F O R M - E
DIRECTORATE GENERAL OF
SUPPLIES & DISPOSALS
(QUALITY
ASSURANCE WING)
Application for registration of firms
for supply of imported stores
as supplier
(To be submitted in triplicate)
1. Name of the applicant firm:
Address/telephone/fax/E-mail No. of
a) Registered office:
b) Head Office
c) Other offices:
d) Works/Godown:
3. Status of applicant firm
a) Date of incorporation
b) Constitution of the firm
i) Proprietorship / Partnership
(attach copy of Partnership deed and
Form-A
or equivalent entry
certificate from Registrar of Firms
duly notarised)
ii) Public Limited/Pvt.Limited.
(Attach
Memorandum/Article of
Association
and copy of
signed
certificate of incorporation duly
notarised)
c)
Names,addresses and telephone
nos.of Proprietor/Partners/Directors
having interest in the firm.
d) If the firm is a subsidiary of an
Indian/
foreign company, give
particulars of parent/holding
company?
e) If there are other susidiaries of
the
same parent company in
give full particulars.
f)
If the Directors/
Partners/
Proprietor have financial interests
or are represented on Board(s)
of
other companies give details.
g)
Income-tax Circle/Ward/District
in which the Applicant firm
is
assessed to
Income-tax. (Please
indicate GIR/PAN No.)
h) Sales Tax registration no(s).
3. Stores for which registration is sought:
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Sl.No.
Description Specification Limiting Country of
of stores with model size/capacity origin
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(1)
(2) (3) (4) (5)
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4.
Names & addresses
of foreign
manufacturer(s)
5.
Particulars of arrangement with
foreign Manufacturer(s)
a) Date of arrangement
b) Date of expiry:
c) Teritorial jurisdiction:
d) Whether the arrangment covers all
items
for which registration
is
sought:
e)
Whether foreign manufacturer has
agreed to provide technical support
and
spare parts for
after sale
service.
6. Details of factory/godown
a) Address & telphone no.
(Attach copy of ownership documents,
if on
lease-attach copy of
lease
agreement
valid for at least three
years; duly notarised)
b) Description of
factory/ godown
iving
covered/ uncovered area,
departments, and laboratories etc.
7. Do
you make any value addition
to
adopt or to
tropicalise the
product to make it suitable in this
country.
If yes, plese
give
details.
8.
Details of testing
facilities
installed
for proving the
performance of product.
9.
Details of personnel
employed
technical/skilled/ others:
10. Quality control arrangements
11. State
if the products have been
fully tested
including type tests
where
required in the
specifications. If so
attach copy
of test reports.
12. State if
the product(s) carry
any
BIS mark/other international
mark.
If so attach a copy of valid
license.
13.If
the products require
after
sales
service, give names
&
addresses
of places where
such
facilities
are available and
indicate
value/ extent of
spare
parts maintained and staff employed.
14. Whether
registered with DGS&D/
or NSIC or any Govt. organisation?
If
so, furnish copies
of such
Registration:
15. Whether
the unit is
SSI/
non-SSI,
if SSI furnish
SSI
Registration Certificate.
16. Details of past
supplies made
for
the items for
which registra
tion has been sought in proforma as
in Annexure-4
17. Annual Turnover for last 3 years
duly
supported by relevant
balancesheet.
18. Name & address of Bank (indicate
account no. with
each bank and
submit Bankers report in original as
per proforma in Annexure
- 6)
19. Do you have Import Code
number
issued by
RBI? If yes, give Code
No.
and attach a copy of the letter
issued by RBI.
20. Name
& designation of signatory
of this application (enclose copy of
Power of Attorney where applicable.)
Place:
Authorised signatory
Date:
with seal
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Notes :
Check List:
6 Performance statement as per Proforma Annexure-4 of the application.
7. Notarized copy of ownership documents
of the premises or copy of lease deed
(valid for a minimum period of three years) of
(i) Registered Office & (ii) Works/Go down.
8. Bankers’ Report in original
giving details of financial status of the applicant firm as per proforma in Annexure
-6.
9. a) List of technical personnel employed in
services.
b) Item for which registration
required with detailed specification.
c) Write-up on quality control
measurement adopted by the firm for ensuring quality of bought out item in
process quality control.
d) List of quality control
equipment and testing facility available in
premises.
e) Copy of Type Test Report
from Independent lab where applicable as
mentioned in relevant standard.
10.
Documentary proof of the status of the firm:
a) For the limited companies.
i) Copy of Memorandum and
Articles of Association duly notarized.
ii) Copy of Certificate of incorporation authenticated by Notary
Public.
b) For Partnership firm.
i) Copy of Partnership deed
duly authenticated by notary public.
ii)
Power of Attorney in respect of partner, if any duly notarized.
iii) Certified copy of Entry Form-A or
equivalent from the Registrar of
firm,duly notarized.
11.
Two copies of declaration signed by the supplier accepting condition
of registration as per Annexure – 1( R )
12.
List of items stocked.
13.
Copy of BIS license if applicable.
14.
Copy of ISO 9000 (Optional).
15.
Copy of Registration Certificate if registered
with any other Govt.
organization.
16.
Copy of arrangement with foreign manufacturer
for supply of all
imported items having detail (a) date of
arrangement (b) date of expiry
(c) territorial jurisdiction (d)
all items for which registration is
sought (e) foreign manufacturer has
agreed to provide technical support
and spare parts for after sale service
for 7 years.
17. Copy of Import Code Number issued by RBI.
18. OEM Test Report.
19. Copy of PAN CARD.
20. Original Catalogue from OEM.
21. Two copies of Verification as per Annexure
‘5’.
22. List of Service Centers.
23. List of Directors/Partners with address
and Phone no. and other
details.
24. Import documents such as Bill of Entries
& Connecting Invoices.
25. Annexure ‘7’.