NTPC Limited
(A Govt. of India Enterprise)
Kudgi Super Thermal Power Project
Contracts and Materials Department
Post Kudgi, Taluk Basavanabagewadi,
Dist. Bijapur, 586121 (Karnataka)
APPLICATION FOR ENLISTMENT OF VENDORS
CAT-I / II / III
Description of item which Enlistment is sought:
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Description of Work |
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Details of Payments made
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DD / PO / BC No. |
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Amount in |
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Name of the issuing Bank |
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Payable at |
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& date |
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Rs. |
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and Branch |
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Name of the bank & |
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Branch |
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1.Name of the Organization / Agency / Contractor
2Full Address:
Telephone, Fax, email etc.
i)Registered Office
ii)Regional Offices
iii)Works
3Whether Registered with any other Department/Organization Govt./Quasi Govt. Organization:
(Attested copies of documentary proof to be attached). Please give details of Name of Deptt. / Organisation Govt./Quasi Govt. Organization, Regn. No. and nature of Service(s)
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2.
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3. |
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(a) In case of Companies, copies of Certificate |
of Enclosed________ |
Yes / No |
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Incorporation, Memorandum and Articles of Association |
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Duly attested to be furnished. |
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(b) In case of partnership firm, the attested copy of Enclosed________ |
Yes / No |
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Partnership Deed duly registered to be furnished |
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(Original partnership deed to be produced for |
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verification on demand). |
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(c) In case of Single Proprietorship full name, address, Enclosed ________ |
Yes / No |
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place and nature of business are to be furnished. |
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(d) Whether the firm is ISO/Equivalent certified if so Enclosed ________ |
Yes / No |
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furnish attested copy of certificates. |
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5. |
Copies |
of following documents to be |
Enclosed |
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Enclosed |
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(i) |
PAN Number |
Yes / No |
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(ii) |
Sales Tax Registration No. |
Yes / No |
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(iii) |
Service Tax Registration No. |
Yes / No |
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(iv) |
VAT Registration No. |
Yes / No |
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(v) |
ESI Registration No. |
Yes / No |
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(vi) |
PF Registration No. |
Yes / No |
(vii) |
NSIC Certificate. |
Yes / No |
(viii) |
State SSI Certificate. |
Yes / No |
6.Details of relatives employed in NTPC
(giving full particulars i.e. name, designation and the deptt /unit in which working)
1._____________________
2._____________________
3._____________________
7.Any other particulars (give details of similar services done earlier, their year of service, commissioning and feedback on Performance)
8.If already enlisted (either as individual or partnership) with any NTPC Power Stations/Regions/Units Give details & enclose copy of Enlistment Certificate
Name of Project/Station |
Work/Services enlisted for |
Year of enlistment |
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9.If already enlisted with any PSU/Govt. Deptt. Give details
Name of PSU/Govt. Deptt |
Year of Enlistment |
Items/Services enlisted for |
10.If already executed Works/Services in Kudgi NTPC of similar nature; give details of works done similar to type under consideration.
LOA NO.& Date/ |
Description of work/services |
Awarded Value |
Actual Executed |
SAP PO No. & Date |
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(Rs. Lakhs) |
Value (Rs. Lakhs) |
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11No. of workers employed and no. of managerial persons employed. Skilled Workers :___________
Semi- Skilled Workers __________
Unskilled Workers :_________________
In future, NTPC shall invite most of the tenders through e-tendering. To participate in such tenders, you require digital certificate and P.C. with internet connection. Please confirm that you will continue to participate
12in our tender, if invited through on-line electronic mode.
14 Mention any other relevant details.
I certify that all the information and data furnished by me in this application form are true and complete to the best of my knowledge and all required Certificates as per list at Note below have been enclosed.
Signature of the Applicant / Authorised Person
(Seal)
List of Enclosures :
Documents to be enclosed with the Application:
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Service Tax Registration Number |
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Yes / No |
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VAT Registration Number |
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Yes / No |
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Performance Certificates from important customers |
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Yes / No |
4. |
List of Important Customers |
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Yes / No |
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Sales Tax Registration Certificate |
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Yes / No |
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Copies of dealership certificate, if any |
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Yes / No |
7. |
NSIC/SSI Registration /Factory License No., if any |
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Yes / No |
8. |
ESI Registration Number |
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Yes / No |
9. |
Independent PF Code Number |
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Yes / No |
Note: 1. FOR EACH CATAGORY/NATURE OF WORK SEPARATE APPLICATION FORM WITH SEPARATE ENLISTMENT FEE OF Rs. 650/- TO BE ENCLOSED.
2.APPLICATION FOR EACH CATEGORY/NATURE OF WORK SHOULD FURNISHED IN SEPARTE ENVELOP.
3.No correspondence on the subject from Agency/Contractor will be entertained. They will be informed, in due course, as soon as enlistment is finalized.
4.All applications shall be super scribed as “Application for Agency Enlistment” and the category number on the envelope
5.NTPC reserves the right to accept, reject any or all the applications without assigning any reasons and to seek extra information, if required.
6.Completed forms in all respects along with necessary documents to be submitted by the date indicated in the forms.
7.Please enclose only above documents or any other relevant document. Old PO copies are not required. Only one/two most recent PO copies of a Govt. Deptt/PSU may be furnished.
INFORMATION ABOUT THE AGENCY
ESI Registration No.
PF’s Code No.
Service Tax’s Registration No.
PAN No.
WCT Registration No.
TIN No.
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Signature along with Seal of Company |
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(Duly authorized to sign the tender on behalf of the tenderer) |
Name |
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Designation |
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Name of Co. And postal address |
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…………………………………………… |
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Website |
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Tel. No./ Fax No. |
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e-mail |
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CHECK LIST (LIST OF DOCUMENTS TO BE ENCLOSED)
Sl.No. |
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Enclosed Document Detail |
Enclosed? |
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Yes/ NO |
1. |
Enlistment fee |
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2. |
Agency Enlistment Forms duly filled in |
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3. |
Proof of Turnover (Notarized) |
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4. |
Balance Sheet copies of last three financial years(Notarized) |
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5. |
P&L sheet copies of last three financial years(Notarized) |
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Certified copy of Turn over from Charted Accountant(Notarized) |
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7. |
Work Order copies of three(3) major works done in similar category during last Seven |
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(07) years(Notarized) |
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NOTE :Copy of Work order/LOAs should clearly indicate the following: |
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Award/Order value, Date of order |
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2. |
Specifications of item ordered , Quantity ordered with rates. |
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3. |
Detailed Scope of the work |
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8. |
Proof of execution / work completion indicating final values for above orders |
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(Notarized) |
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9. |
Partnership Deed/Articles of Association/Memorandum of Association etc. (Notarized) or |
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Certificate of Incorporation/ Registration of Company /firm /Industry as applicable |
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(Notarized) / Registration with NSIC / SSI (Notarized) |
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10. |
Service Tax / Works Contract Tax Registration Certificate (Notarized) |
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Photostat coy of Latest Income Tax Clearance Certificate / PAN Number (Notarized). |
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12 |
Relevant Licenses from appropriate licensing authority to undertake works as |
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“LICENCED CONTRACTOR”, in respect of works for which registration is sought. |
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(Notarized) |
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13 |
Certificate from P.F. Authorities. (Notarized) |
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14 |
Bank reference certificate from Nationalised Bank certifying financial soundness of your |
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firm. (Original) |
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