Postal address with Telephone, mobile, fax nos. and email ids
Regd. Office: Office Block, First Floor, Plot No. 237/2 & 3 Sub Plot No. A/25, Central Park Soc. G.I.D.C Pandesara, Surat 394221
Mobile No - 9376815005
Email ids - info@laxmipatiengineering.com, amit.khandelwal@laxmipatiengineering.com
Mobile No - 9376815005
Email ids - info@laxmipatiengineering.com, amit.khandelwal@laxmipatiengineering.com
a ) Head Office/Registered Office
Regd. Office: Office Block, First Floor, Plot No. 237/2 & 3 Sub Plot No. A/25, Central Park Soc. G.I.D.C Pandesara, Surat 394221
c ) Factory
Plot No. A/187, Makhinga, Palsana, Gujarat 394315
3 . Registration is sought as
FABRICATOR
a ) Floor area of Factory (ies) in square meters
35000
b ) No. of workers employed
200+
c ) No. of staff employed
40+
d ) List of machinery in your factory(ies)
Main store and material storage area Vertical Machining Centre – VF 9 Plate rolling and cone bending machine. Radial Drill machine Automatic welding stations and 200+ welding machines NDT Facilities EOT cranes of various capacity 500 tons Press Dual sourc
e ) List of testing facilities at your end
NDT, RT, UT, Mechanical and Chemical Testing
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>
IV
a ) if a Limited concern, name & addresses of Directors & Managing Director
Mr. Sanjay Sarawagi, Mr. Manoj Sarawagi, Mr. Rakesh Sarawagi. Address: Surat, Gujarat
Registered Options
(iv) Indian Factories Act.
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 | Amit Khandelwal | CEO | amit.khandelwal@laxmipatiengineering.com/9376815005 |
Place :
Surat
Signature with Official seal
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 |
|---|---|---|
| Fabrication of Pressure and Cryogenic Vessels | Manufacturer | |
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
Laxmipati Engineering Works Limited
d. Ms/Mr.
Amit Khandelwal