Professional Documents
Culture Documents
For correspondence :
Factory :
(if outsourced, attach details)
Month
Sl. Brand Item Description & Year Market Exports Warranty
No & Model No. of Launch in Share if any Period
Civil Market
Units Value
Undertaking
It is certified that information rendered in the application form & enclosures is correct to the
best of my/our knowledge. In case of any incorrect information rendered/deviations found
thereto at a later stage which may adversely affect the departments interest, it will be the
manufacture/ suppliers responsibility and the item will become liable for deletion and firm will
be black listed.
Signature of supplier/
Person authorised _____________________
Name: ______________________________
STAMP
Designation: _________________________
Date: ________________
Name of Firm: ________________________