sample vendor registration formcpa1.mahadiscom.in/downloads/register/sampreg.pdf · sample vendor...

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 *

Company Registration Number *

Company Type * Company Contact Details

Registered Office Address

*

City * State *

District * Country *

Pincode *

Country Code Area Code Telephone 1 Telephone 2

Telephone Number/s ( ) * ( ) * *

Country Code Area Code Fax 1 Fax 2

Fax Number/s ( ) ( )

Email Address *

Company Login Details

Username * [6-20 characters][Should not contain special symbols]

Password * [6-20 characters][Should not contain blank spaces]

Confirm Password *

Contact us |Support | MKCL

2 of 26

https://cpa.msebindia.com/index.jsp?logout

mailto:[email protected]


http://www.mkcl.org/

Management Details

Vendor Registration

Fields marked as * are mandatory. Management Details Director Details

Select Full Name Designation

Vishal S Manager


3 of 26

http://cpa.msebindia.com/index.jsp?logout




Director

Vendor Registration

Fields marked as * are mandatory. Firm Management Details Director Details

First Name Middle Name Last Name

Full Name * *

Designation *

Full Address *

City * State

*


Pincode *


Telephone Number/s ( ) ( )



Mobile Number

Email Id *


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 * *

Representative Full Address *

City State

District Country

Pincode *


Telephone Number/s ( ) ( ) *



Representative Mobile Number

Representative Email Id *


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 * *

Designation *

Email Address *


6 of 26





Experience Details

Vendor Registration

Experience Details: Experience Details:

Experience in Manufacturing yrs months

Experience in Designing yrs months

Experience in Testing yrs months

Experience in Supplying yrs months


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 - PL2003

Attach Copy of Profit and Loss Account for year -

Attach Copy of Profit and Loss Account for year -

Attach copy of Balance sheet for year -



State Sales Tax Number

Central Sales Tax Number

PAN Number *

Attach Copy of PAN Card PAN CARD

Turnover For year - ( in lakhs )






8 of 26





Vendor Registration

Fields marked as * are mandatory. Permanant Bank Guarantee Details

Permanant Bank Guarantee Details Not Applicable

Acceptance Letter Number *

PBG Amount ( in Lakhs ) *

Issue Date *

Validity Date


Permanant Bank Guarantee Details

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 FirstName MiddleName LastName

Full Name * *

Designation *

Department

Relation *


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


http://sets/msebrelationinfo.do1/20/2005 12:31:36 PM

http://sets/index.jsp?logout




List of Manufacturers


Fields marked as * are mandatory.

List of Manufacturers

Select Manufacturer

SAI KRIPA CERAMAIC PRODUCT MANUFACTURER


http://sets/vendorregtypedetails.do1/20/2005 12:31:58 PM





Details of Manufacturer


Fields marked as * are mandatory. Details of Manufacturer

Name of Manufacturer *

Address of Manufacturer *

City * State

*


Pincode *


Telephone Number/s ( ) * ( ) * *



Contact Email *


http://sets/itemstradedsourcelist.do1/20/2005 12:32:08 PM






Fields marked as * are mandatory. Factory Details Factory Essential Details

Factory Name *

Establishment Date of Factory *

Full Address of Factory

*

City * State *


Pincode *

Manpower *

Factory Inspection Report No

Factory License Details

Factory License Number

Factory License Validity Date

Attach Factory License Copy

Attach Machinary List Copy of Factory Factory Machinary List

Attach Testing Equipments List List of Testing Equipments


Factory Essential And Contact Details

http://sets/itemstradedsourcedetails.do1/20/2005 12:32:32 PM





Items Traded By Vendor


Fields marked as * are mandatory. Items Traded By Vendor

http://sets/itsourcefactorydetails.do1/20/2005 12:32:42 PM


Vendor Registration

Fields marked as * are mandatory. Factory Details Factory Essential Details

Factory Name *

Establishment Date of Factory *

Full Address of Factory

*

City * State *


Pincode *

Manpower *

Factory Inspection Report No

Factory License Details

Factory License Number

Factory License Validity Date

Attach Factory License Copy


Factory Essential And Contact Details

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 * *

Department

Designation *

Full Address

*

City * State *


Pincode *


Telephone ( ) * ( ) * *


Fax ( ) ( )

Mobilenumber

Email Address *


12 of 26





Factory ISO Certification Details

Vendor Registration

Fields marked as * are mandatory. Factory ISO Certification Details:

Factory ISO Certification Details Not Applicable

Name of ISO Standard * { e.g. ISO 9001 }

ISO Certifying Authority *

ISO Certification Number *


13 of 26





Items Manufactured List

Vendor Registration

Fields marked as * are mandatory.

List of Items Manufactured by Firm

Select Item Description

132KV C&R PANEL


14 of 26





Items Manufactured by the Firm

Vendor Registration

Fields marked as * are mandatory. Items Manufactured By the Firm Item Details

Item Name

Unit of Item

Quantity Manufactured Per Month *

Turnover per Annum for Item ( in Lakhs ) *

Industrial License Number *

Attach the Industrial License Copy of the Item Industrial License

15 of 26


Vendor Registration

Fields marked as * are mandatory. Factory Details

Factory SSI Registration Details Not Applicable

Type Of SSI Registration

SSI Registering Authority *

SSI Registration Number *

Issue Date of SSI Registration *

Date of Commencement of Commercial Production

Items For Which SSI Registration is Given

*

SSI Registration Certificate is under renewal process

Attach SSI Registration Copy *


Factory SSI Registration Details

16 of 26





Vendor Registration

Fields marked as * are mandatory. Factory Details

Factory NSIC Registration Details Not Applicable

NSIC Registering Authority *

NSIC Registration Number *

Issue Date of NSIC Registration *

Validity Date of NSIC Registration *

Date of Commencement of Commercial Production

Items For Which NSIC Registration is Given

*

Attach NSIC Registration Copy *


Factory NSIC Registration Details

17 of 26





Vendor Registration

Fields marked as * are mandatory. PastPerformance Details PastPerformance Details

Item Name

Name of the Firm *

P.O.Number *

Order Start Date *

Order Completion Date *

Quantity Supplied *

Certificate Awarded (If any)


PastPerformance Details

18 of 26





PastPerformance Details

Vendor Registration

Fields marked as * are mandatory. PastPerformance Details PastPerformance Details

Item Name *

Select FirmName PO Number Qty Supplied Start Date Completion Date

MSEB MS1001 1000 01-11-2004 30-11-2004


19 of 26





Vendor Registration

Fields marked as * are mandatory. Regional Development Authority Eligibility

Regional Development Authority Eligibility Not Applicable

Type of Eligibility Certificate *

Developing Region *

Pioneer Industry

Issue Date of Eligibility Certificate *

Validity Date of Eligibility Certificate *

Attach Valid Eligibility Certificate *


Regional Development Authority Eligibility

20 of 26





Vendor Registration

Fields marked as * are mandatory. Other Eligibility Details

DGS&D Registration Eligibility Not Applicable

DGS&D Registering Authority *

DGS&D Registration Number *

Issue Date Of DGS&D Registration *

Validity Date Of DGS&D Registration *

DGTD Registration Eligibility Not Applicable

DGTD Registering Authority *

DGTD Registration Number *

Issue Date Of DGTD Registration *

Validity Date Of DGTD Registration *


Other Eligibility Details of the firm

21 of 26





Vendor Registration

Fields marked as * are mandatory. Bureau of Indian Standards Details BIS Details

BIS License number *

Issue Date of BIS License *

Validity Date of BIS License *

Attach BIS License Certificate BIS License

Items In BIS License

*


BIS Details

22 of 26





List OF BIS Details

Vendor Registration

Fields marked as * are mandatory. Bureau of Indian Standards Details List of BIS Standards

Select BIS License Number Issue Date Validity Date

IS911010 01-09-2004 01-11-2006


23 of 26





Related IS Numbers

Vendor Registration

Fields marked as * are mandatory. Related IS Numbers IS Numbers

Select BIS License *

Select Item *

Related IS Number


24 of 26





Vendor Registration

Fields marked as * are mandatory. Registration Fees Details Registration Fees Details

Type of Payment

Mode of Payment By DD By Cash

DD Date *

Demand Draft Number *

MICR Code *

Amount *

Bank Name *

Branch Name *

Registration Fees Details

25 of 26


Registration Confirmation

Vendor Registration

Fields marked as * are mandatory. Registration Confirmation

CONGRATULATIONS.....!

You have successfully filled all the details.

To view your filled details

Do you want to apply for the registration now?

Yes No

Note: By selecting 'yes' your details will be locked and you will not be allowed to alter registration details till your application is verified and cleared by MSEB authorities.


26 of 26





sample vendor registration formcpa1.mahadiscom.in/downloads/register/sampreg.pdf · sample vendor...

Documents