- General -
Application Date* Knowledge Of Kilburn Form*
Nature Of Business*
Name Of Co./ Firm* Establish In Year*
Office Address* Tel No.*
    Fax. No.*
    Email*
       
Works / Factory Address* Tel No.*
    Fax. No.*
    Email*
       
    Owners : Type of Co. / Firm :
Name (1)    
Designation Mobile
Telephone Email
       
         
Name (2)      
Designation Mobile  
Telephone Email  
         

Type of Products / Jobs Supplied :

Services Offered      
Experience Years      
Annual Turnover      
         
Financial Strength
Important Clients
Important Items Supplied
(Please provide a list)
   
Facilities Available
Majour Machinary Available
Manpower Strength Total  Engineers  Workers  Others
Inspection Agencies Dealt with
Quality System Followed :    
Inspection System Followed
Space / Area available
Handling / crane capacity
   
Commercial Details
Regd. Dealer
Excise Duty Applicable
Service Tax Applicable    
Sales Tax Applicable  
VAT Applicable  
Payment Terms Negotiable  
     
Additional Details You Wish To Provide  
   
 
     
     
     

Signature ( Prepared By)

 
Name  
Designation