ULTRATECH CEMENT LIMITED UNIT :
APCW -TADIPATRI
EGISTRATION FORM VENDOR R EGISTRATION Vendor Code : (Generated by System)
Sectio n No.
I
Date of Reg. : (By System)
Sr. No.
Particular
Detail
COMPANY PROFILE : 1.
2.
Name of the Organization
*
# Registered Office Address
Bharat Bijlee Limited
*
Name & Designation of Contact Person
*
* Mobile no. * Fax no. *
Contact no.
E mail ID
3.
*
Bharat Bijlee Limited Electric Mansion 6th Floor Appasaheb Marathe Marg Prabhadevi Mumbai 400 025 Mr. Harish C Dave 022-2763 6237 9821519307 022-2763 6071
[email protected]/
[email protected]
*
Factory Address
Bharat Bijlee Limited No. 2, MIDC Industrial Area, Thane-Belapur Road, Opp. Airoli raiway station, Airoli, Navi Mumbai 400708
Name & Designation of Contact Person
Harish C. Dave
Contact no.
022 2760 0401
Mandatory Field
# Attachment of Proof
Page 1 of 7
Mobile no.
4.
5.
6.
*
Fax no.
022 2760 0411
E mail ID
[email protected]
Dealing Office Address & Contact Detail
Bharat Bijlee Limited 204 – 207,2nd Floor Ramanashree Chambers 37 Lady Curzon Road Bangalore 560 001
Name & Designation of Contact Person
Mr. V G Balraj - DGM
Contact no.
080-25592646
Mobile no.
9845710545
Fax no.
080 25321760
E mail ID
[email protected] [email protected]
Address & Contact details of Local office /Agent
Bharat Bijlee Limited 204 – 207,2nd Floor Ramanashree Chambers 37 Lady Curzon Road Bangalore 560 001
Name & Designation of Contact Person
Mr. V G Balraj -DGM
Contact no.
080-2559 2646
Mobile no.
9845710545
Fax no.
080 25321760
E mail ID
[email protected] [email protected]
# Excise Details : * Central Excise Registration No. and validity date
Mandatory Field
AAACB2900KXM001
# Attachment of Proof
Page 2 of 7
Chapter ID : Tariff Head : Excise Range : Excise Division : Excise Commissionerate : 7.
8.
# Central Sales Tax Registration No. and validity date
# Value Added Tax No. (VAT) / Sales Tax Registration No. (TIN) and validity date
9. 10. 11. 12.
*
*
AAACB2900K
# Provident fund Registration No. and validity date * # Service Tax Regn. No. & Validity Date * Labour License No. & Validity Date NATURE OF BUSINESS :
13.
27570000071V w.e.f. 01-04-2006
*
# Permanent Income Tax No. (PAN)
27570000071C w.e.f. 01-04-2006
*
MANUFACTURER /OEM/FABRICATOR /A SSEMBLER /M INES OWNER / TRANSPORTER / CONTRACTOR / TRADER / AUTHORIZED DEALER /A GENT /S ERVICE PROVIDER
#IF MANUFACTURE
AAACB2900KST002
Manufacturer
PLEASE
CONFIRM THE TYPE OF
14.
INDUSTRIES :
Large
Mega large / large / Small / Medium / Micro Scale Industries.
# NATURE OF ENTITY : * 15.
*
PROPRIETOR /P ARTNERSHIP / LPP/ PRIVATE LIMITED /PUBLIC LIMITED /GOVERNMENT
Mandatory Field
Public Limited Company
# Attachment of Proof
Page 3 of 7
IN CASE OF PROPRIETY /P ARTNERSHI P FIRM :
16.
17.
a. Proprietor/Partnership’s Name b. Address c. Contract No.
IN CASE OF PRIVATE L IMITED /P UBLIC L IMITED COMPANY :
a. Chief Executive’s Name b. Address c. Contact No.
Not Applicable
Mr. Bansi S. Mehta- Chairman Mr. Nikhil J. Danani – Vice Chairman and MD
IN CASE OF ANY OTHER TYPE OF ENTITY :
18.
Not Applicable
19.
Name of Product / Services in which you are dealing with
TRANSFORMERS / MOTORS
20.
Brief Information of Entity which you represent
Transformers
21.
22.
II
a. Chief Officer’s Name b. Address c. Contact No.
Year of Establishment /Commencement of Production
1946
i.
Not Applicable
ii.
Not Applicable
Name and Address of your Authorized Dealers Distributors for our area
FINANCIAL STRENGTH & BANK INFORMATION 1.
*
Annual Turnover for last Three Financial years
Mandatory Field
*
Rs. 750 Cr
# Attachment of Proof
Page 4 of 7
III
2.
# Total Investment/ Profit & Loss Details ( Please attach Audited Balance sheet of the last Financial Year)
3.
Bank Details*
i.
Name of Bank
Bank of India,
ii.
Address of Bank
Mumbai large corporate banking Branch, Bank of India Building, 4th Floor, 70-80, MG Road, Mumbai – 400 023
iii.
Bank Account No.
016030110000015
iv.
RTGS Detail (Payment through RTGS Y/N)
IFSC Code: BKID0000160 MICR Code: 400013127
2012-13 Annual Report enclosed separately.
PRODUCTION FACILITIES
IV
1.
Production Capacity
2.
Working Strength
3.
Details of Equipment/Machinery available (Please attach list of major equipment /machinery )
Enclosed seperately
QUALITY MANAGEMENT SYSTEM
*
1.
Do you have or applied for ISO 9001, ISO 140001, Social accountability 8000, OHSAS 18001 (If yes, please attach photocopy of certificate)
Enclosed seperately
2.
Do you have a quality Manual
Enclosed seperately
3.
Details of Laboratory facilities available with you (please attach details)
Enclosed seperately
Mandatory Field
# Attachment of Proof
Page 5 of 7
V
4.
Product Certificate like ISI etc (if any please attach photocopy of certificate)
NA
5.
Testing Facilities available and details about test conducted
Enclosed seperately
6.
Details of efforts made towards Social accountability, Organization health, safety and environment issues in last one year.
BUSINESS INFORMATION :
1.
2.
3. 4.
VI
Please attach copies of repeat orders of minimum five reputed Companies, Preferably in the business of our company Do you have annual rate contract, with any reputed company for your product, services etc. preferably Cement Company (please attach Contract copies ) Whether your company has any time earlier supplied to any of Aditya Birla Group Company Any other information you want to give about your business
System Related Are you complying with requirement of SA 8000? (Yes/No) if yes, pl. confirm below : * Child Labour : there is no child a. labour less than 15 yrs. (Yes/No) Forced & Compulsory Labour : no compulsory deposit of money b. is taken for employment. (Yes/No) Health & Safety: all safety c. precaution as per MSDS is followed. (Yes/No)
*
Mandatory Field
# Attachment of Proof
Page 6 of 7
d.
e.
Working Hours: not exceeds the statutory limit of duty per head. (Yes/No) Statutory compliance: Minimum wages, PF, Gratuity & insurance are complied as per Statutes. (Yes/No)
Declaration by Director/Proprietor/Partner : I/We declare that the information furnished above are correct to the best of my/our knowledge / belief. I/We undertake to inform you of any change in above particulars at the earliest.
Date
Signature
Place
Name & Designation
*
Mandatory Field
# Attachment of Proof
Page 7 of 7
