Annexure IX

Registration Form for Indigenous Vendor

(To be filled in by the Vendor)

Approval Desired for Process / item (Rating /Size/Type) :

(To be filled in by the Vendor)

COMPANY DETAILS

1. Name of Company :

2. Address of Regd. Office :

_________________________________ Tel _________________________________

_________________________________ Fax _________________________________

_________________________________ e-mail ________________________________

_________________________________ Mobile ________________________________

3. Address of Factory/Works :

_________________________________ Tel _________________________________

_________________________________ Fax _________________________________

_________________________________ e-mail ________________________________

_________________________________ Mobile ________________________________

Weekly off day

4. Branch/Liaison office in Delhi/Other Metro Cities :

_________________________________ Tel _________________________________

_________________________________ Fax _________________________________

_________________________________ e-mail ________________________________

_________________________________ Mobile ________________________________

Weekly off day

5. Person(s) to be contacted

Place Name(s) Official Capacity Telephone No (s)

Regd. Off.

Factory

Branch/

Liaison Off.
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6. Nature of Company : Proprietary/Partnership/Pvt. Ltd./Public Ltd.

Works Details : :

7. Year of Factory Establishment :

8. Year of Commencement of Manufacture :

9A. Total Area :

9B. Covered Area :

10. Electric Power-Connected Load :

Electric Power-Standby Load & System

11. Finance Total Capital :

- Annual Turnover & Profit for past Three years Year

Turnover

Profit / Loss

- Limit of Credit Facility available from the Banks Bank Name

12. Do you have in-house Department for :

a) Design Yes/No

b) Research & Development Yes/No

c) Manufacturing/Production Yes/No

d) Quality control/Inspection Yes/No

e) Clearance from pollution dept. Yes/No

f) Logistics / Warehouse Yes/No

13. Shiftwise Productions :

14. Details regarding Employees :

Division Graduate
Diploma Skilled Un-Skilled Remarks
Status Technical Non-Technical

Production

Quality
Control

Supporting
Activities
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Please enclose a copy of company's organisation chart (for the unit)

Trade Name of Product (if any) :

15. Manufacturing capacity details :

Sl.
Product Licensed Capacity Installed Capacity
No.

16. Number of items manufactured

Sr. Code if Item & Material Description Annual Production lot last
No. any (Type/Size/Rating) Three years
I II III

17. Have you been approved by any third party/statutory agency? If so, indicate details and enclosed
copies of approval letters.
Sl. Item/ Description Agency Date of Next Due
No. Material (Size, Type & Class) Approval Date
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18. Reference list (Experience in the particular type of equipment) :

Sl. Item/ Type & Customer (End User) Date of Under
No. Material Capacity with Address Supply Operation or
to be
installed

19. Details of foreign collaboration, if any :

Sl. Product Name & Address of Collaboration
No. Collaborator Scope Year Valid upto

20. Have your product been type tested by any external agency? If so, give details :
Sl. Product Test Test Report Next Due
No. (Size, Type & Class) No. & Date Date
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21. Indicate Approval/Certification by National International standards/agencies applicable for the

Subject product.
Sl. Product Standard Licence No. & Date
No.

22 (a). Specific to process & product facilities :

Sl. Description of machine Capacity & Nos. Location Make Year of
No. Shop Mfg.
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22 (b). Other / General facilities :

Sl. Description Capacity & Nos. Location Make Year of
No. of machine Shop Mfg.
1)

2)

3)

4)

5)

6)

7)

8)

9)

10)

11)

12)

13)

14)

15)
 Annexure IX

23 (a) Facilities for Testing & Inspection.

Sl. Description Capacity & Nos. Make of Calibration Approval
No. Machine Date Qualification

23 (b) If In-house testing facilities are not available, indicate service of testing with relevance data
Sl. Source of Description Capacity make & Calibration Approval
No. Testing & Nos. year of Mfg. Status Qualification

24. Source of Raw Materials (including imported raw materials) :

a) Type Source

b) Raw material storage & identification

25. No. of PCs available with internet Connectivity at works :

26. Quality management

27.1. General

27.1.1. Organisation Chart of Quality Management : Attached : (Y/N)

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27.1.2. Head of QC Department reports to :

27.1.3. Do you have a written Quality Control Instruction Manual? If yes, please furnish a copy
of the same.

27.1.4. Have written Quality Control Instruction sheets been prepared and properly used?

27.1.5. Are records generated during inspection maintained & available for review?

27.1.6. Are final inspection area have adequately lighted & of suitable size?

27.1.7. Are written procedure defining stage wise operations and functions on shop floor established
and followed?

27.1.8. Are quality control checks adequate to maintain desired quality right from initial to
final operation?

27.1.9. Whether 100% of adequate sampling inspection used?

27.1.10. Are statistical quality control techniques used?

27.2. Corrective Action

27.2.1. Does the system provide proper detection of inferior quality and causes?

27.2.2. Is adequate action taken to access the causes of defects in products?

27.2.3. Are analysis made to identify trends towards product deficiencies?

27.2.4. Does corrective action extends to products?

27.3. Documentation Control

27.3.1. Does a system for clear and precise stipulation of responsibilities for documentation issue &
change control exists?

27.3.2. Are changes made in writing?

27.4. Control of Inspection, measuring & Testing equipments

27.4.1. Are necessary gauges, testing and measuring equipments, available and used?

27.4.2. Are testing and measuring equipment properly maintained?

27.4.3. Is recorded control on calibration of equipment available

27.5. Control of procured supplies & Services

27.5.1. Do the vendor /sub-Supplier's purchasing documents refer to specific design manufacturing and
testing requirements?

27.5.2. Do purchasing documents also contain special requirements?

27.5.3. Are requirements for necessary test and inspection of raw material specified in purchasing
documents ?

28. CONSISTENCY IN SUPPLY

28.1. Has the vendor ever produced items of similar nature in past?
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28.2. Has the vendor/sub-Supplier maintained delivery commitments in past?

28.3. Has there been frequent labour trouble in past?

28.4. Has there been any faulty material management?

28.5. Whether there been preparing and scheduling resilient enough to overcome setbacks and

make-up lost time?

28.6. Can the vendor/sub-Supplier quickly off load the work to other reliable subvendors?
If Yes, the name of sub-vendors :

29. Order booking procedure in terms of :

a) Value

b) Time

30. Any special interm upon

31. I CERTIFY THAT THE INFORMATION SUPPLIED HEREIN (INCLUDING ALL PAGES
ATTACHED) IS CORRECT TO THE BEST OF MY KNOWLEDGE.

SEAL SIGNATURE ____________________

NAME _________________________
DESIGNATION __________________
M/S. ___________________________
PLACE ________________________
DATE _________________________

REMARKS Please attach a separate cover sheet for list of enclosures:-

Please do not write below this line

32. Certification by verifying team : Above information have been verified and found in order / minor
changes which have been marked and initialed on this form itself / observed the following
discrepancies.

Name : Designation : Signature : Date :

1.

2.