Post on 02-Feb-2018
Sample Vendor Registration Form Note: The pages in this file illustrate the information that will be asked to the vendor in a step by step manner during the registration process. Vendors are requested to go through this file prior to performing the actual process in order to understand the pre-requisite’s needed for registering with MSEB e-Tendering services.
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Company Details
Vendor Registration
Fields marked as * are mandatory. Company Login and Information : Company Essential Details
Company Name *
Company Registration Number *
Company Type * Company Contact Details
Registered Office Address
*
City * State *
District * Country *
Pincode *
Country Code Area Code Telephone 1 Telephone 2
Telephone Number/s ( ) * ( ) * *
Country Code Area Code Fax 1 Fax 2
Fax Number/s ( ) ( )
Email Address *
Company Login Details
Username * [6-20 characters][Should not contain special symbols]
Password * [6-20 characters][Should not contain blank spaces]
Confirm Password *
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Management Details
Vendor Registration
Fields marked as * are mandatory. Management Details Director Details
Select Full Name Designation
Vishal S Manager
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Director
Vendor Registration
Fields marked as * are mandatory. Firm Management Details Director Details
First Name Middle Name Last Name
Full Name * *
Designation *
Full Address *
City * State
*
District * Country *
Pincode *
Country Code Area Code Telephone 1 Telephone 2
Telephone Number/s ( ) ( )
Country Code Area Code Fax 1 Fax 2
Fax Number/s ( ) ( )
Mobile Number
Email Id *
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Local City Contact Information
Vendor Registration
Fields marked as * are mandatory. Mumbai Contact Details:
Mumbai Representative Details Not Applicable
First Name Middle Name Last Name
Representative Full Name * *
Representative Full Address *
City State
District Country
Pincode *
Country Code Area Code Telephone 1 Telephone 2
Telephone Number/s ( ) ( ) *
Country Code Area Code Fax 1 Fax 2
Fax Number/s ( ) ( )
Representative Mobile Number
Representative Email Id *
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Digital Signature Holder Details
Vendor Registration
Fields marked as * are mandatory. Digital Signature Holder Details Details of the Person holding Digital Signature
FirstName MiddleName LastName
Full Name * *
Designation *
Email Address *
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Experience Details
Vendor Registration
Experience Details: Experience Details:
Experience in Manufacturing yrs months
Experience in Designing yrs months
Experience in Testing yrs months
Experience in Supplying yrs months
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Financial Information of the Firm
Vendor Registration
Fields marked as * are mandatory. Financial Details: Financial Details of the Firm
Attach Copy of Profit and Loss Account for year - PL2003
Attach Copy of Profit and Loss Account for year -
Attach Copy of Profit and Loss Account for year -
Attach copy of Balance sheet for year -
Attach copy of Balance sheet for year -
Attach copy of Balance sheet for year -
State Sales Tax Number
Central Sales Tax Number
PAN Number *
Attach Copy of PAN Card PAN CARD
Turnover For year - ( in lakhs )
Turnover For year - ( in lakhs )
Turnover For year - ( in lakhs )
Turnover For year - ( in lakhs )
Turnover For year - ( in lakhs )
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Vendor Registration
Fields marked as * are mandatory. Permanant Bank Guarantee Details
Permanant Bank Guarantee Details Not Applicable
Acceptance Letter Number *
PBG Amount ( in Lakhs ) *
Issue Date *
Validity Date
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Permanant Bank Guarantee Details
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MSEB Relation Details
Vendor Registration
Fields marked as * are mandatory. Relations in MSEB
MSEB Relation1 Not Applicable FirstName MiddleName LastName
Full Name * *
Designation *
Department
Relation *
MSEB Relation2 Not Applicable FirstName MiddleName LastName
Full Name * *
Designation *
Department
Relation *
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Vendor Register Type Details
Vendor Registration User : SHRI VENKATESHWARA TRADERS
Fields marked as * are mandatory. Vendor Register Type Details
Register Me As a
Manufacturer Trader
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http://sets/msebrelationinfo.do1/20/2005 12:31:36 PM
List of Manufacturers
Vendor Registration User : SHRI VENKATESHWARA TRADERS
Fields marked as * are mandatory.
List of Manufacturers
Select Manufacturer
SAI KRIPA CERAMAIC PRODUCT MANUFACTURER
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http://sets/vendorregtypedetails.do1/20/2005 12:31:58 PM
Details of Manufacturer
Vendor Registration User : SHRI VENKATESHWARA TRADERS
Fields marked as * are mandatory. Details of Manufacturer
Name of Manufacturer *
Address of Manufacturer *
City * State
*
District * Country *
Pincode *
Country Code Area Code Telephone 1 Telephone 2
Telephone Number/s ( ) * ( ) * *
Country Code Area Code Fax 1 Fax 2
Fax Number/s ( ) ( )
Contact Email *
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http://sets/itemstradedsourcelist.do1/20/2005 12:32:08 PM
Vendor Registration User : SHRI VENKATESHWARA TRADERS
Fields marked as * are mandatory. Factory Details Factory Essential Details
Factory Name *
Establishment Date of Factory *
Full Address of Factory
*
City * State *
District * Country *
Pincode *
Manpower *
Factory Inspection Report No
Factory License Details
Factory License Number
Factory License Validity Date
Attach Factory License Copy
Attach Machinary List Copy of Factory Factory Machinary List
Attach Testing Equipments List List of Testing Equipments
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Factory Essential And Contact Details
http://sets/itemstradedsourcedetails.do1/20/2005 12:32:32 PM
Items Traded By Vendor
Vendor Registration User : SHRI VENKATESHWARA TRADERS
Fields marked as * are mandatory. Items Traded By Vendor
http://sets/itsourcefactorydetails.do1/20/2005 12:32:42 PM
Vendor Registration
Fields marked as * are mandatory. Factory Details Factory Essential Details
Factory Name *
Establishment Date of Factory *
Full Address of Factory
*
City * State *
District * Country *
Pincode *
Manpower *
Factory Inspection Report No
Factory License Details
Factory License Number
Factory License Validity Date
Attach Factory License Copy
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Factory Essential And Contact Details
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Factory Contact Person Details
Vendor Registration
Fields marked as * are mandatory. Factory Details Factory Contact Person Details
FirstName MiddleName LastName
Full Name * *
Department
Designation *
Full Address
*
City * State *
District * Country *
Pincode *
Country Code Area Code Telephone 1 Telephone 2
Telephone ( ) * ( ) * *
Country Code Area Code Fax 1 Fax 2
Fax ( ) ( )
Mobilenumber
Email Address *
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Factory ISO Certification Details
Vendor Registration
Fields marked as * are mandatory. Factory ISO Certification Details:
Factory ISO Certification Details Not Applicable
Name of ISO Standard * { e.g. ISO 9001 }
ISO Certifying Authority *
ISO Certification Number *
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Items Manufactured List
Vendor Registration
Fields marked as * are mandatory.
List of Items Manufactured by Firm
Select Item Description
132KV C&R PANEL
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Items Manufactured by the Firm
Vendor Registration
Fields marked as * are mandatory. Items Manufactured By the Firm Item Details
Item Name
Unit of Item
Quantity Manufactured Per Month *
Turnover per Annum for Item ( in Lakhs ) *
Industrial License Number *
Attach the Industrial License Copy of the Item Industrial License
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Vendor Registration
Fields marked as * are mandatory. Factory Details
Factory SSI Registration Details Not Applicable
Type Of SSI Registration
SSI Registering Authority *
SSI Registration Number *
Issue Date of SSI Registration *
Date of Commencement of Commercial Production
Items For Which SSI Registration is Given
*
SSI Registration Certificate is under renewal process
Attach SSI Registration Copy *
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Factory SSI Registration Details
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Vendor Registration
Fields marked as * are mandatory. Factory Details
Factory NSIC Registration Details Not Applicable
NSIC Registering Authority *
NSIC Registration Number *
Issue Date of NSIC Registration *
Validity Date of NSIC Registration *
Date of Commencement of Commercial Production
Items For Which NSIC Registration is Given
*
Attach NSIC Registration Copy *
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Factory NSIC Registration Details
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Vendor Registration
Fields marked as * are mandatory. PastPerformance Details PastPerformance Details
Item Name
Name of the Firm *
P.O.Number *
Order Start Date *
Order Completion Date *
Quantity Supplied *
Certificate Awarded (If any)
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PastPerformance Details
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PastPerformance Details
Vendor Registration
Fields marked as * are mandatory. PastPerformance Details PastPerformance Details
Item Name *
Select FirmName PO Number Qty Supplied Start Date Completion Date
MSEB MS1001 1000 01-11-2004 30-11-2004
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Vendor Registration
Fields marked as * are mandatory. Regional Development Authority Eligibility
Regional Development Authority Eligibility Not Applicable
Type of Eligibility Certificate *
Developing Region *
Pioneer Industry
Issue Date of Eligibility Certificate *
Validity Date of Eligibility Certificate *
Attach Valid Eligibility Certificate *
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Regional Development Authority Eligibility
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Vendor Registration
Fields marked as * are mandatory. Other Eligibility Details
DGS&D Registration Eligibility Not Applicable
DGS&D Registering Authority *
DGS&D Registration Number *
Issue Date Of DGS&D Registration *
Validity Date Of DGS&D Registration *
DGTD Registration Eligibility Not Applicable
DGTD Registering Authority *
DGTD Registration Number *
Issue Date Of DGTD Registration *
Validity Date Of DGTD Registration *
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Other Eligibility Details of the firm
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Vendor Registration
Fields marked as * are mandatory. Bureau of Indian Standards Details BIS Details
BIS License number *
Issue Date of BIS License *
Validity Date of BIS License *
Attach BIS License Certificate BIS License
Items In BIS License
*
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BIS Details
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List OF BIS Details
Vendor Registration
Fields marked as * are mandatory. Bureau of Indian Standards Details List of BIS Standards
Select BIS License Number Issue Date Validity Date
IS911010 01-09-2004 01-11-2006
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Related IS Numbers
Vendor Registration
Fields marked as * are mandatory. Related IS Numbers IS Numbers
Select BIS License *
Select Item *
Related IS Number
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Vendor Registration
Fields marked as * are mandatory. Registration Fees Details Registration Fees Details
Type of Payment
Mode of Payment By DD By Cash
DD Date *
Demand Draft Number *
MICR Code *
Amount *
Bank Name *
Branch Name *
Registration Fees Details
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Registration Confirmation
Vendor Registration
Fields marked as * are mandatory. Registration Confirmation
CONGRATULATIONS.....!
You have successfully filled all the details.
To view your filled details
Do you want to apply for the registration now?
Yes No
Note: By selecting 'yes' your details will be locked and you will not be allowed to alter registration details till your application is verified and cleared by MSEB authorities.
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