SD-QSP-43-F03
SABARKANTHA DIST CO OPERATIVE MILK PODUCERS' UNION LTD
SUB POST : BORIA, "SABAR DAIRY" HIMATNAGAR-383 006.
PHONE : 02772 - 226051-60, FAX : 02772 - 226130 GST No.24AAAAS5265L1ZA
E-MAIL : pur@sabardairy.coop Date _______________
{Supplier Registration Form}
A General Data :
1 Name of Party :
2 Vendor Code (Ifavable) :
3 A.address of Registered Office :
B. Telephone No./ Mobile No. :
3 Name of designation of principal Officer :
Status (Whether an individual, Partnership:
4
firm, Puplic Pvt.Ltd. Co.
5 Incase Partnership Firm
a. Whether it has been registered :
b. If registered provide certified Extra from :
other Register Office
c. Name of Address of all Partners :
d. Details of partnership deed (Copy) :
If proprietory conern, Name & address of :
6
the Proprietor
7Year of establishment of firm :
8 Nature of Business :
_Manufacturing :
_Authorise Dealer :
_Dealer :
9 GST Registation Certificate & GST Number
B Date of Marketing :
1. Address of Brunch Office or associated :
firm with Nos Fax, concerned persion
2. List Goods to be supplied (Plesae attach list of items to be supplied) :
Sr.No. Items Makes
3. If authorised agent/Stockist :Enclosed photocopy of certy or principal
4. A short list of Important clients to whom :
You are regularly supplying-particulary
Dairy Ind. Also enclosed order copy.
C. Date of the Factory :
1. Location of Factory :
2. Data of commencement of comm. :
production.
3. If small scale industry Give SSI Reg. No.:
& Copy of Registration :
4. :
5. Name of the prodn. Inchage with Tech :
background & experience.
6. Product / Items produced or Processed. :
7. Installed cap of plant (Enclose details) :
8. Give list of machinaries :
9 No of shifts plant is running :
10. Previous three year production & Turn :
Year Prod.Qty Turnover
over
11.List of Any Amul Coop. Dairy Supply :
12. List of Inst. Installed for Quality :
D Miscellaneous Data :
1. Name of the Bankers :
2. Whether any of your relative is working :
with us or with our member dairies ?
3. Any Other information you may like to
: furnish
4. Information about your vendor code :
5. Information about our ISO 9001, Policy &
ISO 14,000 Policy, OHAS AS
:
DECLARATION
The above information is true in all respect and we undertake to inform you if any change in the above
Place :
Signature of the authorised Representative
of the firm under proper seal
Date :
1.ISO Standerds you are understand and your company f
area neet and clean