SL. NO.
PARTICULARS                  INPUTS FOR ASSESSMENT
01        Name of the proposed vendor
02        Registered /Corporate office
          Address:
          Telephone No:
          Fax No:
          E Mail:
          Website:
03        Year of establishment
04        Location of Plant(s), Including address(es):
          Telephone No:
          Fax:
          E-Mail:
          Approximate area of factory Premises:
05        Type of Product(s) handled
06        Whether registered as – Large/Medium/Small
          scale sector
          (Furnish copy of registration)
07        Type of activities
          (Manufacturing/Trading/Services.)
08        Proof of collaboration /Tie up, if any
09        Type of Firm (Yes or No):
          Public sector undertaking
          Public Ltd. Company
          Private Ltd. Company
          Proprietorship
                                                                                 1
10   Name of contact Person
     Contact Details (Phone, E mail)
11   Annual turnover
     (Last 3 Year)
12   No. of factory employees (attach organization
     Chart)
13   List of the plant & Machineries
     (Attach sheet, if necessary )
14   QA set up and testing & inspection facilities
     available.
     (Attach sheet if necessary )
15   Sources of major Raw materials
     (Domestic/Import)
16   Any reference to major customers to whom
     goods/services are supplied.
17   Input Document received from the Vendors for
     e.g, Proposal, Introductory Letters, Verbal
     Communication and also e auctioning details,
     quotation etc.
18   Legal Documents:
         a.   Factory License No. & Date
         b.   Pollution control details (if applicable)
         c.   Sales tax registration details
         d.   Services tax registration Details
         e.   Central Excise registration Details
         f.   PAN No.
         g.   GST No.
19   Goods/Services Offered
20   Bankers
     Bank Name:
     Account No.:
     Place:
     Bank Code
                                                          2
21       Number of years standing in the business
22       Present Capacity vis-à-vis our requirement
23       Any visit carried out by us to their facilities for on-
         the-spot assessment of their capabilities/ quality
         of product
24       Any sample material received for evaluation and
         the result thereof.
25       Preferred Terms of Payment
26       Availability of after-sales service, if any
 Evaluation Report:-
     Result of Assessment on the basis of above details:           Recommended        / Not Recommended
     Signature:
     Name of Assessing Authority:                                  Approved     / Not Approved
                                                                   Signature of MD:
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