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APPLICATION FOR VENDOR REGISTRATION (To be submitted in duplicate) Vendor Registration Form Date: 04.03.2014 1.

All questions that follow, complete and definite answers must be given, otherwise the application will not be considered. All fileds are mandatory. Where any field is not applicable, please mention "NA". If space is insufficient for answers against questions separate annexure may be attached, which must also be signed by the same person/persons signing this application. Applicants are also requested to send two copies each of their catalogues and other trading literature. 2. Details of the company - SILFINE JAPAN CO. LTD.
Put against the option and fill the information accordingly:

New Registration

Modification

Existing Code
(In case of Modification)

Name of the Company: SILFINE JAPAN CO. LTD. Sl No Particulars Address Phone No. Fax No.

2.1 2.2 2.3 2.4 2.5

Regd Office Head Office Factory/Works Branches Web-site address of the company

5F Aqua Hakata Bld., 5-38, Nakasu, Hakata-ku, +81-92-285-5893 Fukuoka-shi, Fukuoka-ken, Japan

+81-92-410-6746

3. Is your Firm Registered Under Indian Companies Act 3.1 3.2 3.3 3.4 The Indian Partnership Act 1932? Any other Act? If Not who are the owners? The Indian Factories Act 1 948?If so, Registration No. and Date In case of a Company or LLP, a complete list of Directors with their names, address, telephone is to be given. Copy of MOA & AOA to be furnished along with Certificate of Incoporation. Latest Income tax Clearance certificate must accompany this application. In case of Partnership, give names and addresses of all the partners with details of capital invested by each partner. Income tax clearance certificate of each individual partner in addition to the Income Tax clearance certificate in the name of the firm should be furnished with this application Are you a Sole Proprietorship Firm? (Latest Income Tax Clearance certificate according to 3.6 must accompany this application.) Are you a SSI registered with Directorate of Industries/NSIC? If so, please give registration No, and date. If not SSI, please give details of status of your unit with documentary evidence.

NA NA NA NA NA

3.5

NA

3.6

3.7 3.8 3.9

NA NA NA

4. Name, Email Address, Mobile No. & Office Phone No. of Important Executives of your Organisation
Sl No Particulars Name Email Address Mobile No. Office Phone No.

4.1 4.2 4.3 4.4 4.5 5.1 5.2

Chief Executive Officer/Managing Director General Manager Marketing Manager/Commercial Manager Local Branch Manager

Mr. Alex Halpin

yonetsu@silfine.jp

+81-92-285-5893

+81-92-410-6746

Contact Person(Any Other) Sales Tax Registration No. State (Give name of State) OR Central Sales Tax Registration No. OR VAT Registration No (attach Copy of Certificate) Latest Sales Tax clearance certificate must be furnished with this application.

NA NA

6. Are you a Manufacturer? If so , please give details as follows:6.1 6.2 6.3 6.4 Location of manufacturing works/ Factory / Factories owned by you Details of Storage and Production capacity (Specifying each item separately) Details of Inspection facilities available in your premises for pre shipment inspection ISO/OHSAS Certified (Yes/NO)? If yes specify details. NA NA NA NA

7. Are you manufacturers Agent? If so, Please give details as follows: 7.1 7.2 7.3 8 9 10 Name and address of manufacturers Stores manufactured by each. Letter of Authority appointing you as Agents in original (along with a copy of the agreement with your Principal) which must indicate whether the manufacturer will also deal with us direct or only through your agency. Whether you are prepared to quote and receive payment in Indian Currency Whether you have facilities to offer after sales services Whether you are in a position to supply the equipment/spare parts for which your Principals desire registration and the extent of stocks maintained together with value thereof. NA NA NA NA NA NA

11 12 13

Stores for which Registration is sought(items to be specifically stand and not by classes or categories) Whether you are interested to enter into Annual Rate Contract on the basis of Manufacturers Price List? If yes (as per point 12), enclose latest price list in original along with some the major rate contracts handled by you.

NA NA NA

14

Bank Name, Address and Account No.

NA

15 16 17 18 19 20 21 22 23 24 25 26 27

Are you on the list of approved Suppliers/ contractors of Government Undertakings, Power Plants or other authority? If so, give registration Nos. and dates with full Details Are you prepared to abide by the attached General Terms and Conditions of VPPPL? Provide your last 3 years Annual Report (B/S & P/L) as separate Annexure PF Account Number (Wherever applicable) Do you have contract labour license? If yes, contract labour license no: Labour welfare fund establishment code PAN (attach copy) TIN Is Works Contract Tax applicable for the service? If yes, WCT No.(attach copy) Excise Control Code Number (attach copy) Importer and Exporter Code No. (attach Copy) Are you already doing business with VPPPL and if so, since when? Also please furnish copies of our Purchase Orders Details of orders placed on you by other Major Industries. Mention the names of your top ten clients. Are any of your associates / affiliate company already doing business or having any past done business with Vikram Solar / Any Vikram Group Company and if so, since when? Also please furnish copies of our Purchase Orders Any other information which you deem necessary

NA NA NA NA NA NA NA NA NA NA NA NA NA

28 29

NA NA

____________________________________________________ (Signature of Vendor with Seal)

List of annexed documents :1 2 3 4 5 6

NA

____________________________________________________ (Signature of Vendor with Seal)

This Part To Be Filled By VIKRAM


Type of Purchase: Product Category: Name of the Product: Purchasing Company: Remarks (If Any): Exhibtion Expenses - PV EXPO 2014 Service Solar Sponsorship VSPL Currency Must be in YEN or JYP (VSPL/VPPPL/VPUSPL/If Any Other Specify) (Domestic / Import) (Material / Service)

Site Visit Report (If Any): NA

Verified By: (Executive - Purchase / Concerned Dept.) Name: Rajib Saha

Approved By: (HOD - Purchase / Concerned Dept.) Name: Niladri Saha

Signature:

Signature:

Date: 04.03.2014

Date: 04.03.2014

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