Vendor Registration Form - Deepak Fertilisers and Petrochemicals ...

DEEPAK FERTILISERSAND PETROCHEMICALS CORPORATION LIMITEDVENDOR REGISTRATION FORM1 ORGANISATION :2 OFFICE ADDRESS :TEL.FAX.E-mail:3 FACTORY ADDRESS :TEL.FAX.E-mail:4 NATURE OF FIRM: PROPRIETOR PARTNERSHIP PVT. LTD. PUBLICLTD.5CONTACT PERSONSNAME :DESIGNATION :TEL :MOBILE :E-mail :6 YEAR OF ESTABLISHMENT7SALES TAX REGD. NO. CENTRAL:STATE :WHETHER SALES TAXEXEMPTION IS AVAILABLE: YES/NO8 INCOME TAX PAN NO: WHETHER CENTRALEXCISECONCESSION AVAILABLE: YES/ NO9 NAME OF BANKERS :10 NO. OF EMPLOYEES SKILLED:UNSKILLED:STAFF:11 MAJOR CUSTOMERS:

1 TECHNICAL EVALUATION(COMMENTS ON PRODUCTION CAPACITIES, QUALITY SYSTEM, EQUIPMENT,ISO CERTIFICATION ETC.)2.a.USER SIGN & NAMEDATEMANPOWER - AVAILABILITY, TECHNICAL / MANAGERIALb. COMMERCIAL EVALUATION:(Balance sheet copies, if available, to be obtained)FINAL RECOMMENDATION(Recommendation should also specify the limitations towards quantity/ quality/ value)SIGNATURE: MATERIALS USER F&AVENDOR CODE NO.DATE:ALLOTTED