Format Number.

SCMF/01/03 Annexure - 1 Page 1 of 10

KIRLOSKAR OIL ENGINES LIMITED
SUPPLIER REGISTRATION FORM FOR DIRECT MATERIAL ONLY

Part I Date:
Business Information:
1 Supplier Name: HEMANT ENGINEERING WORKS (ANIL P BUREWAR)

Address :SVNO-188/1
MUKATA PARK
CHAKRAPANI
VASAHAT BHOSARI
PUNE-39
Office : GAT No-765
PAWAR VASTI
KUDALWADI CHIKALI
PUNE-412114
Factory: HEMANT
ENGGINEERING WORKS;
GAT No-765
PAWAR VASTI
KUDALWADI CHIKALI
PUNE-412114
City: PUNE-412114
State: MAHARASHTRA
Pin Code: 412114
Telephone: 020-64108030
Fax: -
Telex: -
Mobile: 9372456037/ 9371804139
E-Mail: hemant.eng@rediffmail.co
m

2 Ownership Pattern ()
Public Limited Partnership
Private Limited Proprietary
Year of Establishment : 1995
3 Industrial License No : -
Central Sales Tax Registration No. :C27690341542C
VAT TIN No.:V27690341542
Central Excise Regulations License No. :ABCPB7463KEM001

MSME - Yes/ No if yes Registration no:270251112355

PAN base Service Tax number: w..e..f. date:


RTGS form for E-payments with certification form Bank COPY ATTACHED
( Please attach Xerox copies of all Registration certificates with self-certification)


Format Number. SCMF/01/03 Annexure - 1 Page 2 of 10


Name & Address of Bankers-
(Attach RTGS form submit with banker seal)
Name: ORIENTAL BANK OF COMMERCE

Address: PIMPRI, PUNE-411018 phone:7422625


Type of Service:
Material: PERFORATION BY SHEET
Subcon /Labour Charges: SUBCON
Service provider: NIL
Material, Labour Charges & Service provider: RAW MATERIAL SUPPLY
Contact details of Finance person- SELF
Name: ANIL P BUREWAR
Designation:PROPRIETOR
Telephone no & Cell No.:020-6410803 ; 9372456037
E-mail id: hemant.eng@rediffmail.com

4







5

Sales & PBIT for last three years
FY FY FY CURRENT FY
SALES 10-11 11-12 12-13 13-14
PBIT 3589953=00 3298145=00 3576752=00 7000000=00
INVESTMENT
QUALITY
CAPACITY 120 ton 240 ton 260 ton 290 ton
TECHNOLOGY SPM

Working Hours
No. of shifts : ()
General Shift : AM/PM TO AM/PM
1
st
Shift 7 AM TO 3PM
2
nd
Shift 3 PM TO 11 PM
3
rd
Shift If required AM/PM TO AM
6
Directors / Executives of the Company
Name & Designation Address & Phone Qualification &
Experience
1
ANIL P BUREWAR
MUKATA PARK
CHAKRAPANI
VASAHAT BHOSARI
9371804139
DME-15yrs
2
PANDURANG T
BUREWAR
9371804139 DEE-20 yrs


Format Number. SCMF/01/03 Annexure - 1 Page 3 of 10

3
ANIL HANDE
BHOSARI-9860713251 BCom-5 yrs
4
SANDEP AMBUDKAR
BHOSARI-9922887815
DME-5 yrs
7
Associated Undertaking N/A
Name & Address Business Level of Participation by holding
company
1
2


3


8
Products Supplied
Perforation Sheet
Mfg. Capacity Rejection In
PPM


INSTAL
LED

UTILIZ
ED
Custom
er End
In-
house
Customer
Name
1 Perforated Sheet

9 ton 8 ton Nil 2500 RV Exhaust
2 Perforated Sheet 8 ton 7 ton Nil 1500 Consultec Pvt Ltd
3
Perforated Sheet
5 ton 5 Ton Nil 1400 Sky Line
4 Perforated Sheet 2 ton 2 Ton Nil 1200 Venky Group Pvt.
Ltd
5

9

Manufacturing facilities


Description of
Machine /
Model / Make /
Size
No.
Machines
Year of
Manufacture
Year of
Purchase
OEE (Overall
Equipment
Effectiveness)
1 P Shearing
10 M Sheet
1 2008 2008 85%
2 Perforation
Machine
1 2008 2008 85%
3 Drill Machine 1 2005 2008 85%


Format Number. SCMF/01/03 Annexure - 1 Page 4 of 10

4 Shearing
machine
1 2008 2008 85%

10 Power Supply (KVA)
Required Load 30 HP
Electricity board 40HP
Generator Set N/A

Stand by Generators

N/A
11 Manpower
S.No
.
Description No. Of Persons
1 Proprietor/Proprietary/Directors 1
2 Executive/Manager 1
3 Skilled 2
4 Semi-Skilled 1
5 Unskilled 1
6 Helper 1
7 Clerk -
8 Accountant 1
9 Inspector 1
10 Contract -
12

(a)

(b)






(c )




(d )
Material Handling & Storage

Equipments / Facilities :- Crane Service (Out Source)

Communication System / Software Details :-
1 Land Line
2. Cell Phone
3. Email Id



Method of Preservation, Protection & Packing of finished goods
As per Customer requirement Packing



For Protection Sheet Stacking Rack








Format Number. SCMF/01/03 Annexure - 1 Page 5 of 10

13 Instruments & Gauges
Description Make Year of
Manufacture
Frequency of
Calibration
1 Vernier Calibre mitutoyo 2012 One year
2 Micro Miter Mitutoyo 2011 One Year
3 Scale - 2013 Replacement in One
Month
4 Steel Measuring
Tape
- 2013 Replacement in One
Month
5
6
7

14
Metallurgical / Endurance Equipments N/A




















Description Make Range Year of
Manufacture
1
2
3
4
5
6


Format Number. SCMF/01/03 Annexure - 1 Page 6 of 10






7
15
Future Plans
ISO 9000 / QS 9000 / TS16949
Product Certification :- (ISI / DGS&D / CQA / NTPC / NPCL / Other)

We are in process ISO 9000


16
Future Plans :-
Growth :
To increase sales graph as up as possible

Technology :
SPM of Perforation


Investment :
To Purchase Machinery

Systems etc.:
QS 9000




Enclose one set of each of the following:
1) Income Tax clearance certificate (Please attach a Photostat copy) N/A
2) Balance Sheet (Last 2 years copy to be attached)
3) Product catalogue


Format Number. SCMF/01/03 Annexure - 1 Page 7 of 10

4) Price List
5) Brochure
6) Consent to operate from Pollution Control board. N/A
7) MSDS incase of hazardous chemical suppliers. N/A
8) Any statutory cases pending ( If any please mention) N/A
9) Banker & working capital limits.
10) Company / Firm Registrations Certificates.
11) Duly filled & certified RTGS form.

PART II
Quality System Information

A. Systems Yes No
1 Separate quality control function / department in the organization
2 Quality policy and procedure manual in use and up to date
3 Written procedure defining quality related functions
4 Existence of system for customer complaint and rejections
5 Existence of Quality cost reporting system
6 Existence of a formal system of approval of new machinery
7 Existence of quality and inspection records maintained
8 Usage of problem solving techniques to solve / eliminate problems
9 Formal Quality improvement program exists
10 The procedure for notifying your customer of process or material
changes prior to the change exists

11 First part inspection/ approval required prior to beginning a production
run

12 Product recall procedure exists

B.

Process Control

1 Implementation of process capability studies
2 Implementation of S P C by operator at his work station
3 Written procedures displayed at the work station
4 Implementation of control charts to reduce process variation
5 Procedure exists to prevent the shipment of non confirming material
from a process.

6 Existence of procedures in place to control processes where statistical
methods are not appropriate

7 Usage statistical techniques for problem solving

C. Quality Control Procedures.
1. Incoming material inspected or statistically certified by the Supplier
2. Inspection instructions written for all incoming material
3. Material certification required for incoming material on some product.
4. Documentation of in process inspection plans / procedures and results


Format Number. SCMF/01/03 Annexure - 1 Page 8 of 10

5. Identification of rejected incoming material
6. Existence of a formal corrective action procedure (Internal and External)
7. Agency approvals such as UL,CSA, etc. obtained on material as
required

8. Controls in place to prevent non-conforming material from getting back
into production

9. Reworked material submitted to Inspection for re inspection



D.



Drawing Control

1. Are controls in place to assure that the latest drawing is being used by
Production

2. Does the quality function review drawings, related documents and
specifications for new products for acceptance?

3. Do you request yearly updates on customer drawings and specifications

E.

Gauges and Test Equipment.

1. Are all test and measurement equipment permanently marked for ease
of identification

2. Existence of documented calibration control
3. Are all gauges and test equipment marked with and or identified as to
calibration due date

4. The gauges calibration and maintenance on a regular basis
5. Calibration of gauges to the same standard as company gauges
6. Documentation of procedure to notify the customer of suspect material
when a gauge(s) found to be out of calibration (defective)

7. Traceability of calibration standards to the National Institute of Science
and Technology or other National Regulatory agency


F.

Technical Capability

1. Existence of reliability testing on products produced
2. Is production maintained on a scheduled basis
3. Will Supplier maintain the tooling and replace worn out tooling at their
expense

4. Capability of design and or building of own tooling
5. Spare production capacity to supply product at required production rates
6. Participation in pursuing ISO 9000/ QS 9000 / TS 16949 certification: If
so, expected completion.

7. Can you clean and apply rust inhibitor to finished good per ES81 159.

G.

Finished Product Verification.

1. Documented procedures / evidence of finished product final audit
2. Documentation of audit finding
3. Adaptation of test procedures or inspection instructions based on
customer requirements



Format Number. SCMF/01/03 Annexure - 1 Page 9 of 10

4. Deviation procedure exists
5. Deviation procedure require customer approval prior to shipment
6. Verification of the correct part number marked on the containers
7. Existence of bar coding capability.
8. Measurement of outgoing Quality Levels
9. Please list your outgoing Quality Level for the last 6 months in PPM.








H. List all major in-house process capabilities such as: Die-casting, de-burring, welding,
molding stamping, rust Inhibiting, washing etc.



Please List the quality awards you have received





Please list those companies for which you are quality certified supplier




Authorized Signatory


Name:
Designation:
Company Seal:















Format Number. SCMF/01/03 Annexure - 1 Page 10 of 10









FOR OFFICE USE ONLY

Special Advantage in introducing this new supplier:

Nature- Capital/ Revenue
Site name/ BU
Payment Terms:
Delivery terms: Ex. Supplier Ex. KOEL
Freight terms: By Supplier By KOEL Specify if Other
Octroi paid by- By Supplier By KOEL

Specify Others:-
Existing source:

Recommendation for Further Evaluation

YES NO

Basis of Recommendation for Evaluation :-

Documents to be checked &confirmed by sourcing at the time of submission andfinance
department at the time ofreleasing new Supplier code are:

1) All the enclosures mentioned in the form are attached Yes No

2) Audit results of all five typesof auditsconducted at supplier. Yes No

3) Supplier Quality Agreement signed off by the supplier. Yes No

4) Supplier Category: ProprietaryNon- Proprietary

Comments (if any) _________________________________________________________
Signed By:-



Commodity Leader Sourcing Leader
(Sourcing) (Sourcing Department)





Format Number. SCMF/01/03 Annexure - 1 Page 11 of 10

Departmental Head Sourcing Head
Supplier Quality Improvement (Sourcing Department)



Finance Manager. Manager SCM (QMS)