed during
last 3 years.
Furnish the Work Order Copy & Completion Certificate (For a
few jobs against each category for which registration is
sought)
2.
Details of works in
progress
Furnish the Work Order Copies for a few jobs
3.
Time schedule
Furnish status with respect to contractual completion period.
4.
Detail of 2 major project/ works executed in the past Year
Order No.
Name of Work :
Value:
5.
Whether the applicant has been blacklisted or de-registered from the approved list
or demoted to a lower class by any organization in the past?
Name of organization :
Date of Blacklisting:
Reason
6.
Whether the applicant has gone for Arbitration/Litigation for any of the past works
with any organization?
Name of the Organisation:
Name of the Work:
Nature of Arbitration :
Other Details
1.
Turnover (Last 3 Years)
Financial Year
Turn Over in
Documents
Rs. lakhs
Submitted
Audited Copy of
Balance Sheet
5 | VENDOR REGISTRATION /Aug2014/CIDC/CONFIDENTIAL
APPLICATION FOR REGISTRATION
CONTRACTORS / CONSULTANTS / MANUFACTURERS / SUPPLIERS (OEMs)
2.
Maximum Value of similar Past Works: (In the order of highest value first)
Year
Order Value in
Rs. lakhs
Documents submitted
Work order copy and Completion
certificate
3.
Registration with Organisations: (Consulting Organisations / PSUs / Others)
Financial Details / Bankers Details
Address / City / State
Pin code
Particulars
Rs. in lacs
Documents submitted
2. Value of Assets
Valuation Certificate
3. Overdraft/Cash credit
limits with Banker
Bankers Certificate
4. Extent of Solvency
Bankers Certificate (in terms of net
worth)
IT IS CERTIFIED THAT THE INFORMATION SUPPLIED HEREIN (INCLUDING ALL
PAGES ATTECHED) IS CORRECT TO THE BEST OF MY KNOWLEDGE.
(SEAL OF COMPANY)
_________________
SIGNATURE
NAME
_______________________
DESIGNATION
_______________
PLACE :__________________
DATE :___________________
6 | VENDOR REGISTRATION /Aug2014/CIDC/CONFIDENTIAL
APPLICATION FOR REGISTRATION
CONTRACTORS / CONSULTANTS / MANUFACTURERS / SUPPLIERS (OEMs)
INFORMATION TO BE SUBMITTED WITH APPLICATION FOR REGISTRATION
1.
Company profile / resume.
2.
Description of item(s)/ services and range, for which enlistment is sought.
Detailed Engineering product catalogue.
3.
Organizational chart including Quality Control set up.
4.
Manufacturing facilities/ Construction equipment list giving details of
machinery installed in-house.
5.
In-house design facilities including various software available.
6.
Details of testing facilities available in-house.
Tests for which dependent on external agencies and their names /
addresses.
7.
List of bought out items and their sources.
8.
List of services subcontracted with details of sub contractors.
Quality Assurance Manual including Health, Safety & Environment
9.
Photocopy of approvals from authorities such as ASME / API / Indian
Boiler Regulation (IBR) / Chief Controller of Explosives (CCE), India
or as applicable.
10.
Photocopy of approvals / enlistment / accreditation by independent
inspection agencies / process licensors / consulting organizations / oil
companies / others, with details of items for which registered.
11.
Past Experience of similar work.
Performance feedback from the end users.
Supply reference details.
12.
Certification / proof of credit worthiness of the Company from Bankers /
statutory authorities.
13.
Audited Annual Reports / Balance sheet & Profit & loss account etc. for the
last three years.
7 | VENDOR REGISTRATION /Aug2014/CIDC/CONFIDENTIAL
