SUPPLIER REGISTRATION FORM

SL NO		PARTCULARS REQUIRED	TO BE FILLED BY SUPPLIER
A) GENERAL INFORMATION
1	NAME OF THE COMPANY
2	ADDRESS OF HEAD OFFICE
3	TELEPHONE NO
4	FAX NO
5	E-MAIL NO
6	DETAILS LIKE ADDRESS AND TEL NOS ETC OF BRANCH OFFICE , IF ANY
B) OWNERSHIP INFORMATION
1	NATURE OF BUSSINESS (STRIKE OFF INAPPLICABLE ONES)		MANUFACTURING UNIT / AGENT / DISTRIBUTOR / STOCKIST
2	TYPE OF COMPANY (STRIKE OFF INAPPLICABLE ONES)		GOVT OF INDIA UNDERTAKING / LIMITED CO / PVT CO / CO-OPERATIVE SOCIETY / PARTENERSHIP / PROPRIETORSHIP / ANY OTHER (SPECIFY)
3	YEAR OF ESTABLISHMENT
C) FINANCIAL INFORMATION YEAR1 YEAR2 YEAR3
1	SHARE CAPITAL
2	LOAN FROM FINANCIAL INSTITUTION
3	INVESTMENT IN
	1)LAND AND BUILDING
	2)PLANT & MACHINERY
	3)OTHER FIXED ASSETS
4	NET CURRENT ASSET
5	SALES
6	PROFIT BEFORE TAX
7	PROFIT AFTER TAX
8	WHETHER YOU HAVE BEEN REFERRED TO BIFR?				YES /NO
9	WHETHER YOU ARE A POTENTIALLY SICK CO ?				YES / NO
10	WAGE SETTLEMENT DUE ON (COPY OF ANNUAL ACCOUNT FOR LAST YEAR ALONG WITH AUDIT REPORT TO BE SUBMITTED)
11	COPY OF AUDITED BALANCE SHEET & PROFIT AND LOSS STATEMENT FOR THE LAST THREE YEARS ENCLOSED ?				YES / NO
12	SOLVENCY CERTIFICATE FROM BANKER WRT FUNDING AND NON FUNDING STATUS , IN SEALED COVER DIRECTLY ADDRESSED TO BHEL ENCLOSED ?				YES / NO

D) REGISTRATION PARTICULARS (ENCLOSE LEGIBLE COPY OF CERTIFICATE FOR EACH)
1	COPY OF LATEST I T CLEARENCE CERTIFICATE DULY COMPLYING SL NO:6 OF APPENDIX-A OF I T CERTIFICATE ENCLOSED ?			YES / NO
2	CENTRAL S T REGISTRATION NO
3	COPY OF LATEST SALES TAX CLEARENCE CERTIFICATE SHOWING VALIDATION PERIOD FROM DATE OF ISSUE ENCLOSED ?			YES / NO
4	EXCISE DUTY REGN NO / EC CODE NO
5	COPIES OF ORDERS OF PSUS EXECUTED DURING PREVIOUS THREE YEARS ENCLOSED ?			YES / NO
6	COPY OF LATEST P F CLEARENCE CERTIFICATE ENCLOSED ?			YES / NO
7	S S I REGN AND NSIC REGISTRATION CERTIFICATE SHOWING THE ITEM FOR WHICH REGISTRATION/ENLISTMENT SOUGHT FOR ENCLOSED ?			YES / NO
8	COPY OF COLLABORATION AGREEMENT /TIEUP AGREEMENT , COPY OF MEMORUNDUM OF ASSOCIATION & ARTICLE OF ASSOCIATION ENCLOSED ?			YES /NO
				(SIGN & SEAL OF CEO OF SUPPLIER)

E) MANAGEMENT INFORMATION
1	NAME OF CHIEF EXECUTIVE / PROPERIETOR / PARTENER & ADDRESS
2	OFFICIAL TO BE CONTACTED NAME DESIGNATION ADDRESS TEL NO: FAX NO: E-MAIL NO: MOBILE NO:
3	TOTAL ORGANISATIONAL STRENGTH (ATTACH ORGANISATION CHART)
F) PRODUCT(S) FOR WHICH REGISTRATION IS APPLIED FOR

G) LIST OF MANUFACTURING FACILITIES (A SEPARATE SHEET TO ATTACH)
SL NO	DESCRIPTION & SPECIFICATION OF MACHINE & ITS MAKE		ACCURACY & FINISH ATTAINABLE		NO OF MACHINES INSTALLED				REMARKS
H) LIST OF TESTING EQUIPMENT AND INSPECTION FACILITIES (A SEPARATE SHEET TO ATTACH)
SL NO	EQUIPMENT DESCRIPTION	SIZE , RANGE , CAPACITY , ACCURACY		MODEL/MAKE			LAST DATE OF CALIBRATION			QTY
I) OTHER PARTICULARS
1	IF THE COMPANY IS ALREADY IN BUSSINESS WITH ANY OF BHEL UNIT FOR THE SAME ITEM FOR WHICH REGISTRATION IS SOUGHT ?							YES / NO (ENCLOSE COPY OF CURRENT LETTER)
2	NAME OF BHEL UNIT
3	REGISTRATION NO:
4	IS COMPANY ISO-9000 / ISO-14000 ACCREDITED							YES /NO (ENCLOSE COPY OF CERTIFICATES)
5	DIRECTORS / PARTENERS , IF RELATED TO ANY BHEL EMPLOYEE: NAME: STAFF NO: DESIGNATION: DEPARTMENT: RELATIONSHIP:
6	IF ANY EX-BHEL PERSONNEL IS EMPLOYED BY THE COMPANY , MENTION HIS/HER DETAILS OF LAST POSTING NAME: STAFF NO: DESIGNATION: DEPARTMENT: DATE OF LEAVING SERVICE:
7	ARE YOU REGISTERED WITH ANY OTHER PSU FOR THE SAME PRODUCT					YES / NO (ENCLOSE COPY OF CURRENT LETTER)
8	COMPANY’S WEEKLY HOLIDAYS WORKS; OFFICE:
(SIGN & SEAL OF CEO OF SUPPLIER)

WE HEREBY DECLARE THAT ALL THE INFORMATION REQUIRED TO BE FURNISHED FOR REGISTRATION / ENLISTMENT ( PAGE 2 TO 4 ) HAVE BEEN FILLED IN .

J) QUALITY SYSTEM PARTICULARS:
J.1)		FOR THE MANUFACTURING SUPPLIERS
1	SYSTEM FOR SUPPLIER EVALUATION & RATING , PROCESS CONTROL , CONTROL OF NON CONFORMITIES & MEASURING AND TEST INSTRUMENTS AND CONFORMANCE TO SAFETY REQUIREMENTS EXISTS		YES / NO ( IF YES , ENCLOSE A BRIEF OF THE SYSTEMS )