THERMAX LIMITED

VENDOR DATA BANK FORM

Format No- CSG-003 Rev no 2
PLEASE TYPE OR WRITE IN BLOCK LETTERS & TICK WHERE APPLICABLE - ALL INFORMATION
IS MANDATORY .
Item / Service: _____________________________________________________________________________
GENERAL:
1. Vendors Name

: _____________________________________________________________________

2. Office Address

: _____________________________________________________________________
: _______________________________ Pin : _________________________________

Telephone

: _______________________________ Fax : _________________________________

E-mail

: _____________________________________________________________________

Contact Person

: _______________________________ Designation: __________________________

Weekly Off Day

: _______________________________ Resi. Tel. No.: _________________________

3. Works Address

: _____________________________________________________________________
: _______________________________ Pin : _________________________________

Telephone

: _______________________________ Fax : _________________________________

E-mail

: _____________________________________________________________________

Weekly Off Day

: _______________________________ Resi. Tel. No.: _________________________

4. Is Your Works Location within Octroi Limit? Yes / No

5. Registered With D.G.T.D. / S.S.I. / Any Other (PI. Specify): ______________________________________
6. Nature of the Firm Public Ltd. / Pvt. Ltd./ Partnership /
Proprietary. / Any Other (PI. Specify): _______________________________________
7. Names of Promoters/
Directors / Proprietors

: _______________________________________________________________
: _______________________________________________________________

8. Sales & Services Set Up

: _______________________________________________________________

Branches

: _______________________________________________________________

Associate Firms

: ______________________________________________________________

FORMAT NO: CSG-003

REV NO: 2 - Finance Approval Added

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MANUFACTURING:
9. Manpower

: Production i) skilled _____________ ii) Unskilled_______________________

Inspection / Q.C _________________ Other _________ Total ____________

10. Land

: Owned / Rented

Plot Area _____________ SQ.M.____

Covered Area _____________ SQ.M. Office Area ____________ SQ.M.____

11. Plant & Machinery Details.- Attach sheet if reqd.(Please Give Details of Important Equip. Only)
Sr. No. Type of Machine / Facility
e.g.

Profile Cutting

Make & Model

Specification
Green K 120
Capacity 150 mm

Nos.

Verified By Thermax
Representative

2 Nos.

1.
2.
3.
4.
5.
Sr. No

Critical Operations

Done in-house

Verified By Thermax
Representative

1.
2.
3.
4.
5.

12. Products Manufactured By You

: _________________________________________________________
: _________________________________________________

13. Electric Power (In KVA)

Required ____________________ Available ______________________

(From Elec. Board)
Self Generated ______________________________________________

FORMAT NO: CSG-003

REV NO: 2 - Finance Approval Added

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14. Material Handling :

O.H. Cranes _____________ Nos.

15. Radiography Facility Available?

Yes / No

16. Heat Treatment Facility Available?

Yes / No

Tonnage: __________

17. Storage Facility (Raw Material / Finished Goods)

FINANCE:
18. Finance
: Please Give all Details & Enclose Copy Of Latest Balance Sheet. Incase the Company is
newly formed , please submit a copy of your Bank approved Project report.
(This Information and Copy of balance sheet/Project report is Mandatory)
Items

Past 2 Years

Current Year

Next 2 Years

Years
Rs. In 000

Months

Share Capital
Reserves
Borrowings
Total Investments
Gross Fixed Assets
Sales
Matl. Consumption
Profit Before Tax
Profit After Tax
Exports
R & D Expenditure
19. Your Bankers & Address

: ______________________________________________________________

20. Bank Facilities / Limits available at present: Give Details

FORMAT NO: CSG-003

REV NO: 2 - Finance Approval Added

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COMMERCIAL: (Please attach a copy of the documents - Mandatory)

21. Sales Tax Registration Nos. LOCAT S.T.(VAT TIN NO): ___________________
CST (VAT TIN NO): ________________________________________
22. Excise Registration No. : _________________________________ E.C.C. No. : ______________________
23. Are You Covered Under Excise?- Yes / No- If Yes % of Duty Applicable __________
24. Approx. Distance From Thermax Chinchwad Works: __________________________ Km
25. PAN No:
26 Service Tax No:
27. Memorandum NO:

OTHER INFORMATION
28. Are You An ISO 9000 Organization.
29. Your Reputed Customers Name

If So Enclose ISO Certificate .

Annual Business Rs. 000

Vendor Rating for the last 3 years

a) ____________________________

______________________________

_________________________

b) _____________________________

______________________________

_________________________

c) _____________________________

______________________________

_________________________

30. Are You Approved / Worked For The Following Agencies?

(Tick Against the Name & Enclose Copy of Approval)
H. & G
UHDE
DEPL
NTPC
MECON
DESIEN
(ANY OTHER SPECIFY)

IDEA
PDIL
FEDO

DPG
TCE
DALAL

EIL
KTI
IBR

INFIN
CHEMTEX
M.N. DASTUR

31. Experience In Erection & Commissioning (Attach Extra Sheet)

SITE

CLIENT

APPROVAL BY

TONNAGE

JOB TYPE

32. Did you apply for registration in Thermax before?

& If so with what results?
33. If any of the Directors/Partners/Owners have any of relatives working in Thermax, Please Give Details:
34 . Are there any legal cases of any nature pending against the Company or its Directors/Partners/Owners etc
? Please elaborate in detail ( Attach a separate sheet if necessary).

FORMAT NO: CSG-003

REV NO: 2 - Finance Approval Added

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DECLARATION :
We herby confirm that the information given in this data form is complete and authentic. We agree that if any
information , especially at Sr no 18 ,33 & 34 , is found to be incomplete or untrue , we will not be considered
for approval , and incase we are already approved then are liable to be delisted from the Thermax Approved
Vendor list.
Signature: ______________________________

Firms Seal: ____________________________________

Date: _________________ Name: ________________________________ Designation: _________________

For THERMAX LTD office use only

Sr.
No.
1

Name

Department /
Division
Materials

Quality Assurance

Corporate Sourcing

Signature

Approval of the Divisional Finance Controller (Mandatory with effect from 15th OCT
2008)
I have gone thru the financials of the assessed company and the vendor is approved /
Not approved.

Divisional Finance Controller.

(Name :

FORMAT NO: CSG-003

REV NO: 2 - Finance Approval Added

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