Postal address with Telephone, mobile, fax nos. and email ids
Sangath SkyZ IPL, Bhat-Koteshwar Road, Koteshwar, Ahmedabad
a ) Head Office/Registered Office
Surat
b ) Branches/Sales Office
Ahmedabad
c ) Factory
Norway
d ) Godown
Beglium
3 . Registration is sought as
AUTHORISED DEALER
a ) Floor area of Factory (ies) in square meters
300
b ) No. of workers employed
45
c ) No. of staff employed
134
d ) List of machinery in your factory(ies)
Lathe
e ) List of testing facilities at your end
1, Two,Five and Three
b ) Whether you are usually holding ample stock of item(s) for which registration is sought
YES
c ) Whether you have adequate facilities for after Sales Services, give details
YES
a ) Whether you always hold adequate stock of the items for which registration is sought
YES
b ) Whether you have adequate facilities for after sales service, give details.
YES
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>
III
a ) if a Limited concern, name & addresses of Directors & Managing Director
Name1, Address 1
b ) If Single Owner, name & addresses of Proprietor & Manager, if any
Name 2, Address 2
c ) If Partnership, name & addresses of Partners
Name 3, Address 3
Registered Options
(v)The Industries (Development and Regulations) Act 1951
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) | Signature by all Partners/Competent Authority/Proprietor |
|---|---|---|---|
Place :
Ahmedabad
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 |
|---|---|---|
| ITEM1 | dealer | name4, address 4 |
| ITEM2 | dealer | name5, address 5 |
| ITEM3 | dealer | name6, address 6 |
Upload duly signed and stamped letter containing above additional information