Application Id - 26604/062017

Registration Form for Empanelment with Food Corporation of India & Mjunction
(service Provider) for purchase of Food grain under OMSS(D)
________________________________________________________________________
The Registration Form for Empanelment is to be signed by the authorized signatory of the interested
organization.

1. Details of Empanelment fees:

a) A Non Refundable bidder registration fees of Rs 1000/- (One thousand Rupees only)
should be deposited. The registration is valid for 1 year.
b) Mode of Payment:
I. Bank a/c details for deposition of Bidder Registration fees by CASH:
Beneficiary Name MJUNCTION SERVICES LIMITED
Bank Name Indusind Bank
Bank account number 201001140621

II. Bank a/c details for deposition of Bidder Registration fees through NEFT:
Beneficiary Name MJUNCTION SERVICES LIMITED
Bank Name Indusind Bank
Bank account number ZMJFCI1234
IFSC code INDB0000015

III. Bidder can deposit Registration fees through DD/PAYORDER, drawn in favour
of “mjunction services limited” payable at Kolkata.

c) Proof of payment:
Following document will be treated as proof of payment:

Proof of Document to be Submitted at our FCI

Mode Of Payment HELPDESK
Cash Deposit Original Deposit slip of the payment.

Transaction details along with UTR No. on duly signed &

NEFT stamped letter-head.

Demand Draft Original Deposit Receipt copy of the payment.

Deposit Receipt copy of the payment (*Link is available on the

Payment Gateway website).

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 2. Below mentioned Documents and the Registration Form need to be submitted (Self-attested
hard Copy) to mjunction services ltd for Empanelment under OMSS(D) with FCI at the following
address:

FCI HELPDESK

mjunction services limited

Godrej Waterside, Tower-I, 3rd floor
Plot No. 5, Block-DP, Sector-V,
Salt Lake City Kolkata - 700091 WB
Helpline Number: 1800 102 7136

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A. Following documents are required for empanelment as Bulk Consumer/ Trader of
Wheat.

1. Self-attested copy of the current VAT/Trade Tax Registration.

2. Self-attested copy of PAN issued by Income Tax Department.

3. Self-attested copies of the Registration Certificate (RC) under State VAT Act and
latest annual/quarterly/monthly VAT return.
In case of newly established firm or the existing firms which have recently started to
deal in the business of Wheat, copy of the application submitted with the Tax
authority to include Wheat in the Registration Certificate (RC) under VAT Act is to be
furnished.
The VAT return shall evidence that the firm is dealing in the business of Wheat,
failing which the firms shall submit copy of additional documents, to evidence that the
firm is dealing in the business of Wheat such as attested copy of latest Annual
balance-sheet and profit & loss account duly audited by a chartered accountant.

4. An Undertaking on a stamp paper of Rs 100/- that the Wheat, so purchased from

FCI under OMSS (D) will be utilized domestically and will not be exported by the bidder.

5. In addition to above documents, following types of firm are required to submit

additional attested copy of documents mentioned below:

Type of Firm Additional Documents Required for empanelment

Proprietorship Firm/ HUF 1. Firm’s Cancelled Cheque.
1. Firm’s Cancelled Cheque.
2. Partnership Deed.
Partnership Firm 3. Special power of Attorney on a stamp paper of Rs 100 by
all the partners for authorizing a person who will be dealing
with FCI & Mjunction.
1. Firm’s Cancelled Cheque.
2. Memorandum and Articles of Association
Limited Company 3. Resolution by board of Directors for authorizing a person
who deals with FCI & Mjunction.

State/UT Government want to participate in the E-auction under OMSS(D) (Wheat) are
required to submit Authorization Letter from the competent authority containing the details
of the nominated officer who will deal with Mjunction & FCI for obtaining User ID and
Password of online platform from Mjunction service Provider appointed by FCI.

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B. Following documents are required for empanelment as Bulk Consumer/ Trader of
Rice.

1. Self-attested copy of the current VAT/Trade Tax Registration.

2. Self-attested copy of PAN issued by Income Tax Department.

3. Self-attested copies of the Registration Certificate (RC) under State VAT Act and
latest annual/quarterly/monthly VAT return.
In case of newly established firm or the existing firms which have recently started to
deal in the business of Rice, copy of the application submitted with the Tax
authority to include Rice in the Registration Certificate (RC) under VAT Act is to be
furnished.
The VAT return shall evidence that the firm is dealing in the business of Rice,
failing which the firms shall submit copy of additional documents, to evidence that the
firm is dealing in the business of Rice such as attested copy of latest Annual
balance-sheet and profit & loss account duly audited by a chartered accountant.

4. An Undertaking on a stamp paper of Rs 100/- that the Rice, so purchased from FCI
under OMSS (D) will be utilized domestically and will not be exported by the bidder.

5. In addition to above documents, following types of firm are required to submit

additional attested copy of documents mentioned below:

Types of Firm Additional Documents Required for empanelment

Proprietorship Firm/ HUF 1. Firm’s Cancelled Cheque
1. Firm’s Cancelled Cheque
2. Partnership Deed
Partnership Firm 3. Special power of Attorney on a stamp paper of Rs 100 by
all the partners for authorizing a person who will be
dealing with FCI & Mjunction

1. Firm’s Cancelled Cheque

2. Memorandum and Articles of Association
Limited Company 3. Resolution by board of Directors for authorizing a person
who deals with FCI & Mjunction.

State/UT Government want to participate in the E-auction under OMSS(D) (Rice) are required to
submit Authorization Letter from the competent authority containing the details of the nominated
officer who will deal with Mjunction & FCI for obtaining User ID and Password of online platform
from Mjunction service Provider appointed by FCI.

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 3. On receipt of duly completed Self-attested hard copies of Registration Form and above
mentioned required documents for empanelment with FCI and Mjunction (for purchase of
Food-grains under OMSS(D)), Mjunction services limited shall verify & evaluate your form and
documents.

After receipt of Registration Fees and due verification of your documents (If found in order),
User ID & Password will be conveyed on the registered e-mail ID as filled by the buyer in the
registration form for empanelment.
Further, if registered buyer requires any training he/she can contact our Helpdesk number or
Nodal Officers.

Helpdesk Contact No: 1800 102 7136

Link for Training Document download: Training Document

Contact our Nodal officers:

FCI Regional Name Mobile Email Id

Office Number
Delhi Mr. Praveen Kumar 9717010458 praveen.kumar@mjunction.in
Punjab Mr. Harjinder Singh 9216960169 harjinder.singh@mjunction.in
Haryana Mr. Sunil Godara 8860213795 sunil.godara@mjunction.in
MP Mr. Santosh Baghel 9713071339 santosh.baghel@mjunction.in
J&K Mr. Harjinder Singh 9216960169 harjinder.singh@mjunction.in
HP Mr. Taranjeet Singh 9358164276 taranjeet.singh@mjunction.in
Rajasthan Mr. Virendar Dhaniya 9958001157 virender.dhaniya@mjunction.in
Uttar Pradesh Mr. Vikas Sonkar 9794002333 Vikas.Sonkar@mjunction.in
Uttarakhand Mr. Taranjeet Singh 9358164276 taranjeet.singh@mjunction.in
West Bengal Mr. Madan Mohan Mishra 8336925994 madan.mishra@mjunction.in
Bihar Mr. Madan Mohan Mishra 8336925994 madan.mishra@mjunction.in
Jharkhand Mr. Somnath Mukherjee 9937065924 somnath.mukherjee@mjunction.in
Orissa Mr. Sushant Das 7328820747 susant.das@mjunction.in
Maharashtra Mr. Vinod Yadav 9920516150 vinod.yadav@mjunction.in
Chhatisgarh Mr. Kamlesh Ghode 9009777860 kamlesh.ghode@mjunction.in
Gujarat Mr. Deepak Macwana 9558122577 dipak.macwana@mjunction.in
Tamil Nadu Mr. S. Raghavendra 9840935953 s.raghavendra@mjunction.in
Andhra Pradesh Mr. P. Manikanta 9642188871 pennam.gupta@mjunction.in
Karnataka Mr. Kaviraj P 9986445455 kaviraj.p@mjunction.in
Kerala Mr. S. Raghavendra 9840935953 s.raghavendra@mjunction.in
Assam Mr. Sanjay Gopal Singha 9163348269 sanjoy.singha@mjunction.in
N&M Dimapur/ Imphal Mr. Sanjay Gopal Singha 9163348269 sanjoy.singha@mjunction.in
Arunachal Mr. Sanjay Gopal Singha 9163348269 sanjoy.singha@mjunction.in
NEF Shillong Mr. Sanjay Gopal Singha 9163348269 sanjoy.singha@mjunction.in

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 Firm Details:

Name of the Firm testBidder21

Type of Firm Proprietorship Firm

Business Activity Roller Flour Mills

City VISAKHAPATTANAM

State ANDHRA PRADESH

PIN Code 996424

EMAIL testfci@dd.com

Registered Address dasdasd

Contact Persons Details:

Name MR DebajyotiTest dfgfdg

Designation dddd
Mobile No. 1 7894563214
Mobile No. 2 7894563214
Landline No. 3333333333
Fax No. 7894563214
e-mail address 1 testfci@dd.com
e-mail address 2 testfci@dd.com

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I am interested in Purchase of following selected foodgrains from FCI
under OMSS(D) Scheme
Wheat

VAT/ TIN NO. SDGFFDH435Q

PAN BKUPD6391N
CST NO
Bank Account Number of Firm 2342343
Bank IFSC CODE HDFC0266666
BANK ADDRESS yuiiyu

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 Agreement

I /We ………………………………………………
………………………………………………….
Son/daughter of …………………………………………………
Resident of …………………………………………………...
……………………………………………………
Having my/our business at………………………………………………………
……….………………………………………………
Agree as below:

1. I/We confirm that the information furnished by me/us to mjunction services limited are all true and correct
to
the best of my/our knowledge and belief and no material facts have been concealed by me/us. I am
competent and authorized to enter into agreements on behalf of my firm.

2. I/We hereby understand and agree that the responsibility of preserving and maintaining the confidentiality
and secrecy and security of my/our Login ID and transaction password (as also that of “secret question”/
“secret answer” combination) solely rests upon me/us and I/We shall be solely responsible for any
breach/loss in this respect. I/We also understand and agree that without authorized written instructions
from me/us, new password shall not be re-issued by mjunction services limited.

3. I/We agree to continually change the password (as also that of “secret question”/ “secret answer”
combination) and keep it confidential. I/We agree that mjunction shall not be held responsible in any way
for any loss that may by suffered by me/us as a result of disclosure of the password to any other person.

4. I/We agree and undertake to ensure that the safety, security, data integrity service or any other
facts/information of auction is not compromised with anyone else.

5. I/We understand and agree that mjunction services limited shall not be liable for any inappropriate list send
by
the seller.
6. I/We agree that mjunction shall not be liable/responsible for any interruption in e-selling auction service
caused by any means.

7. I/We confirm to have read the specific terms and conditions that are displayed on mjunction website
regarding
the auction event. I/We agree to strictly abide by any and all the Terms and Conditions displayed on the
mjunction website. We hereby agree to allow mjunction to track our IP address, Media Access Control (MAC)
address and geolocation whenever we participate in any auction on the mjunction auction platform. We are
also agreeable to install the necessary apps in the devices we use for log in and bidding in mjunction auction
platform to enable tracking of the Media Access Control (MAC) address and geolocation.

8. I/We understand and agree that all voice communications made by me/us with the auction room of
mjunction
are recorded and kept for future reference and action, if necessary. I/We further agree and confirm that any
and all such verbal communication and instructions passed by me/us shall constitute a valid communication
and shall be treated as valid contractual obligation cast on me/us to ratify such communication/instruction in
writing as and when required by mj.

9. In no event mjunction shall be liable to the customer for any loss or damage whatsoever or howsoever
caused arising directly or indirectly in connection with the Services and/or this Agreement, including without
limitation any: -
(i) Loss of data;

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 (ii)Interruption or stoppage to the Customer’s access to and/or use of the online market/exchange (website
portal); Arising out of the performance of the Services or otherwise

10. Mjunction expressly excludes liability for consequential loss or damage or loss of profit, business, revenue,
goodwill or anticipated savings, which may arise in respect of the Services
11. I/We understand and agree that Mjunction makes no warranty, representation or promise not expressly set
forth in this agreement.Mjunction disclaims and excludes any and all implied warranties of merchantability,
fitness for a particular purpose and noninfringement, except as expressly set forth herein. Mjunction makes no
warranty with respect to any software, product, configuration or system tested, analyzed or reviewed by
mjunction and does not warrant that they are without defect or error, except as expressly set forth herein.The
results, data, performance, and information reported or disclosed by mjunction in connection with the
services or this agreement are not warranted and customer bears all risks of reliance thereon.
Mjunction does not warrant that any results, data, performance or information can be reproduced, repeated or
verified (i.e., they may vary).Except as expressly set forth herein, the methodologies, equipment, software,
practices, procedures, and technology used by mjunction in connection with the services are not warranted;
and except as expressly set forth herein there shall be no claim against mjunction based on any of the
foregoing ;or any alleged or actual inadequacy, malfunction, defect, or incompleteness of or in the foregoing

12. I/We agree to ratify all the acts of mjunction carried out in good faith and will keep mjunction indemnified,
defend and hold mjunction harmless from any and all claims, costs, liabilities, judgments, expenses or damages
(including reasonable attorney’s fees) arising out of any breach or alleged breach of this agreement,
performance of the obligations hereunder, or any representation or misrepresentation made by with regard to
the subject of this Agreement.

13. I/We agree and undertake not to resort to any activity (ies) having the impact or causing interference to the
system (hardware, software, Internet related application, servers etc.) I/We understand that mjunction strictly
forbids me/us from indulging in any of the cyber crime activities including, but not limited to (a) unauthorized
access(b) e-mail bombing (c) data diddling(c) Salami attack (d) internet time theft (e) logic bomb (f) virus/worm
attack (g) Trojan attack (h) distributed denial of service attack (i) denial of service attack(j) email spoofing (k)
cyber pornography(l) intellectual property crime (m) cyber stalking.
14.I/We agree to submit ourselves for resolution of any disputes with mjunction in the manner as
prescribed herein below:
Arbitration, Governing Law & Jurisdiction

(a) Arbitration
Dispute or differences arising out or relating to this undertaking/Agreement shall be resolved amicably by the
parties.

Failing such amicable resolution of dispute / differences either party may refer the matter to arbitration of a
Sole Arbitrator to be appointed by the Managing Director of mjunction services limited.
The Arbitration proceedings shall be governed and regulated by the provisions of Indian Arbitration and
conciliation Act, 1996 and the rules framed there under alongwitrh amendment made thereto up-to-date. The
award of the Arbitrator shall be final, binding and conclusive on the parties. The venue for arbitration shall be
at Kolkata.

(b) Governing Law: This Agreement is construed and shall be governed in accordance with the laws of
India without giving effect to any principle of conflict of law.

(c) Jurisdiction: The Courts at Calcutta shall have exclusive jurisdiction.

15. I/We undertake, upon granting of registration, not to indulge in any anti-competitive agreements, specially "bid
rigging" which has the effect of eliminating or reducing competition for bids or adversely affecting or manipulating
the process for bidding.

16. I /We agree not to enter into a combination which causes or is likely to cause an appreciable adverse effect on

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competition within the relevant market in India and such a combination shall be void and on the event of such
happening the registration (“User-ID & Password” ) so granted by MJ shall stand cancelled ipso facto and further
be liable to be tried under the relevant provisions of 'The Competition Act, 2002' without any further reference.

17. mjunction doesn’t deal with physical currency notes for any services/ product offerings and for any such
dealings in physical currency notes with any employee and/ or representatives of mjunction shall be at your own
risk and consequences, and for which mjunction services ltd will not be liable including loss suffered due to such
unauthorized transactions and therefore deny fulfilment of services/ products in lieu of such transactions.

Signed & Stamped by Authorized Signatory Date Place

_x______________x_______________________ x__________________x_____________x____________x_

For Internal
Use only

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