BILMAT ENGINEERING

Postal address with Telephone, mobile, fax nos. and email ids
352,353 G.I.D.C, INDUSTRIAL ESTATE POR, RAMANGAMDI VADODARA -391243, GUJARAT
a ) Head Office/Registered Office
352,353 G.I.D.C, INDUSTRIAL ESTATE POR, RAMANGAMDI VADODARA -391243, GUJARAT
c ) Factory
352,353 G.I.D.C, INDUSTRIAL ESTATE POR, RAMANGAMDI VADODARA -391243, GUJARAT
3 . Registration is sought as
MANUFACTURER
b ) No. of workers employed
100
c ) No. of staff employed
25
d ) List of machinery in your factory(ies)
Enclosed
e ) List of testing facilities at your end
Enclosed
a ) Are you a sole dealer/distributor or Regional dealer/distributor. State territories held and attach copy of valid authorized
Not applicable
b ) Whether you are usually holding ample stock of item(s) for which registration is sought
Not applicable
c ) Whether you have adequate facilities for after Sales Services, give details
Not applicable
a ) Whether you always hold adequate stock of the items for which registration is sought
Not applicable
b ) Whether you have adequate facilities for after sales service, give details.
Not applicable
7 . Whether firm is ISO certified or any other certification, mention details and documentary evidence
8. Group of Items/service for which registration is sought <a href="sites/default/files/ANNEXURE_c.pdf" target="_blank">(Refer Annexure-C for Group details)</a>
VI
9. Letter of authority from OEM as dealer/distributor with details of dealership/distributorship, if applicable
a ) if a Limited concern, name & addresses of Directors & Managing Director
Proprietorship
b ) If Single Owner, name & addresses of Proprietor & Manager, if any
Mr. Dipak Patel
Registered Options
(iv) Indian Factories Act.
Upload duly signed and stamped letter containing above additional information
12. Sales Tax Registration No. (attach copies of GST Certificates)
13. Are you registered under NSIC and submit NSIC registration as a proof
14 . Are you registered under MSME and submit “Udyam Registration Certificate” as a proof
15 . Are you on the list of approved/registered supplier in Dept. of Atomic Energy or any of its units/any Govt./Semi-Govt. dept./GeM (Govt. e-Market)
16 . Bankers Name, address, Account no
Declaration
Sr. No. Name Position(Whether Proprietor, Partner or Share Holder) Contact Details Email ID/Phone Number
1 Dipak Patel Proprietor dipak@bilmatengg.com
2 Ravi Patel Manager ravi@bilmatengg.com
3 Ankita Thapliyal Manager ankita@bilmatengg.com
Place :
Vadodara
Signature with Official seal
For Bilmat Engineering
Enclosure to registration form
Brief description of materials for which registration is sought Whether you are manufacturer, dealer or distributor or Stockist. If Dealer/distributor give manufacturer’s territory represented If Dealer/Distributor/Stockist, Name and address
CONDUICT MANUFACTURE NA
CABLE TRAYS MANUFACTURE NA
EARTHING MATERIAL MANUFACTURE NA
GALVANISED TRANSMISSION TOWERS MANUFACTURE NA
STRUCTURES MANUFACTURE NA
Upload duly signed and stamped letter containing above additional information
Declaration

a.We (name of the firm) do hereby declare that the entries made in this application are true to the best of our knowledge.

b. We also declare that all the material/documents provided by ITER-India, IPR shall be treated as CONFIDENTIAL and no information shall be passed on to any unauthorized person/firm without written permission of ITER-India, IPR

c. We also undertake to inform all subsequent changes affecting the accuracy of the answers given in this registration form will be promptly communicated to your organization

d. Ms/Mr. whose signatures are given below is an authorized representative of this firm

a. We
BILMAT ENGINEERING
d. Ms/Mr.
Ravi Patel
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