ACC Limited

Cement House, 121, Maharshi Karve Road,

Mumbai - 400020

VENDOR REGISTRATION FORM

ADDRESS
Name of the Vendor
Address of Head Office
Street
City
State
Pin Code
Telephone
Fax
Email-id
Company Web Site (if any)
Name and Designation
of Contact Person (s)
1-
2-

Address of Branch (If any)
Street
City
State
Pin Code
Telephone
Fax
Email-id
Name & Designation of Contact Person

Address of Factory / Factories / Subsidiaries / Sister Concerns (If any)
Street
City
State
Pin Code
Telephone
Fax
Email-id
Name & Designation of Contact Person
Address of R& D Department (if any)
Street
City
State
Pin Code
Telephone
Fax
Email-id
Name & Designation of Contact Person

Please use separate sheets if required
ACC Limited
Cement House, 121, Maharshi Karve Road,
Mumbai - 400020


ORGANIZATION DETAILS
Status of Organisation
Tick () below appropriate option.
Public/Proprietorship/Partnership/Pvt.Ltd
Name of Business (Trading / Manufacturing /
Representation / Commission Agents)
If you are a small-scale industry, your
Registration No.

Year of Establishment
Name & Address of the Owner / Partners / Directors










Is this company independently owned and
operated whereas the Management owns
at least 51% and is responsible for both
daily and long-term operations?

Yes No
Are you declared ancilliary industry to any
major industrial unit? Tick () below appropriate
option.
Yes No
If Yes please furnish details.



Collaborations Details (Foreign & Local) (If
any)



Is this company registered to do business
in India?

Yes No
Details of Corporate Social Responsibility (CSR) undertaken






Amount Spent on CSR :

ACC Limited
Cement House, 121, Maharshi Karve Road,
Mumbai - 400020



Name & addresses of your bankers.






MICR Code / Bank key
Bank Branch
Bank Account No.
PAN No.
ECC No.
Excise Registration No.
Excise Division
Excise Collectorate
CST No.
LST No.VAT(TIN)
Service Tax Registration No.
Sales Tax No.

FINANCIAL DETAILS OF
LAST FIVE YEARS
Current
Year to
Date
2004-05 2003-04 2002-03 2001-02
Annual Turnover Rs. Lakhs
PBIT
PAT
Total Investment
Please furnish copy of latest Income Tax Clearance Certificate

SERVICE DETAILS OF ORGANISATION
Describe firms major field(s) of Operation/Product
range.




Installed Capacity


Average Monthly Production


Sources of major Raw Materials


Value of average raw materials inventory maintained


Is Sub Vendor approval carried out by you for your
vendors?

ACC Limited
Cement House, 121, Maharshi Karve Road,
Mumbai - 400020



Make/Type / Value of machines used.
Please attach details.


Manufacturing facilities available at work place.
Please attach details.



Do you have separate Inspection Cell?
Inspection & Testing facilities available at work.
Please attach details.



Quality Control is responsible to whom?
Name of third party inspection agency you deal with
J obs undertaken will be done at your premises or
sub contracted?
At own
premises
Sub Contracted
In case sub contracted, name & address
of sub contractor.



Are you catering to the requirements of any of our
Office / Works? If yes, give details.










List of major clients with whom you are registered as
approved Vendor (minimum 3 with contact persons
and phone numbers including cement industries if
any).










Is your organisation certified with any Quality control
body (like ISO/ISI/etc). If yes, please provide details
& copies of valid certificates.





ACC Limited
Cement House, 121, Maharshi Karve Road,
Mumbai - 400020


EMPLOYMENT DETAILS (ORGANIZATION STRUCTURE)
Total No. of Employees (Including at Head Office,
Branches, Factories, Subsidiaries, Sister Concerns,
R&D Centres etc)


Administrative (Managers)
Engineers
Supervisors
Workers Permanent
Workers Temporary



DECLARATION BY VENDOR


I confirm that,

The information furnished above is correct to the best of my knowledge and belief.






----- ----------------------------------
(Signature of Proprietor/Partner/Chief Executive)


.
Name
(In Capital Letter)


Place :

Date : . ..

(Seal of Vendor)