Sample Vendor Registration Form

1 Sample Vendor Registration form Note: The pages in this file illustrate the information that will be asked to the Vendor in a step by step manner during the Registration process. Vendors are requested to go through this file prior to performing the actual process in order to understand the pre- requisite's needed for registering with MSEB e-Tendering services. 1 of 26. Company Details Vendor Registration Fields marked as * are mandatory. Company Login and Information : Company Essential Details Company Name MKCL *. Company Registration Number M1001 *. Company Type Public Limited *. Company Contact Details Fort Registered Office Address *. City Mumbai * State MAHARASHTRA *. District MUMBAI-CITY * Country INDIA *. Pincode 400001 *. Country Code Area Code Telephone 1 Telephone 2. Telephone Number/s ( 91 ) * ( 22 )* 22659908 *. Country Code Area Code Fax 1 Fax 2. Fax Number/s ( ) ( ).

2 Email Address *. Company Login Details Username MKCLMUM * [6-20 characters][Should not contain special symbols]. Password * [6-20 characters][Should not contain blank spaces]. Confirm Password *. Save And Next Cancel Contact us |Support | MKCL. 2 of 26. Management Details Vendor Registration Fields marked as * are mandatory. Management Details Director Details Add Details Edit Details Delete Select Full Name Designation Vishal S Manager Save And Next Back Contact us |Support | MKCL. 3 of 26. Director Vendor Registration Fields marked as * are mandatory. Firm Management Details Director Details First Name Middle Name Last Name Full Name Amit * Deshpande *. Designation Sr. Project Associate *. Full Address Vashi *. City Mumbai State * MAHARASHTRA *. District MUMBAI-SUBURB * Country INDIA *. Pincode 400033 *. Country Code Area Code Telephone 1 Telephone 2. Telephone Number/s ( ) ( ).

3 Country Code Area Code Fax 1 Fax 2. Fax Number/s ( ) ( ). Mobile Number Email Id *. Save Cancel Contact us |Support | MKCL. 4 of 26. Local City Contact Information Vendor Registration Fields marked as * are mandatory. Mumbai Contact Details: Mumbai Representative Details Not Applicable First Name Middle Name Last Name Representative Full Name Dilip Tikle * *. Representative Full Address Andheri *. City Mumbai State Maharashtra District Mumbai Country India Pincode 400091 *. Country Code Area Code Telephone 1 Telephone 2. Telephone Number/s ( 91 ) ( 022 ) 22659908 *. Country Code Area Code Fax 1 Fax 2. Fax Number/s ( 91 ) ( 022 ). Representative Mobile Number Representative Email Id *. Save And Next Back Contact us |Support | MKCL. 5 of 26. Digital Signature Holder Details Vendor Registration Fields marked as * are mandatory. Digital Signature Holder Details Details of the Person holding Digital Signature FirstName MiddleName LastName Full Name Vishal * S *.

4 Designation Manager *. Email Address *. Save And Next Back Contact us |Support | MKCL. 6 of 26. Experience Details Vendor Registration Experience Details: Experience Details: Experience in Manufacturing 5 yrs 4 months Experience in Designing 3 yrs 4 months Experience in Testing 6 yrs 4 months Experience in Supplying 3 yrs 4 months Save And Next Back Contact us |Support | MKCL. 7 of 26. Financial Information of the Firm Vendor Registration Fields marked as * are mandatory. Financial Details: Financial Details of the Firm Attach Copy of Profit and Loss Account for year - 2003 PL2003 Delete Attach Copy of Profit and Loss Account for year - 2002 Upload Attach Copy of Profit and Loss Account for year - 2001 Upload Attach copy of Balance sheet for year - 2003 Upload Attach copy of Balance sheet for year - 2002 Upload Attach copy of Balance sheet for year - 2001 Upload State Sales Tax Number Central Sales Tax Number PAN Number ABCDE1234F *.

5 Attach Copy of PAN Card PAN CARD Delete Turnover For year - 2003 ( in lakhs ) 50. Turnover For year - 2002 ( in lakhs ) 40. Turnover For year - 2001 ( in lakhs ) 30. Turnover For year - 2000 ( in lakhs ) 20. Turnover For year - 1999 ( in lakhs ) 10. Save And Next Back Contact us |Support | MKCL. 8 of 26. Permanant Bank Guarantee Details Vendor Registration Fields marked as * are mandatory. Permanant Bank Guarantee Details Permanant Bank Guarantee Details Not Applicable Acceptance Letter Number MS1002 *. PBG Amount ( in Lakhs ) 5 *. Issue Date 01-03-2004 *. Validity Date 01-03-2008. Save And Next Back Contact us |Support | MKCL. 9 of 26. MSEB Relation Details Vendor Registration Fields marked as * are mandatory. Relations in MSEB. MSEB Relation1 Not Applicable . FirstName MiddleName LastName Full Name * *. Designation *. Department Relation *. MSEB Relation2 Not Applicable.

6 FirstName MiddleName LastName Full Name * *. Designation *. Department Relation *. Save And Next Back Contact us |Support | MKCL. 10 of 26. Vendor Register Type Details Vendor Registration User : SHRI VENKATESHWARA TRADERS. Fields marked as * are mandatory. Vendor Register Type Details Register Me As a Manufacturer Trader Save And Next Back Contact us |Support | MKCL. http:// 12:31:36 PM. List of Manufacturers This screen will come if you represent 'Trader'. Vendor Registration User : SHRI VENKATESHWARA TRADERS. Fields marked as * are mandatory. List of Manufacturers Add Manufacturer Edit Manufacturer Delete Manufacturer Select Manufacturer SAI KRIPA CERAMAIC PRODUCT MANUFACTURER. Records 1 - 10 GO>>. Save And Next Back Contact us |Support | MKCL. http:// 12:31:58 PM. Details of Manufacturer Vendor Registration User : SHRI VENKATESHWARA TRADERS. Fields marked as * are mandatory.

7 Details of Manufacturer Name of Manufacturer SAI KRIPA CERAMAIC PRODUCT MANUFACTURER. *. Address of Manufacturer 33 jai marf South tripura *. City State Tripura * TRIPURA *. District SOUTH TRIPURA Country INDIA. * *. Pincode 244324 *. Country Code Area Code Telephone 1 Telephone 2. Telephone Number/s 2423434534. ( 91 ) * ( 42342 ) *. *. Country Code Area Code Fax 1 Fax 2. Fax Number/s ( ) ( ). Contact Email *. Save And Next Cancel Contact us |Support | MKCL. http:// 12:32:08 PM. Factory Essential And Contact Details Vendor Registration User : SHRI VENKATESHWARA TRADERS. Fields marked as * are mandatory. Factory Details Factory Essential Details Factory Name Sai KRIPA CERAMIC PRODUCT MANUFACTURER *. Establishment Date of Factory 08-01-1997 *. Full Address of Factory 33 jai marg South tripura *. City Tripura State TRIPURA. * *. District SOUTH TRIPURA * Country INDIA *.

8 Pincode 233423 *. Manpower 100 *. Factory Inspection Report No 43443. Factory License Details Factory License Number Factory License Validity Date Attach Factory License Copy Upload Attach Machinary List Copy of Factory Delete Factory Machinary List Attach Testing Equipments List Delete List of Testing Equipments Save And Next Back Contact us |Support | MKCL. http:// 12:32:32 PM. Items Traded By Vendor Vendor Registration User : SHRI VENKATESHWARA TRADERS. Fields marked as * are mandatory. Items Traded By Vendor Wash Basin, Porcelain. Add Item Delete Item Save And Next Back http:// 12:32:42 PM. Factory Essential And Contact Details Vendor Registration Fields marked as * are mandatory. Factory Details Factory Essential Details Factory Name MKCL FORT *. Establishment Date of Factory 02-11-2004 *. Full Address of Factory FORT. *. City State MUMBAI * MAHARASHTRA *.

9 District MUMBAI-CITY * Country INDIA *. Pincode 400001 *. Manpower 100 *. Factory Inspection Report No Factory License Details Factory License Number Factory License Validity Date Attach Factory License Copy Upload Save And Next Back Contact us |Support | MKCL. 11 of 26. Factory Contact Person Details Vendor Registration Fields marked as * are mandatory. Factory Details Factory Contact Person Details FirstName MiddleName LastName Full Name VISHAL S. * *. Department Designation MANAGER *. Full Address FORT. *. City MUMBAI State * MAHARASHTRA *. District MUMBAI-CITY Country INDIA. * *. Pincode 400001 *. Country Code Area Code Telephone 1 Telephone 2. Telephone ( 91 )* ( 22 )* 22659910 *. Country Code Area Code Fax 1 Fax 2. Fax ( ) ( ). Mobilenumber Email Address *. Save And Next Back Contact us |Support | MKCL. 12 of 26. Factory ISO Certification Details Vendor Registration Fields marked as * are mandatory.

10 Factory ISO Certification Details: Factory ISO Certification Details Not Applicable Name of ISO Standard ISO 9001 * { ISO 9001 }. ISO Certifying Authority NIHILENT *. ISO Certification Number IS90899 *. Save And Next Back Contact us |Support | MKCL. 13 of 26. Items Manufactured List Vendor Registration Fields marked as * are mandatory. List of Items Manufactured by Firm Add New Item Edit Item Delete Item Select Item Description 132KV C&R PANEL. Records 1 - 10 GO>>. Save And Next Back Contact us |Support | MKCL. 14 of 26. Items Manufactured by the Firm Vendor Registration Fields marked as * are mandatory. Items Manufactured By the Firm Item Details Room Heater 2 KW. Item Name Select Item Unit of Item NO. Quantity Manufactured Per Month 100 *. Turnover per Annum for Item ( in Lakhs ) 20 *. Industrial License Number IS00001 *. Attach the Industrial License Copy of the Item Industrial License Delete Save Cancel 15 of 26.