DOC. NO.

: FOM/09/01
BUILDING MATERIALS & TECHNOLOGY PROMOTION COUNCIL
(BMTPC)
PERFORMANCE APPRAISAL CERTIFICATION SCHEME (PACS)

PRELIMINARY APPLICATION ( PA )
(Tick 4 Appropriate boxes where provided. If uncertain/unknown tick 4 empty box where
provided. Y=Yes, N=No. NA= Not applicable. Strike out items not applicable)
Note 1: Fill the Form on the basis of information already available with you. At the time of
study of your Preliminary Application (PA) duly filled, the Appraisal Unit of the BMTPC
Board of Agreement will prepare a Detailed Application Form (DAF) specifically tailored to
your organisation. The DAF will list all the information needed, indicate to you the
information, if any, to be collected as a part of the Detailed Application.
Note 2: Use separate form for each product.
Note 3: It will be of help to expedite the processing of your Application if you provide along
with PA, information listed in the Annex to this form.
Note 4: If you attach Annexes number them serially and reference them against the corresponding item. If the information is contained in a overall document(s) which you attach, either
extract the relevant information as Annex or provide page reference to the overall document;
the former procedure will be helpful in clearer understanding by us.
Note 5: You may provide any additional information which in your opinion will be useful in
planning the assessment and in assessing the product.
Note 6: All information provided by you in this Form will be treated as confidential.
1 ORGANIZATION/COMPANY PROFILE
1.1

Name of Organization/Company
______________________________________________________

1.2

Date of establishment
______________________________________________________

1.3

Are documents authenticating the name of the firm and its location available ?
Y

1.4

Addresses
______________________________________________________
________________________________________________________________
________________________________________________________________
_____________________________________________________________

1.5

Communication Link
Telephone
Telex
Fax
E.mail
Web Site

1.6

_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________

Name and Address of C.E.O.

Telephone : Office ______________
Residence _________________
E.mail: __________________________________________________

1.7

a.

Total number of employees:

b.

Total number of technical personnel:

1.8
Annual Turnover
_____________________________________________________
1.9

Any foreign collaboration (technological)?

Y

If yes, name and address of collaborating

Organization
Does the collaborator have similar Certification in his country ?
Y

1.10

Applicant is Manufacturer/Supplier/Installer/Exporter/Importer* of the Product

applied for
*Strike out whichever is not applicable

2.

PRODUCT PROFILE
2.1

General
2.1.1

Name of the Product __________________________________

2.1.1.1 Is it a material/product/component/sub-system/system/any other

(specify)
2.1.2

Since when is the production in the market ?

2.1.3

Attach any pamphlets you may have on the product

(including technical details)

Month

2.2

Use
2.2.1 The product is meant for internal use /external use; dry situations / wet
situations
2

Year

2.3

2.2.2

Its use_________________________________________________

2.2.3

Which traditional product does it intend to replace/supplement?

2.2.4

What are the advantages to the user ?

Development and extent of indigenous content

2.3.1 Where was the product developed?
Organization
City

Country

________________________

_______________

________________________

_______________

2.3.2 Where was it tested?

2.3.3

Is it indigenous or imported?

indigenous / imported

2.3.4 Are there other manufacturers of the product in

India ?
Y

2.3.4 Are there suppliers in India of similar product from another country ?
Y

2.4

Process
2.4.1

List of raw materials / components used in the manufacture / assembly /

installation of the product

2.4.2

Does the process yield any byproduct(s)?

Y

2.5

Susceptibility to attack by/ inhibits

Susceptibility to attack by

Inhibits

NA

RODENT

NA

NA

INSECTS/
BORERS

NA

NA

FUNGUS

NA

NA

MOULD

NA

2.6

What are the performance characteristics applicable to your product?

Tick 4 the first box if the performance characteristic is applicable, cross 6 if not
applicable, leave blank if uncertain .
If related test results are available tick 4 the second box; leave blank if test results are
not available.
If test method is available to evaluate the performance, tick 4the third box; blank box
will indicate NO If you have no information write NI in the box.

Required Performance
Characteristics

Test results
available
1

i. Mechanical/structural stability
ii. Behaviour in fire
iii. Behaviour in rain/storm/lashing
rain
iv. Thermal performance
v. Acoustic performance
vi. Behaviour under high wind/storms
vii. Behviour in humid conditions
viii Behaviour under high moisture
ix. Behaviour submerged in water
x. Behaviour in flood situations

xi. Snow
xii. Behaviour under dynamic loads
xiii. Behaviour in earthquake
xiv. Energy consumption in
installation
xv. Energy consumption in use
xvi. Energy consumption in
manufacture
xvii. Health/hygiene requirements
xviii. Ventilation requirements
4

Test method
availability
3

Required Performance
Characteristics

Test results
available
1

Test method
availability
3

xix. Durability requirements

xx. Behaviour under different
geo-climatic conditions
Hot and arid (Desert type)**
Hot and humid (Coastal)@
Warm and humid (Coastal)#
Cold (High altitude)+
Others (specify)
xxi. Cost saving
xxii. Time saving
xxiii. Reduction in life cycle cost
xxiv. Others (specify)

2.5.1 List tests done on your product relating to the above ( enclose results )

** eg Delhi, Jaipur @ eg Chennai, Mumbai, Kozhicode) # eg Thiruvananthapuram, Puri, Tezpur, Silchar

+ eg Mussoorie, Ootacamund, Srinagar, Shillong

PRODUCTION DATA

3.1
Quantum of actual production in the last 3 years and trend for next 3 years (Mention
unit of quantity)
Year

3.1.1

Quantum of production

Unit and unit price

Rupee value

_________

___________

Unit
4.

Unit Price

EXPERIENCE IN USE
4.1

Since when the product in use ?

List 3 major users:

4.2

_______________________________

1.

________________________________

2.

_________________________________

3.

_________________________________

Product suitable for use in conditions obtained in:

Hot and arid (Desert type)**
Y

Hot and humid (Coastal)@

Warm and humid (Coastal)#
Cold (High altitude)+

4.3

Product suited-specially suited (S*) for use in conditions obtained in:

Earthquake
Y

S*

S*

S*

S*

S*

Flood
Cyclone
Heavy wind / storm
Lashing rain

** eg Delhi, Jaipur @ eg Chennai, Mumbai, Kozhicode) # eg Thiruvananthapuram, Puri, Tezpr, Silchar

+ eg Mussoorie, Ootacamund, Srinagar, Shillong
6

Snow
Y

S*

S*

Fire

4.4

Has it been assessed by any user/organization ?

If yes list the organization(s)

4.5

5.

Indicate whether assessment was by lab testing or field trials

Lab testing / Field trials / Both

QUALITY ASSURANCE
5.1

Standards for the product (if they exist give number and title)
IS:

ISO

ASTM

Others (specify)

5.1.1

BS

List below any additional properties, not covered / specified in the

Specifications listed in 5.1 above, built in by you into the product

5.2 Have you formulated your company standards related to the product ?
For the raw materials
Y

For component

For the final product

Guiding manuals/ pamphlets for the use
of the product (Attach, if you have)

5.3 Are testing facilities available in the country.?

If yes list 2 organizations
__________________________________________
________________________________________

5.4

Availability of test facilities with you

No / Partial / Full

If No or Partial do you have access on regular basis to facilities for complete

Testing
Y

5.5

Do you operate the BIS certification scheme (ISI mark) for

the product for which you are applying ?
Y

Has BIS ever rejected your application and when?

5.5.1

Does any other manufacturer of the product operate the

BIS certification licence for ISI mark ?
Y

5.6

Do you use quality assurance methods eg. as in ISO 9000 family

of standards ?
Y

If yes do you have a documented quality assurance system ?

Y
8

SOCIAL ASPECTS
6.1

Environmental aspects
Attach a brief note on the environmental aspects of your machine, if any
( For points that may be considered see 5 of Annex)

6.2

Energy consumption / conservation / efficiency

Attach a brief note on the Energy consumption / conservation / efficiency
aspects of your product, if any
( For points that may be considered see 6 of Annex)

6.3

User benefits
Lowers cost of construction

Speeds up construction considerably

Reduces maintenance cost

Reduces life-cycle costs

Easy to maintain
Easy replaceability
6.4

Regulatory requirements
List Acts, Rules, Regulations relating to Town Planning ,Fire Safety,
Environmental Protection and Control, Pollution Control, Building Bylaws etc
of the central, state govt. and local bodies applicable to the product in
manufacture ,installation and use.

6.5

Training needs
Is specialized training needed for

Are training facilities

Available?

installing your product

using the product

maintaining the product

Attach related manuals / pamphlets if available

7

SCOPE OF ASSESSMENT
What in your view the scope of assessment should be for your product?

ANY OTHER INFORMATION

Provide any additional information you may want to:

SEAL
SEAL

1.

Abbreviations:
NA
CEO
IS
ISO
BS
ASTM

2.

Authorized signatory of applicants organization with name,

designation and date

=
=
=
=
=
=

Not Applicable
Chief Executive Officer
Indian Standards issued by BIS
ISO Standards issued by International Organisation for Standardization
British Standard
American Society for Testing and Materials.

To be submitted in duplicate.

10

Annex
Following information , if provided with your application would help in expediting the
processing of your application:
Note: Item number given in brackets refers to the relevant item in the Preliminary Application Form

Flow chart of production / assembly / process ( Item 2.3 )

Test methods for additional properties built- in by you into the product (Item 5.1.1 )

Indicate the test methods used / data collected for comparing energy consumption /
conservation / efficiency giving the name of the organization which evaluated your
product in these aspects ( Item 6.2 )

Indicate the results of any energy audit that you may have conducted to establish
energy consumption aspects of your product ( Item 6.3 )

6.1

Environmental aspects

6.1.1 Do you use waste materials?

Y

6.1.2 Are any special requirements needed

for disposal of the product after its life?

6.1.3 Is the product recyclable?

6.1.4 Pollution control:
Do you use pollution control
measures in manufacture
NA

NA

NA

NA

Does your product require any pollution

control systems while in use

for
AIR

NA

NOISE

NA

WATER

NA

SOIL

NA

11

NA

NA

GREEN
HOUSE EFFECT
OZONE LAYER
DEPLETION

NA

NA

6.1.5 Please provide any additional information you may have on environmental
friendliness of your product (Attach notes as Annex, if space is insufficient)

6.2

Energy consumption / conservation / efficiency

6.2.1 Compare the energy consumption / conservation / efficiency (

qualitatively / quantitatively ) with other similar products for the same end use,
both in the manufacture of the product and the use of the product

Reduced energy inputs/consumption over other products which perform the

same function
In manufacture
NA

NA

NA

In Use
ELECTRICITY

NA

COAL

NA

PETROLEUM
BASED FUEL

NA

Others (Specify)

6.2.2 Conservation ( compared to similar product for the same end use)
In manufacture

In use of the product

NA

WATER

NA

NA

SOIL

NA

Others (Specify)

12