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

Fieldset

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 9001ISO 9002ISO 14001None
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
Annual Sales Turnover for the last 3 yrs (in Millions)
2011-2012 *
2012-2013 *
2013-2014 *
2. Details of your manufacturing facility ( for manufacturers - if this is not relevant to you, please skip this point )
Do you have your own manufacturing facility ? *
yesNo
Address of your factory *
Contact Person *
Fax No *
Email Address *
3. Authorised dealership (for traders) Kindly list the products for which you are an authorised dealer
1) Product Description
Dealership of
2) Product Description
Dealership of
3) Product Description
Dealership of
4) Product Description
Dealership of
5) 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 *
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
Status of your Company *
Public Limited CompanyPrivate Limited CompanyPartnershipProprietary
6.Product Range

Select Category for the product for which you want to register with us:
Category *
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. 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 :
i) Are there separate storage for Raw Materials and finished goods
YesNo
ii) Stores are
OpenCoveredClosed 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 *
yesNo
C. Do you maintain procedures for inspection of Incoming Raw Material ? *
YesNo
D. Do you provide test certificate that the material supplied conforms to agreed specifications ? *
YesNo
E. Are Quality records of your manufacturing activity maintained ? *
YesNo
F. Do you maintain procedures for handling Customer Complaints ? *
YesNo
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
AirShipRailRoad

Verification

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Note: Please send the true copies of last two year’s Profit & Loss Account and Balance Sheet at our Corporate Office address : Mr. Santanu Bera, Dy. General Manager, Usha Martin Limited, “Mangal Kalash”, 2A, Shakespeare Sarani, Kolkata – 700071 West Bengal India.

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