Beruflich Dokumente
Kultur Dokumente
(Please attach the documents as per Annexure Numbers mentioned in the form)
Postal Address
(Office)
BASIC INFORMATION
:
: Factory / Office
Contact Person
Mobile No
E-mail
3
Factory Address
Telephone
Fax No.
Mobile No
Name of Representative
Address
Telephone
Fax No.
Mobile No
:
DETAILS OF REGISTRATION SOUGHT FOR
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Category
of
works
for
which
vendor
registration is being sought (Please refer
uploaded list of category separate for Refinery
and other than Refinery)
Please indicate financial class to which
registration is sought
Class I
Rs. 200 Lakhs - Rs. 500 Lakhs
Class II
Rs. 100 Lakhs - Rs. 200 Lakhs
Class III Rs. 50 Lakhs - Rs. 100 Lakhs
Class IV Rs. 25 Lakhs - Rs. 50 Lakhs
Class V
Rs. 10 Lakhs - Rs. 25 Lakhs
Class VI Rs.
5 Lakhs - Rs. 10 Lakhs
Class VII Rs.
2 Lakhs - Rs. 5 Lakhs
Class VIII Less Than Rs. 2 Lakhs
Sole
Proprietorship
/ :
Partnership / Pvt Ltd / Public Ltd. / Public Sector
Names of Proprietor/ Partners / Directors / :
Executives (Attach as Annexure-I)
Registration Certificate / Partnership deed / :
Article of Association and Memorandum of
Association (Attach Photo copies as AnnexureII)
Year of Establishment & Establishment :
Certificate (Attach Photo copies as Annexure
III)
Current financial year solvency certificate from :
any Scheduled Bank (Attach original or
attested by issuing bank as Annexure-IV)
REGISTRATION WITH STATUTORY AUTHORITIES
Whether registered under SSI / NSIC / MSME :
(Attach Photo copy as Annexure-V)
Whether holding valid license for the trade, if
so give details. For electrical contractors,
whether the applicant possesses valid
Electrical Licenses for LT / HT Works (Attach
documents as Annexure VI)
Registration with PF / ESI
Confirm
Deposits
in
contribution
and
deductions with PF / ESI are in line
(Attach Photo Copy as Annexure-VII)
PAN No.
(Attach Photo Copy as Annexure-VIII)
TIN No. (VAT) State wise
(Attach Photo Copy as Annexure IX)
:
:
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Class of Registration
Category of Registration
Region
Whether the applicant has any sister concern
registered in BPCL. If Yes, provide
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Class of Registration
Category of Registration
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Date of Blacklisting
Whether
the
applicant
has
gone
for :
Arbitration / Litigation for any of the past work
with BPCL.
Nature of Work
Nature of Arbitration
Whether the applicant has any dismissed :
employee of BPCL in his employment. If yes,
Name
E-TENDERING
Whether Digital Signature Certificate available :
for participating in e-tender
I / We certify that I/we will not get myself/ourselves registered as contractor(s) in the
Undertaking under more than one name.
I / We hereby confirm that the above information is true to the best of my / our
knowledge & belief.
I / We also undertake that, if at any stage, the above information are found to be
incorrect, the Corporation shall reserve the right to cancel my /our registration, at any
time, without notice, at its discretion.
I / We certify that I/our partners / directors did not retire as an employee of Bharat
Petroleum Corporation Limited during the last two years. I / We also certify that I have
neither such persons under my employment nor shall I / we employ such persons
within two years of his / her retirement from this organization except with prior
permission.
I / We certify that I / our partners / directors are not relatives of the Managerial,
Accounts, Engineering or Materials employee of Bharat Petroleum Corporation Limited
(A near relative may include wife, husband, parent, children, grand children, brothers,
sisters, uncles, aunts, cousins and their corresponding in laws).
Date :
Place :
representative.
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This form is first stage application form and additional information may be
sought by specific department where registration is applied.
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Mr. Suresh Kumar Manager Admin. South Southern Regional office - 1,Ranganathan
Garden, Off 11th Main Road, Annanagar, Chennai
HR Northern Region
Mr. Mukesh Nangia, Chief Manager (Admin), North Northern Regional Office Plot No.
A-5 and A-6, Sector -1 Udyog Marg, Noida.
HR Corporate Office
Mr. Vijay Dsouza Sr. Mgr. (Admin.), HRS Admin. Dept - 1st floor, Bharat Bhavan I, 4 &
6 Currimbhoy Road, Ballard Estate, Mumbai.
3. Lubes Plant / Region Wise
Mr. G Srinivasulu ,
Manager Engineering & HSSE
Bharat Petroleum corporation ltd
Wadilube Installation, Malet Road,
Wadibunder, Mumbai 400009
Mr. Manish David Singh (3149) ,
Dy Manager Egg & HSSE ,
Bharat Petroleum Corporation Ltd,
Hastinapur Yojna, Village - Teelashavajpur,
Lubes Plant, P.O. Loni
Loni (UP)
Mr. Ranjan Mullick (1019),
Manager Engg & HSSE,
Bharat Petroleum Corporation Ltd,
2, Graham Road,
Dist. 24-Parganas [South]
Budge Budge-700137
West Bengal
Mr. Danny John Bejoy, (9239)
Asst Manager ( Lubes),
Tondiarpet Installation,
Post Box No.1152,
Vaidyanatha Mudali St, Tondiarpet
Chennai-600081
(Tamil Nadu)
Mr. Joydip Majumdar, (1851),
Bazaar Channel Mgr (Lubes WR),
Sewree Fort Road,
Sewree (East)-400015
Mumbai
(Maharashtra)
Mr. K R Muralidhara, (1253) ,
Sr Manager Transport,
SCM Setup (Lubes)
Sewree Fort Road,
Sewree (East)-400015
(Maharashtra)
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4. Aviation
Manager Technical Services Aviation
Aviation SBU, 4th Floor
Bharat Petroleum Corp. Ltd.
A 5&6, Sector 1
Noida 201 301
5. Mumbai Refinery
Chief Manager - Procurement & Contract Services,
BPCL, Mumbai Refinery,
2nd Floor, Admin. Building - South Block,
Mahul, Mumbai - 400 074
6. LPG
LPG Equipment Only
Mr. K. Raghunath,
Manager LPG Procurement
Bharat Petroleum Corporation Limited,
LPG equipment department,
A installation,
Sewree fort road,
Sewree East, Mumbai 400 015.
LPG NR
Mr. M.R.Mohanty
Sr. Manager Ops & HSSE (LPG), North
Bharat Petroleum Corporation Limited,
Plot No. A-5&6, Sector -1,
Noida-201301
(UP)
LPG ER
Mr. S. Mazumdar
Manager Ops & HSSE (LPG)
Bharat Petroleum Corporation Limited
Bharat Bhavan,
Plot No- 31, Prince Gulam Md.
Shah Road, Golf Green
Kolkata-700095
LPG SR
Mr. S. Shunmugam
Ch. Manager Ops.
Infrastruct. Development (LPG)
Southern Regional Office,
1, Ranganathan Garden, Off.11TH Main Road,
Post Box No.1212&1213,
Anna Nagar (Tamil Nadu)
LPG WR
Mr. S. S. Gangopadhaya
Ch. Manager Ops. & HSSE (LPG), West
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Plot No - 31,
Prince Gulam Md. Shah Road , Golf Green,
Kolkata 700 095
I&C HQ
Mr Suneel Sharma
Room no 415, 4th Floor
Old Admin Building
BPCL Refinery
Mahul
Mumbai - 400074
D. Chandrashekhar
Ch. Mgr. Logistics (I&C), HQ
Bharat Petroleum Corpn. Ltd.,
Bharat Bhavan-1,
4&6, Currimbhoy Road,
Ballard Estate, Mumba-400 001.
S.P.Ghan
Ch. Mgr. Logistics & HSSE (I&C), HQ
Bharat Petroleum Corpn. Ltd.,
Bharat Bhavan-1,
4&6, Currimbhoy Road,
Ballard Estate, Mumbai-400 001.
9. Retail
Retail - Northern Region
SR.MANAGER (RETAIL ENGINEERING)-NORTH
BPCL
PLOT NO. A-5 AND A-6, SECTOR -1, UDYOG MARG.
NOIDA, U.P-201301
Retail - Eastern Region
SENIOR MANAGER RETAIL ENGINEERING, EAST
BPCL
BHARAT BHAVAN, PLOT NO- 31, PRINCE GULAM MD. SHAH ROAD, GOLF GREEN
KOLKATTA-700095
Retail - Southern Region
CHIEF MANAGER RETAIL ENGG. (SOUTH)
BPCL
SOUTHERN REGIONAL OFFICE, 1,RANGANATHAN GARDEN, OFF.11TH MAIN ROAD, POST
BOX NO.1212&1213 , ANNA NAGAR
CHENNAI 600040
Retail - Western Region
SR. MANAGER (RETAIL) ENGG., WEST
BPCL
E & F, MAKER TOWERS,, CUFFE PARADE,
MUMBAI-400005
10. Kochi Refinery
Ch. MgrContract Services (P&CS)
BPCL Kochi Refinery
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Post Bag-2
Ambalamugal
Kochi-682302
Kerala
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