FORMAT FOR BUSINESS ASSOCIATE  EMPANELMENT

 

                                                                                                                                                ANNEXURE -I

 

S.N

Ref No:

Date:

 

 

Compliance

1

Name of the organization(company/partnership firm/Proprietorship concern, etc.)

 

2

Certificate ref. of registration

 

 

3

Date of Incorporation/Registration

 

 

4

Type /Nature of Business for which firm is registered

 

 

5

Sales Tax Registration number.

 

 

6

Service tax registration  & code number

 

 

7

GST registration no

 

8

PAN

 

 

9

IT return filed up to

 

 

10

Annual turn over for last 3 Financial Years As per audited accounts.

 

 

 

a)Year_________________

 

 

 

b)Year__________________

 

 

 

c) Year___________________

 

 

11

 

Annual profit For last 3 financial Years for Audited accounts.

 

 

 

a)Year_________________

 

 

 

b)Year__________________

 

 

 

c) Year___________________

 

 

12

Net worth as per audited accounts for last financial year.

 

13

 Solvency certificate issued during the last six months( to be submitted)

 

14

Past experience of handling projects/works(Business category –wise

Copies of Pos completion/appreciation letters.

 

 

a) Amount and details of PO received

 

 

 

b) Amount and details of PO Executed/completed along with completion certificates

 

15

Previous experience with ITI limited

 

16

Product/ Project wise business projection for the next two years

 

 

17

Acceptance for submitting tender fee, EMD, PBG (if required)

 

18

Acceptance for all terms and conditions of customer on back to back basis.

 

19

Additional credit period to ITI , if any, from the date of payment received from customer

 

20

Man power details

 

 

a) Technical

 

 

b) Non technical

 

21

List of service centers (enclose if more service centers are available.

 

22

The level of Inventory

 

23

Acceptance all the terms and conditions of this EOI

 

24

Validity

 

 

 

 

 

Date                                                                                                                      Signature

 

 

Seal of the company                                                                           Name and Designation.

 

 

 

 

 

 

DECLARATION

 

 

I/We hereby declare that all statements made in this application form for empanelment  of Business Associate  are true/complete and correct to the best of my/our knowledge In the event of any information  found false at any time, the purchase order   / work allotted on our firm deemed to be cancelled.

 

 

 

Date                                                                                                                      Signature

 

 

Seal of the company                                                                           Name and Designation.

 

Note :

  1. For any queries / clarifications feel free to contact us through our email ID :                    ro-hyd@itiltd.co.in .

 

2.      Terms and conditions for related tender / enquiry will be sent to you / Published in our web site for each enquiry / EOI.

 

LIST OF ENCLOSURES/CHECK LIST

 

  1. Copy of registration of unit( with partnership deed or memorandum articles)
  2. Copy of  Net worth Certificate.
  3. Copy of Sales Tax registration Certificate
  4. Copy of GST Registartion Certificate
  5. Copy of PAN card
  6. Copy of the latest balance sheet/annual report.
  7. Proof of annual turnover/financial capacity.
  8. Proof of experience details/credentials.
  9. Proof of experience with ITI/Public sector/Government/Corporate sector etc.
  10. Copy of solvency certificate.
  11. Copy of power of attorney of signing authority.
  12. Certification/awards received (if, any)

 

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