MOIL Limited, Nagpur

Reference No. :
1. Name:
(a) Name of the firm * :
(b) Year of Establishment :
2. Address:
(a) Head Office :
(b) Branches :
3. Telephone and Fax Nos. with STD Code :
(a) Head Office :
(b) Branches :

4. Is your firm registered under :

(a) The Indian Companies Act, 1919 ? If so, please give the name of Active Directors :

(b) The Indian Partnership Act, 1932 ? If so, please give the names of the partners

(c) If not registered under any of the Acts, please furnish particulars of your constitution and Proprietorship

(d) The Indian Factories Act. If so, please furnish details:

(e) If you are registered as a “Small Scales Industry” or with “National Small Industries Corporation”, give particulars and with photo copy of registration certificate indicating the items for which registered & validity period of registration.

(f) Name and designation with telephone nos. of person having executive authority in the firm.

5. If you have any collaboration with overseas firms either technical or financial, please furnish brief particulars of the same.

6. Are you a manufacturer? If so, please give the details of

(a) All type of product/stores being manufactured by you specifying each item separately.

(b) Give full address of the factory or workshop owned by you (with true copies of documentary proof of ownership).

(c) Are you authorized to use ISI marks? If so, for which items? Give photo copy of BSI certificate of marking.

(d) Give the following details of your factory.

i. Plant & machinery, machine tools and equipment erected and functioning: Please give sketch of plant.

ii. Production capacity, capacity utilized, plan for expansion.

iii. Particulars of quality control, inspection and laboratory facilities which you have.

iv. Number of skilled labourers, Technicians employed & Total number of employees.

v. Particulars of materials handling equipments and transportation facilities (e.g. sidings, approach yard) available.

7. Are you manufacturer’s Agent ?

(a) Name and address of each manufacturer and stores manufactured by them.

(b) attested photo copies of Letter of Authority appointing you as agents to be enclosed.

8. If you are Stockiest only, please give.

(a) The items of stores stocked.

(b) The quantity and value of stock at present of which you are the owner.

9. If you are an Importer, Please state.

(a) The class of goods imported by you and the annual value of such imports.

(b) State your present stocks and give the address of the Godown where they are stocked

10. Give particulars along with photocopy of
(a) Central Sales Tax Registration Number
(b) Your ST Regn / Date
( c) TIN No.
11. Name and address of your Banker & Account No.
a) Please state the name in which the account stands.
b) Please state the year in which the account was opened.

12. Are you on the approved list of supplier for similar stores with.

(i) DGS&D, New Delhi - If so, please submit (a) copies of Registration certificate and (b) Rate Contract.

(ii) Any other important customers in public or private sector with whom you have had dealings since last 5 years.

(iii) Give details of large contracts executed during the last 2 years with the above customers.

13. Please mention your PAN No. & enclose Photocopy : Also enclose your last Income Tax Clearance Certificate.

14. Annual Report/Balance Sheet/Profit and Loss Statements. One copy each of the following should be furnished. (a) The last Annual report. (b) Profit & Loss Account and Balance Sheet for and at the end of the last year. ( c) A statement showing the results of operation and financial position of the firm during the preceding 3 years in the form given below :

:

S.N	Particulars	Value	Remarks if any
A	Sales
B	Gross Profit
C	Depreciation
D	Pretax Profit
E	Taxation
F	Net after Tax
G	Percentage of net profit on sales.
H	Dividend declared.
I	Net Block
J	Capital Employed
K	Reserves
L	Percentage profit on capital employed.

15. Potentiality for supplying : State classes of stores which the firm is in a position to supply. The value and quantity of stock held at present may please be indicated. State for what items or classes of stores, the firm is in a particularly strong position to supply this company and thus to warrant in the firm’s opinion its name being registered as a supplier.

16. Security Deposit: Whether you are willing to furnish a standing security deposit of Rs.25000/- in the form of Demand Draft.

17. Existing supply to MOIL or any other PSUs. State the main items for which you have received orders from PSU’s during the past 12 months as per the format enclosed. (all small orders below Rs.5,000/- in value should be excluded in this reply). A photo copy of each orders shall be attached.

18. Registration If approved, will be for the period of 3 years from the date of registration. It will be the Contractor’s responsibility to apply for renewal of registration at least 3 months in advance of the date of expiry of the period. I/We do hereby declare that the entries made in the application form are true to the best of my/our knowledge.

Email Address * :
*Mandatory Field