Postal address with Telephone, mobile, fax nos. and email ids
whose signatures are given
a ) Head Office/Registered Office
whose signatures are given
b ) Branches/Sales Office
whose signatures are given
c ) Factory
whose signatures are given
d ) Godown
whose signatures are given
3 . Registration is sought as
SUPPLIER
a ) Floor area of Factory (ies) in square meters
whose signatures are given
b ) No. of workers employed
whose signatures are given
c ) No. of staff employed
whose signatures are given
d ) List of machinery in your factory(ies)
whose signatures are given
e ) List of testing facilities at your end
whose signatures are given
b ) Whether you are usually holding ample stock of item(s) for which registration is sought
whose signatures are given
c ) Whether you have adequate facilities for after Sales Services, give details
whose signatures are given
a ) Whether you always hold adequate stock of the items for which registration is sought
whose signatures are given
b ) Whether you have adequate facilities for after sales service, give details.
whose signatures are given
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>
II
a ) if a Limited concern, name & addresses of Directors & Managing Director
whose signatures are given
b ) If Single Owner, name & addresses of Proprietor & Manager, if any
whose signatures are given
c ) If Partnership, name & addresses of Partners
whose signatures are given
Registered Options
(iii) Any Act if not who are the Owners (please give full names & addresses)
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 | etrwe | et | fsg |
| afsdg | sdg | asd | |
Place :
ertyer
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 |
|---|---|---|
| Brief description of materials for which registration is sought | Brief description of materials for which registration is sought | Brief description of materials for which registration is sought |
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
Brief description of materials for which registration is sought
d. Ms/Mr.
Brief description of materials for which registration is sought