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Name of Vendor

Trade Name

Registration Office

Factory Address

Telephone Nos.

Office

Factory

Telegraphic Address

Telex No.

TELE FAX No.

Weekly Closure day

Nature of Business

Nature of the Company

In case of

Proprietary Co. Partnership Co. Public/Private Ltd. Co.

Name

Address

Telephone no.

For Clarification, person to be contacted

Name

Designation

Phone Numbers

Office

Residence

Address

Total area of the Factory

Covered

Uncovered

Total No. of Employees (Brief biodata of key personnel may be enclosed at Annexure-1)

Division	Graduates Tech./Non-Tech	Diploma	Skilled	Unskilled
Administration
Production
Quality Control
TOTAL

Are Minimum requirements of experience & qualification laid down for Production Manager and supervisory Staff?

Yes No

if Yes, Give Details
(Give Biodata of key Staff in Annexure-1)

Are Minimum requirements of experience & qualification laid down for quality control Manager & Inspection Staff?

Yes No

Type of Industry

Small Scale Industry Medium Scale/Large Scale Industry

Registration No.

Date with the Director of Industries

Factory No. allotted by the Directorate General of Technical Development

Registration No., if any, with DGS&D or any other

Year of Commencement of manufacture

Annual Turnover during last 3 years (The financial year adopted by the firm should be indicated and estimated value also given for current year)

Electrical Power

Sanctioned

Installed

Whether adequate facilities (give details) are available for

Water supply

Fire fighting

Security

Has the firm any local branch office

Yes No

If Yes give following details

Address

Phone No.

Brief details of products manufactured in the following Performa may be given in Annexure-II

Sl.No.	Type	Description	Annual Production for last five years
1.
2.
3.
4.
5.

Brief details of items proposed to be supplied

Sl.No.	Description	SIL`S Part No.	Specification
1
2
3
4
5

Capacity of production for each item if entire capacity is utilised on that item

Sl.No.	Item	Capacity of production
1
2
3
4
5

Net available capacity for the item under reference keeping in view the existing load on hand as declared by firm

Sl.No.	Item	Net availability capacity
1
2
3
4
5

Has the proposed product been tested by any agency ?

Yes No

If yes, give details

Foreign Collaboration, if any

Are imported raw materials used

Yes No

If Yes, furnish details

Brief Description	Estimates CIF value	% of Foreign Exchange content in finished product

Details of plants & machinery : Give details in Annexure III as per following preformed

Description	Capacity	Make	Grade of Accuracy Attainable	Remarks

Detail of laboratory and drawing facilities (at Annexure IV)

Inspection facilities for inwards Goods and Quality control of Raw materials:

Available test equipments and facilities in the factory: Give details in Annexure V as per following Performa

Description	Rating	Make	Quantity

Assistance from external agencies

Description of the test	Name of the agency carrying out the test

Whether manufacturing with ISI mark or to some other specification

ISI Other, please specify

Inspection and Quality control of finished products

Available test equipment and facilities in the factory (Give details in Annexure VI)

Principal Customers

Name	Address	Product Supplied	Value of Supply (Rs.)	Year

Future Plans

Expansion Programme

Installation of new machinery

Additional test facilities

Any other relevant information

COMMERCIAL DETAILS

Name of your banker

Address of your banker

*Financial Status

Net Fixed Assets

Current Assets

Current Liabilities

Sources of Finance

Borrowing Limits as sanctioned by bank, if any

**Income Tax Clearance Certificate

Number

Date

Enclosures

* A copy of the last annual accounts should be enclosed
** Attach Copy of Income Tax Clearance Certificate

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