VENDOR INFORMATION FORM

GENERAL DETAILS
Name of the Firm
Core Competency of Firm
Constitution of Firm
(Public Ltd/Pvt Ltd/Prop/Partnership etc.)
Year of Incorporation
Partner's/Proprietor's/Director's Name
Scale of Organisation

Large Scale Industry

Medium Scale Industry

Small Scale Industry

RO/Branch Address

HO Address
Address of the Firm

E-mail ID

Registration with Statutory Authorities

a) PAN
b) Central Excise Registration No.
c) Service Tax Registration No.
d) ESI Registration No.
e) PF Registration No.
f) Sales Tax Registration No.
g) Central Sales Tax No.

Organisation Chart

*Please provide the organisational chart in separate Annexure

Contact Person Information

Particulars
Name
Email Address
Office Number
Mobile Number

Primary Contact

Secondary Contact

BD Head

CEO

FINANCIAL DETAILS
2011-2012
(Rs Crore)

Pariculars

2010-2011
(Rs Crore)

2009-2010
(Rs Crore)

Turnover
Revenue from EPC Services
Current Assets
Current Liabilities
EBIT
PAT
Market Capitalisation
Financial rating/ Bank Crediblity
Banker's Name & Address
Do you agree to give Performance Bank Guarantee, in case you are selected as a supply partner?
Equipment & Resource details
Tools & Equipments -

Testing Laboratory
Accreditation if any

Manufacturing Set
Registration if any

Plant & Machinery

Available

Owned

Yes

Hired

Make & Capacity

New Procurement, if any ?

Owned

Associates

Remarks

Owned

Associates

Remarks

Amount

Net Worth of Plant & Machinery owned by the

Contractor/ Vendor
Name & Make of Plant & Machinery

No

Capacity

*Please provide details of Plant & Machinery in above format

Quantity Owned

Year of Purchase

Manpower
On-roll
Experience
Project Manager/Engineers
Supervisors
Skilled/Semi-skilled Labour
Highest no. of Manpower mobilised by the Contractor for single Project:
Name of Project, Client & Year

No. of
No. of
Skilled Manpower Unskilled Manpower

On-contract

No. of
Supervisors

Remarks

Total
Manpower
Mobilised

No. of
Engineers

Likely sources of Labour Force (States)

Training
Whether any formal training programs
are being conducted for workers
Quality Accreditations Details:
ISO-9001-2000 Certification
ISO 14000 Certification
OHSAS-18000 Certification
Any other certification/Accreditation
EXPERIENCE DETAILS
Scope of Services rendered
Soil Testing
Civil (especially Piling)
Electrical Earthing
Tower Erection
IME/OME/Foundation Bolts
Any other (please specify)
Key Projects in hand
Client & Location

Nature of
Service with
Scope

Order Value
(Rs Crore)

Commencement Expected
Date
Completion Date

Status

Nature of
Service with
Scope

Order Value
(Rs Crore)

Commencement
Completion Date
Date

Completion
Certificate
Attached

Key Projects Completed recently

Client & Location

Past Project with Reliance

OTHER DETAILS
Details of Ongoing & Past Disputes/
Litigaion/ Criminal Case registered

Year

S.No.

Value (Rs in Cr.)

Name of Other Party

Area

Status of Litigation

1
2
3
Areas/Presence

Current Project Sites

Strong Area

Preferences

I/We certify that the above particulars submitted by me/us are true and will keep this updated as per the policy of Infotel Broadband Services Limited or whenever
any change to the above happens.
Date:_____________________
Place:_____________________

______________________________
(Signature & Name of Signing Authority)