Usha Martin

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Procurement / Vendor Registration

Please enter all the fields. Fields marked with * are compulsory. Without them, the form will not be accepted —

1. General Information about your organisation

A. Name of the company *

B. Year of establishment *

C. Address *

D. Telephone No *

E. E-Mail address *

F. Website URL

G. Fax No. *

H. Usha Martin Supplier Code (if you have any)

I. Quality certificates obtained by your company *

ISO 9001

ISO 9002

ISO 14001

None

Other (Please specify)

J. Number of employees

Skilled		Unskilled		Technically Qualified		Quality
Production		Inspection		Other Support Function

K. Please specify your currency *

Note: If your currency is not shown here then please select US Dollars and convert your turnover accordingly

L. Annual Sales Turnover for the last 3 yrs (in Millions)*

1998-99 1999-2000 2000-2001

2. Details of your manufacturing facility ( for manufacturers - if this is not relevant to you, please skip this point )

A. Do you have your own manufacturing facility ?

Yes

B. Address of your factory *

C. Contact Person *

D. Telephone No *

E. Fax No. *

F. Email Address *

3. Authorised dealership (for traders) Kindly list the products for which you are an authorised dealer

i) Product Description		Dealership of
ii) Product Description		Dealership of
iii) Product Description		Dealership of
iv) Product Description		Dealership of
v) Product Description		Dealership of

(Please send true copies of dealer certificates separately through mail)

4. Registration Number *

A. Small Scale Industries
B. Directorate of Industries
C. PAN
D. ECC No
E. Sales Tax Number and date (first enter the number and then a space and then enter the registration date in mm / dd / yy format)
i) Central	ii) State

5. Status of your Company *

Public Limited Company	Private Limited Company
Partnership	Proprietary

6. Product Range *

A. Select Category for the product for which you want to register with us:
Category
B. Select Sub-Category for your product / products * You can select more than one sub-category by pressing crtl+click over them
Sub-Category

7. Payment Terms *

Payment

8. References (Please mention your current major customers )

Major Customers		Items Supplied
Major Customers		Items Supplied
Major Customers		Items Supplied
Major Customers		Items Supplied

9. Manufacturing Process and Infrastructure

A. A brief write-up on your manufacturing process

B. Please list major plant and equipment along with capacity, make, model no., year of manufacture and operations performed on them

C. Storage :

ii) Are there separate storage for Raw Materials and finished goods

Yes No

ii) Stores are

Open

Covered

Closed Building

10. Organisation structure and quality control systems of your company *

A. Give details of your overall organisation Structure
B. Is Quality control / Inspection a separate and distinct part of your Organisation	Yes No
C. Do you maintain procedures for inspection of Incoming Raw Material ?	Yes No
D. Do you provide test certificate that the material supplied conforms to agreed specifications ?	Yes No
E. Are Quality records of your manufacturing activity maintained ?	Yes No
F. Do you maintain procedures for handling Customer Complaints ?	Yes No
G. Kindly mention, in brief, the quality system in your organisation mentioning the various quality checks at different stages in your manufacturing process and details of testing equipment

11. Packing and mode of transport

A. Quality and type of packing used

B. Mode of transport

Air Ship Rail Road

Security Code :
(Mention the code shown in the image)

Note: Please send the true copies of last two year's Profit & Loss Account and Balance Sheet at our Corporate Office address :

Mr. Arun Basak,
Sr. VP - Projects, HR & Administration,
Usha Martin Industries,
"Mangal Kalash",
2A, Shakespeare Sarani,
Calcutta - 700071
West Bengal
India.