AFD-IMS-02-15-F-04 Amulfed Dairy, Gandhinagar (: A Unit of Gujarat Co-Operative Milk Marketing Federation LTD.)

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AFD-IMS-02-15-F-04

AMULFED DAIRY, GANDHINAGAR


(A UNIT OF GUJARAT CO-OPERATIVE MILK MARKETING FEDERATION LTD.)

VENDOR REGISTRATION FORM


(FOR AUTHORIZED, DISTRIBUTORS/DEALERS/STOCKISTS, TRADERS, SERVICE PROVIDERS)

1. Category Item/Service for :


which registration is sought

2. Name of Firm :

3. Address of Reg. Office :

E-mail :

Phone (with STD Code) :

4. (a) Name of Contact Person :

(b) Status of the firm :


(Outside Gujarat, If any)

5. In case, Partnership firm :

(a)

(b)

(c)

6. If Proprietary Concern – Name :

7. If Private/Public Ltd. Co. :

(Memorandum of Association to be enclosed)

8. Year of Establishment of the firm:

9. Category of items handled by you and their details :

Item catg. Size Make Manufacturer Name of Agency

(Enclose a copy of Dealership/Agency approval letter from manufacturers)

10. Name and address of the dealer / depot from where you get delivery of item offered to us :

11. Please enclose details of Manufacturer of the products offered to us :


12. GST No. :

13. PAN No :

14. Excise Reg. No. :

(Please enclosed Photocopies of above registration certificates)

15. Last 03 Years Sales (Business) of your firm (Avg. in Rs. Lacs): I

(From to ) Rs.

II (From to ) Rs.

III (From to ) Rs.

16. List of leading buyers from you for the products (services) offered to us

17. Item Category Name and address of buyer Annual business (Rs. Lacs)

18. Name of Bankers

19. IT Clearance certificate no. and date (Enclose a copy)

20. Latest annual report/ Auditor’s Certificate

21. In case you are/were a supplier / service provider to co-op. dairies in Gujarat, please mention

(If yes then attach purchase order copy with this form)

(a) Name of dairy

(b) Item supplied

(c) Quantities supplied per year

22. If the business is discontinued with any of the reasons :

23. Whether any of your relatives are working with us or with our member dairies, if so, details

24. Please enclose product catalogs, specification, standard price list etc. for the item category being offered to us.

25. FSSAI No (If applicable) - Valid From _ Valid Upto


_

Kindly attach a copy of the same.

26. Any other information you would like to furnish to us.


DECLARATION
THE ABOVE INFORMATION IS TRUE IN ALL RESPECTS AND WE UNDERTAKE TO INFIRM YOU IF ANY CHANGE IN THE ABOVE

PARTICULARS REGARDING OUR BUSINESS FROM TIME TO TIME.

PLACE : SIGNATURE OF AUTHORISED REPRESENTATIVE

DATE : OF THE FIRM UNDER PROPER SEAL

_ _ _ _ _ _ _

FOR OFFICE USE

VENDOR NO:

INFORMATION RECEIVED IS FOUND TO BE SATISFACTORY

ENDORSED BY RECOMMENDED APPROVED

PURCHASE EXECUTIVE TEAM LEADER GENERAL MANAGER


PURCHASE

CHECKLIST OF DOCUMENTS TO BE SUBMITTED

COPY OF PAN CARD

COPY OF GST REGISTRATION

COPY OF BALANCE SHEET OF LAST THREE YEARS

COPY OF TIN REGISTRATION

COPY OF MSMED REGISTRATION

COPY OF INCOME TAX RETURN OF LAST THREE YEARS

COPY OF ISO CERTIFICATIONS (IF ANY)

COPY OF SERVICE TAX REGISTRATION

PLEASE SEND THE FILLED FORM ALONG WITH ALL DOCUMENTS AS MENTIONED ABOVE TO THE
FOLLOWING ADDRESS:
GENERAL MANAGER

AMULFED DAIRY,
(A UNIT OF GCMMF LTD)
PLOT NO 35,
Nr. INDIRA BRIDGE,
AHMEDABAD-GANDHINAGAR HIGHWAY,
P.O. BHAT- 382428
GANDHINAGAR

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