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    Supplier Registration Form - Sintex BAPL LTD

    Uploaded by

    shyamrao
    Sintex supplier form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Supplier Registration Form - Sintex BAPL LTD

    Uploaded by

    shyamrao
    46 views3 pages
    Sintex supplier form

    Original Title

    Supplier Registration Form - Sintex BAPL Ltd (1)

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Sintex supplier form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    46 views3 pages

    Supplier Registration Form - Sintex BAPL LTD

    Uploaded by

    shyamrao
    Sintex supplier form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 3

    F1-SP – 1 (QS – 7.

    4) R1
    SINTEX – BAPL LTD.
    Plant Office : Kalol (N. Gujarat) 382 721 (India)
    Phone : +91 – 02764 253500
    Fax : +91 – 02764 253800
    E–mail : plastics@sintex.co.in

    Supplier Registration Form


    (Please fill this form and attached all supporting documents)
    Name of the Supplier :
    Year of Establishment :
    Item Proposed to be supplied :
    Postal Address (with supporting documents)

    Office Factory

    Street Street

    City City
    State State
    PIN No. PIN No.
    E-Mail E-Mail
    Contact Per. Contact Per.
    Ph. No. Ph. No.
    Mob. No. Mob. No.
    Fax No. Fax No.

    Name/s of the Contact Person/s with Designation (in order of seniority) one each from Purchase, Sales, Production &
    Quality Assurance Department
    Sr. Name Department Designation Mobile No.
    1
    2
    3
    4

    Main Products Manufactured by the Company or Business activity of Company

    Page 1 of 3
    F1-SP – 1 (QS – 7.4) R1
    SINTEX – BAPL LTD.
    Plant Office : Kalol (N. Gujarat) 382 721 (India)
    Phone : +91 – 02764 253500
    Fax : +91 – 02764 253800
    E–mail : plastics@sintex.co.in

    No. of Personnel Employed: Managerial / Supervisory / Staff / Workers / Total

    Admin. / Per. Mktg. / Pur. Prod. / Mnt. Quality Worker Other Total

    Total Turnover Per Annum for the Last 3 Years

    1st Year 2nd Year 3rd Year

    Major Clients of the Vendor with Items Supplied


    Sr. Name of the Clients Main Item/s Supplied
    1
    2
    3
    4

    Tax Detail (with supporting documents like as PAN card copy, LST, CST, GST Reg. copy and all other certificates)

    PAN No. Service Tax No.


    Sales Tax No. Excise Reg. No.
    Central ST No. Excise Range
    GST Reg. No. Excise Division
    SSI Reg. No. Excise Comm.

    Bank Detail (with supporting documents like as Cancelled cheque copy)


    Bank Name
    Branch Name
    Account No. IFSC Code
    Account Type

    Any Quality System / Self Certification obtain by the Supplier


    Sr. Particulars

    1
    2
    3

    Page 2 of 3
    F1-SP – 1 (QS – 7.4) R1
    SINTEX – BAPL LTD.
    Plant Office : Kalol (N. Gujarat) 382 721 (India)
    Phone : +91 – 02764 253500
    Fax : +91 – 02764 253800
    E–mail : plastics@sintex.co.in

    Weather already in the approval list of Vendor of Sintex : Yes / No.


    If “Yes”, Date of last Approval :
    Technical Detail :
    List of Manufacturing and testing facilities existing – As per Annex – I
    List of Inspection Equipment / Measuring Instruments existing – As per Annex – II
    Declaration:
    1. We are committed to ensure that working conditions in our company are safe, that workers are treated with
    respect and dignity, and all manufacturing processes are environmentally responsible. We commit all our
    activities; operate in full compliance with all the laws, rules, and regulations of our country.
    2. We hereby declare details of our other group companies;
    Sr. Name of company & location Type of Business
    1
    2
    PS: Attach separate document to furnish additional details if required.

    3. We ensure that we do not engage in any type of unfair / proxy competition through any of our related
    company / business entities listed above or through any other way.
    4. We hereby declare that, we are not connected directly or indirectly with employee, any consultant or agent in
    any form with SINTEX and it’s subsidies.
    If Yes, Provide the Detail . :
    5. We hereby declare that the details furnished above are true and correct to the best of our knowledge. In case if
    any of the details found to be false or untrue or misleading or misrepresenting, I am aware that I may be held
    responsible for it.

    Date Sign. With Designation

    ------------ -------- -------- - ------------ -------- --- Office Use Only - -------- -- ------------ -------- -------- - ----

    Source of Information :-
    Registration No. :-
    Registration / Activation / Modification Date:-

    Applicant Sign. Finance Dept. Sign. Authorized Sign.

    Page 3 of 3

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