Vendors Registration Application Form

To
The Chief of Material Engineering
HMT Limited PINJORE 134101
Distt. Ambala Haryana
1. Name of the vendor:-
2. Works Head Office Branch Offfice



Telephone No Telephone No Telephone No

Fax No. Fax No. Fax No.

Mobile Mobile Mobile

email email email

Website
3. Person to Contact:-
Name Official Capacity Telephone No.



4.(i) Type of Organisation
Individual
Partnership
Joint Stock Co.
Co-operative

(ii) Particular of Registration.

(iii) Sales Tax Registration No.---------------------------------

Excise Registration No--------------------------------------
4a. Manufacturing Range:-
5. Category of vendor:-
Manufacturer Small Scale Industry (Pvt) Small Scale Industry (Govt.)

Medium /Large Scale Indusrty (Pvt) Medium/Large Scale Industry (Govt.)

Wholesaler/Dealer/Stockist Foreign
If Manufacture give following particulars


Duration for which factory in production


Production capacity per annum


Details of facilities for Quality Controls


Details of machines in operation


Nos. of skilled employees
Sources of material
6. Services in which you are interested to register with us
7. Are you on the list of approved vendors/contractor on
DGS & D, Railway or Govt., undertaking? If so, give
Regn. No., Date and items for which registered.(Copy of
registration/ Rate contract may be furnished.)

7 a. List of your OE/clients
7 b. Whether company ISO holder or NOT
8. Have you ever been banned or removed from any of
approved Govt. Contractor/Vendor? If so, give details

9. Financial Status:-
(a) Value of current Assests as on Date:-
(b) Value of current Liabilities as on Date:-
Attached Balance Sheet for the last 3 Yrs.
(c) Value of total sales during the previous year:-
Value of Order in hand:-
Value of total capital employed:-
(d) Bankers Name
and Address

(e) Maximum Credit facility from your Banker.
Dully supported with Bankers certificate
Amount upto which supply can be made at one time:-
(f) Have you obtained Income Tax Certificate/If so, State No.
and date and enclose a copy of the same showing details
of Income Tax assessed
Tax demanded and paid for the last 3 years

4. List of enclosures:-
Catalogues, Technical Literatures, Price List etc.
5. Any special information:-
6. We agree to abide by the general terms and conditions of contract inforceby time to time
in HMT Limited, Pinjore
8. I certify that the informations supplied here in (including
all pages attached) is correct.
SIGNATURE
NAME
DESIGNATION
7. Evaluation of Vendors
PLACE Date
NOTE:- 1. Use additional sheets where space in the form is insufficient.
2. Incomplete applications may be ignored with out any further correspondence.