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NBCC Common Application Form

The document is an application for registration as a contractor, consultant, manufacturer or supplier with an organization. It requests general company information, details of products/services, classification of works, manpower and equipment details, past performance history, financial details, and a list of documents required to be submitted with the application. The purpose is to evaluate applicants for registration and prequalification according to their capabilities and prior work experience.

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Aditya Goenka
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804 views7 pages

NBCC Common Application Form

The document is an application for registration as a contractor, consultant, manufacturer or supplier with an organization. It requests general company information, details of products/services, classification of works, manpower and equipment details, past performance history, financial details, and a list of documents required to be submitted with the application. The purpose is to evaluate applicants for registration and prequalification according to their capabilities and prior work experience.

Uploaded by

Aditya Goenka
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FOR REGISTRATION

CONTRACTORS / CONSULTANTS / MANUFACTURERS / SUPPLIERS (OEMs)

Please write NOT APPLICABLE (N.A.) in any section that does not pertain to
your line of business
Categories of Registration

Details of Product /
Services for which
Registration is
sought
(Add more sheets
if required)

Contractor Class to which registration is sought:


Please strike out those not applicable. The Upper Limit indicates the maximum
value of single work that can be awarded to the applicant.
Class

Upper Limit (Rs. Crores)

> 100 Crores

II

> 50 Crores but < 100 Crores

III

> 10 but < 50 Crores

IV

Between 1 to 10 Crores

(The above classification can be revised by CIDC)

1 | VENDOR REGISTRATION /Aug2014/CIDC/CONFIDENTIAL

APPLICATION FOR REGISTRATION


CONTRACTORS / CONSULTANTS / MANUFACTURERS / SUPPLIERS (OEMs)

GENERAL INFORMATION:
Organization Name
Head Office / Registered Office:
Address/ City/ State / Pin Code

Telephone
Fax
E-Mail
Details of contact person
Name & Designation:
Mobile Number
Email:
Branch office Details
Address/ City/ State/Pin Code
Telephone
Fax
E-Mail
Details of contact person Name &
Designation:
Mobile Number
Email:
PAN No.
Central Sales Tax No.
VAT TIN No.
PF Registration No.
Service Tax Registration No.
ESIC Registration No.

2 | VENDOR REGISTRATION /Aug2014/CIDC/CONFIDENTIAL

APPLICATION FOR REGISTRATION


CONTRACTORS / CONSULTANTS / MANUFACTURERS / SUPPLIERS (OEMs)

Organization Details:
Type of Organization

Document to be enclosed

Sole Proprietorship

Registration Certificate

Partnership

Partnership deed

Private Ltd.

Prospectus, Memorandum of Association, Articles of Association

Public Sector/Public Ltd.

Prospectus, Memorandum of Association, Articles of Association

Manpower Employed:
Sr. No.

Particulars

Nos.

Documents
Submitted

1.

Total no. in permanent


employment

2.

Number of Graduate / Diploma


Engineers

3.

Nos. in Safety/Inspn./QC

4.

Others

5. For Electrical Contractors, whether the


applicant possesses:
Valid Electrical Licenses For LT / HT
Works?
- Valid Electrical Contractors License Electrical

Valid

Supervisor License
Nos. of Licensed Electricians

3 | VENDOR REGISTRATION /Aug2014/CIDC/CONFIDENTIAL

APPLICATION FOR REGISTRATION


CONTRACTORS / CONSULTANTS / MANUFACTURERS / SUPPLIERS (OEMs)

Equipment / Facility Details:


1.

Workshop Details:

Workshop Owned?

Yes / No

Area of workshop
Location

2.

List of Tools / Machinery / Erection & construction equipment owned:

3.

List of Tools / Machinery / Erection & construction equipment


hired/leased:

4.

Details of Facilities Available for Design/Drafting.

Pre-Qualification Questionnaire
1

Nature of past jobs done

Value of at least one single job done during


lasts years is greater than 70% of the class
upper limit applied for

Yes / No

Total turnover of the past 3 years is atleast


equal to the upper limit of class applied for

Yes / No

The maximum value of similar work done in


the past three years.

Rs.

The minimum value of works that you shall be


interested in.

Rs.

Does your organization follow any quality


plans / programs?

Yes / No

Does your organization have laid down any


safety policy?

Yes / No

Does your organization have ISO/ISRS

Yes / No

Certification

4 | VENDOR REGISTRATION /Aug2014/CIDC/CONFIDENTIAL

Exactly same as applied


for / similar to what
applied for

APPLICATION FOR REGISTRATION


CONTRACTORS / CONSULTANTS / MANUFACTURERS / SUPPLIERS (OEMs)
Past Performance
1.

Details of works
executed during
last 3 years.

Furnish the Work Order Copy & Completion Certificate (For a


few jobs against each category for which registration is
sought)

2.

Details of works in
progress

Furnish the Work Order Copies for a few jobs

3.

Time schedule

Furnish status with respect to contractual completion period.

4.

Detail of 2 major project/ works executed in the past Year


Order No.
Name of Work :
Value:

5.

Whether the applicant has been blacklisted or de-registered from the approved list
or demoted to a lower class by any organization in the past?
Name of organization :
Date of Blacklisting:
Reason

6.

Whether the applicant has gone for Arbitration/Litigation for any of the past works
with any organization?
Name of the Organisation:
Name of the Work:
Nature of Arbitration :

Other Details
1.

Turnover (Last 3 Years)

Financial Year

Turn Over in

Documents

Rs. lakhs

Submitted
Audited Copy of
Balance Sheet

5 | VENDOR REGISTRATION /Aug2014/CIDC/CONFIDENTIAL

APPLICATION FOR REGISTRATION


CONTRACTORS / CONSULTANTS / MANUFACTURERS / SUPPLIERS (OEMs)

2.

Maximum Value of similar Past Works: (In the order of highest value first)

Year

Order Value in
Rs. lakhs

Documents submitted

Work order copy and Completion


certificate

3.

Registration with Organisations: (Consulting Organisations / PSUs / Others)

Financial Details / Bankers Details


Address / City / State
Pin code
Particulars

Rs. in lacs

Documents submitted

2. Value of Assets

Valuation Certificate

3. Overdraft/Cash credit
limits with Banker

Bankers Certificate

4. Extent of Solvency

Bankers Certificate (in terms of net


worth)

IT IS CERTIFIED THAT THE INFORMATION SUPPLIED HEREIN (INCLUDING ALL


PAGES ATTECHED) IS CORRECT TO THE BEST OF MY KNOWLEDGE.

(SEAL OF COMPANY)
_________________

SIGNATURE
NAME

_______________________
DESIGNATION
_______________

PLACE :__________________
DATE :___________________

6 | VENDOR REGISTRATION /Aug2014/CIDC/CONFIDENTIAL

APPLICATION FOR REGISTRATION


CONTRACTORS / CONSULTANTS / MANUFACTURERS / SUPPLIERS (OEMs)

INFORMATION TO BE SUBMITTED WITH APPLICATION FOR REGISTRATION

1.

Company profile / resume.

2.

Description of item(s)/ services and range, for which enlistment is sought.


Detailed Engineering product catalogue.

3.

Organizational chart including Quality Control set up.

4.

Manufacturing facilities/ Construction equipment list giving details of


machinery installed in-house.

5.

In-house design facilities including various software available.

6.

Details of testing facilities available in-house.


Tests for which dependent on external agencies and their names /
addresses.

7.

List of bought out items and their sources.

8.

List of services subcontracted with details of sub contractors.


Quality Assurance Manual including Health, Safety & Environment

9.

Photocopy of approvals from authorities such as ASME / API / Indian


Boiler Regulation (IBR) / Chief Controller of Explosives (CCE), India
or as applicable.

10.

Photocopy of approvals / enlistment / accreditation by independent


inspection agencies / process licensors / consulting organizations / oil
companies / others, with details of items for which registered.

11.

Past Experience of similar work.


Performance feedback from the end users.
Supply reference details.

12.

Certification / proof of credit worthiness of the Company from Bankers /


statutory authorities.

13.

Audited Annual Reports / Balance sheet & Profit & loss account etc. for the
last three years.

7 | VENDOR REGISTRATION /Aug2014/CIDC/CONFIDENTIAL

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