NTPC LIMITED
(A Government of India enterprises)
RAJIV GANDHI COMBINED CYCLE POWER PROJECT
POST: CHOOLATHERUVU, DIST: ALAPPUZHA, KERALA PIN 690500
PHONE: 0479 2472510, 2472509, 2472510.FAX: 0479 2472533
APPLICATION FOR ENLISTMENT OF SUPPLY OF
CAUSTIC SODA LYE / FERRIC ALUM / AIR CONDITIONERS
[Applicants who wish to participate for enlistment should submit the documents/application for individual item (mentioned above) separately]
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1 |
GENERAL |
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1.1 |
Name of the Organization |
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1.2 |
Registered Office |
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1.3 |
Regional Office |
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1.4 a) |
Full Address with PIN code for Correspondence |
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b) |
Contact Person with designation(1) |
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c) |
Contact Person with designation(1) |
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1.5 a) |
E mail id |
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b) |
Telephone Numbers(with STD Code) |
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c) |
Mobile No |
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d) |
Fax Numbers(With STD code) |
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e) |
Web site |
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1.6 |
Organizational set up of the company with details |
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1.6 (a) |
If company provide the following details |
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i) |
Date of registration |
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ii) |
Place of registration |
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III) |
Public Ltd/ Private Ltd |
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iv) |
Memorandum of Association / Article of Association |
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v) |
Name of directors |
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1.6 (b) |
If partnership provide the following details |
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Date of partnership deed |
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Name and address of the partner |
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i |
ii |
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iii |
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1.6 ( c) |
In case of individuals/ proprietorship provide the following details |
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Date of ownership |
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Nature of business |
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Professional tax Reg. no |
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Municipal/ Local body registration |
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1.6 (d) |
Others specify below |
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1.7 |
Whether registered with any other NTPC Stations; If yes gives details |
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2 |
TECHNICAL |
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2.1 |
Name of Material for which enlistment is sought (Refer Annexure I) |
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2.2 |
List of major similar orders executed in last Three(3) years
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Refer for similar supply Annexure I |
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2.2a |
Name of the material *(please attach P.O. copy along with specification ) |
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Client for the supply(with address) |
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Purchase order No & date |
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Awarded quantity (MT) |
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Awarded Value |
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Period of execution |
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Final executed quantity |
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Final executed value |
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2.2b |
Name of the material *(please attach P.O. copy along with specification ) |
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Client for the supply(with address) |
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Purchase order No & date |
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Awarded quantity (MT) |
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Awarded Value (') |
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Period of execution |
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Final executed quantity(MT) |
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Final executed value(') |
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2.2c |
Name of the material *(please attach P.O. copy along with specification ) |
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Client for the supply(with address) |
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Purchase order No & date |
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Awarded quantity (MT) |
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Awarded Value (') |
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Period of execution |
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Final executed quantity(MT) |
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Final executed value(') |
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3. |
FINANCIAL |
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3.1 |
ANNUAL TURN OVER |
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FINANCIAL YEAR |
ANNUAL TURN OVER(') |
PROFIT/LOSS(') |
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2012-13 |
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2011-12 |
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2010-11 |
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4 |
OTHER INFORMATION |
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4.1 |
PAN no
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4.2(a) |
ECC NO. |
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4.2(b) |
REGISTRATION NO. |
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4.2(c ) |
EXCISE RANGE |
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4.2(d) |
DIVISION |
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4.2(e) |
COMMISSIONERATE |
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4.3 |
Service Tax Registration no(if any)
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4.4(a) |
VAT/ Sales Tax /TIN Registration no
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4.4(b) |
CST registration no. |
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4.5(a) |
NSIDC/ SSIDC registration no(if applicable)
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4.5(b) |
Whether entrepreneur belongs to SC/ST (if so, please specify) |
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4.7 |
Details of Digital Certificate
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I have read & understand the terms and conditions prescribed by NTPC Kayamkulam for enlistment of vendors. I/We certify that all the information and data furnished by me in this application form are true and complete to the best of my knowledge
Signature of the Applicant
Name: Designation Address Company seal Place: Date:
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Bidder's Qualifications
QUALIFYING DATA TO BE FILLED BY THE APPLICANT (AIR CONDITIONERS)
Vendor's Name and Address : Date :
To
A.G.M, (C&M)
NTPC Limited,
RGCCPP, CHOOLATHERUVU.P.O,
ALAPPUZHA(DT.)KERALA,
INDIA- 690506
Dear Sir,
In order to satisfy Qualifying requirements stipulated at clause no. 1.3 of Annexure - 1 ( LIST OF MATERIAL WITH QUALIFYING REQUIREMNTS), we the Vendor declare that following are the orders executed by us as on 15.09.2013
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Description of the item |
Name and Address of the client |
Reference no. and date of order |
QTY orders (sets) |
Date of supply |
QTY Supplied (sets) |
Value of item supplied (') |
Certificate from the client attached or not |
Remarks |
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3 |
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4 |
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5 |
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6 |
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Signature of the Applicant
Name:
Designation
Address
Company seal
Place:
Date:
Bidder's Qualifications
QUALIFYING DATA TO BE FILLED BY THE APPLICANT (FERRIC ALUM )
Vendor's Name and Address : Date :
To
A.G.M, (C&M)
NTPC Limited,
RGCCPP, CHOOLATHERUVU.P.O,
ALAPPUZHA(DT.)KERALA,
INDIA- 690506
Dear Sir,
In order to satisfy Qualifying requirements stipulated at clause no. 2.3 of Annexure - 1 ( LIST OF MATERIAL WITH QUALIFYING REQUIREMNTS), we the Vendor declare that following are the orders executed by us as on 15.09.2013:
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Sl. no. |
Description of the item |
Name and Address of the client |
Reference no. and date of order |
QTY orders (MT) |
Date of supply |
QTY Supplied (MT) |
Value of item supplied (') |
Certificate from the client attached or not |
Remarks |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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Signature of the Applicant
Name:
Designation
Address
Company seal
Place:
Date:
Bidder's Qualifications
QUALIFYING DATA TO BE FILLED BY THE APPLICANT (CAUSTIC SODA LYE )
Vendor's Name and Address : Date :
To
A.G.M, (C&M)
NTPC Limited,
RGCCPP, CHOOLATHERUVU.P.O,
ALAPPUZHA(DT.)KERALA,
INDIA- 690506
Dear Sir,
In order to satisfy Qualifying requirements stipulated at clause no. 3.3 of Annexure - 1 ( LIST OF MATERIAL WITH QUALIFYING REQUIREMNTS), we the Vendor declare that following are the orders executed by us as on 15.09.2013:
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Sl. no. |
Description of the item |
Name and Address of the client |
Reference no. and date of order |
QTY orders (MT) |
Date of supply |
QTY Supplied (MT) |
Value of item supplied (') |
Certificate from the client attached or not |
Remarks |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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Signature of the Applicant
Name:
Designation
Address
Company seal
Place:
Date:
DOCUMENTS TO BE SUBMITTED FOR ENLISTMENT
Vendor's Name and Address : Date :
To
A.G.M, (C&M)
NTPC Limited,
RGCCPP, CHOOLATHERUVU.P.O,
ALAPPUZHA(DT.)KERALA,
INDIA- 690506
Dear Sir,
We are attaching following documents for Vendor enlistment for
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Sl.No. |
Documents |
Enclosed / Not enclosed |
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1 |
Application form (duly filled & signed) |
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2 |
Copy of Memorandum of Association or Article of Association/Partnership deed/ Ownership of company |
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3 |
Copies of Purchase orders along with completion certificates as mentioned in Annexure I |
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4 |
Copies of Certificate from the client regarding successful supply of material |
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5 |
Copy of Balance Sheet/Turnover sheet/ profit & Loss sheet for the last 3 financial years duly certified by practicing Charted Accountant |
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6 |
Copy of PAN no |
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7 |
Copy of Excise registration no. |
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8 |
Copy of CST registration no. |
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9 |
Copy of Service Tax Registration no |
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10 |
Copy of VAT/ Sales Tax Registration no |
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11 |
Copy of NSIDC/ SSIDC registration certificate(if applicable) |
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12 |
Enlistment fee in the form of DD(DD NO.,Ddate & Amount) |
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13 |
Proof for Digital Certificate |
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14 |
Power of Attorney of the authorised signatory |
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Signature of the Applicant
Name:
Designation
Address
Company seal
Place:
Date: