GOA SHIPYARD LTD / COMMERCIAL DEPARTMENT
FORMS & FORMATS
7.4.1 VENDOR REGISTER
QUESTIONNAIRE / Doc. No. : 06/QSF/13P
Section : 19
Sheet No. : 1 of 5
Issue 01 Rev. No. 00
Effective Date 10/05/2003
GOA SHIPYARD LIMITED
VASCO-DA-GAMA (GOA ) INDIA
VENDOR REGISTRATION QUESTIONNAIRE
1. Name of the Firm/Company:
2. Nature of Business whether Manufacturer/
Service Sub-Contractor/Authorized Agent/Trader :
3. Items of Manufacture/Agency/Service for which
registration sought :
4. (a) Factory Postal Address/Phone No./Telex No :
(b) Registered Office Postal Address/Phone No.
Telex No. /Fax No.:
(c) Sales Office Address/Phone No./Telex/Fax No.:
(d) Correspondence address/Phone No. for this
registration :
5. Whether Public Limited/Private Limited/
Partnership/or Proprietary concern:
6. Name of Directors/Partners/Proprietor:
7. Name and Postal address and Telephone No.
of firms in which any of your Proprietor/Partner/
Directors are associated :
8. Whether your firm is Registered under
(a) Small Scale Industries/NSIC/DGTD, Give details
such as Regn. No., Date etc with Photostat copy :
(b) Partnership, state whether Regd. under Indian
Partnership act 1932 (with Photostat copy) :
(c) Indian Factories Act, Please give details :
(d) With any Govt. Undertaking/dept. If so attach
Photostat copy of registration :
9. (a) Factory License No./Shop Establishment Act
Certificate/Registrar of firms certificate/Register
of Company Incorporation Certificate (with
Photostat copy) :
(b) Registration Certificate from Labour Commissioner
(in case of Labour jobs) :
(c) For Drug. Mfgrs. only
Drug Mfg. License with Photostat copy. Please
state if you are a loan license :
10.(a) Goa/Bombay Sales Tax Regn. No. with
Photostat copy :
(b) CST Regn No. with Photostat copy :
Prepared by NR/ SH / Reviewed by MR / Approved by HOD (C) / Date of issue 10/05/2003
….2/-
-2-
GOA SHIPYARD LTD / COMMERCIAL DEPARTMENT
FORMS & FORMATS
7.4.1 VENDOR REGISTER
QUESTIONNAIRE / Doc. No. : 06/QSF/13P
Section : 19
Sheet No. : 2 of 5
Issue 01 Rev. No. 00
Effective Date 10/05/2003
11. Attach Memorandum/Articles of Assn./
Partnership deed (Photostat copy)/Documentary
evidence of Proprietorship:
12. (a) Attach last year’s Annual Report :
(b) Balance Sheet (Photostat copy) :
13. (a) Income Tax clearance Certificate or PAN Card No.:
(a) Name of Bankers/Postal Address and
Telephone No.:
(b) Give details of Bank’s Credit facilities, solvency
available to you. (Attach letter from Bankers) :
(c) Give details of Bank Guarantee available to you :
14. Paid Up/Invested Capital :
15. Approx. Annual Turnover in last three years
(each year to be shown separately) :
16. Names and Address of associated sister Mfg/
Sub-contracting/trading concern :
17. Name and Address of your Authorized
Distributors/dealers and their Phone Nos.:
18. (a) If an authorized Dealers/Stockiest/Sole Selling
Agent/Item under authorized agency (Attach
Photostat copy of Authorized Agency/Agreement:
(b) Address and Telephone No. of Godown:
19. Date of commencement of Business:
20. (a) Major orders executed for Govt./Semi. Govt.
Dept. Public Sector undertaking Attach details
of Order No., Date, Value etc. attached Xerox
copies of five recent major orders):
(b) Attach performance report from at least three of
your major customers :
- Number of employees in your firm
Engineers Skilled Total
(a) Permanent
(b) Temporary
______
TOTAL: - - - -
______
(c) Attach category wise list of Skilled/Semi skilled
labour :
(d) Whether your employees are covered under
ESI, If so attach last year’s ESI contribution clearance certificate :
Prepared by NR/ SH / Reviewed by MR / Approved by HOD (C) / Date of issue 10/05/2003
…3/-
-3-
GOA SHIPYARD LTD / COMMERCIAL DEPARTMENT
FORMS & FORMATS
7.4.1 VENDOR REGISTER
QUESTIONNAIRE / Doc. No. : 06/QSF/13P
Section : 19
Sheet No. : 3 of 5
Issue 01 Rev. No. 00
Effective Date 10/05/2003
(e) Whether your employees are covered under PF
Act. If so, give the PF Code No./Attach latest
PF Contribution :
(f) Weekly off:- Factory ______Office ______
22. (a) Plant area of your firm Covered-Uncovered-TOTAL
(b) Attach list of machinery & equipment installed (area in sq. mtrs.)
giving size & type of M/C.S manufactured & year
of manufacture :
(c) i) Attach list of equipments owned by you
giving capacity make & year of manufacture :
ii) Address & Telephone No. of Repairs & Maint.
Workshop & list of machinery/equipment/tools
(in case of hiring jobs) :
(d) Attach list of Quality Control & Inspection eqpt. &
other standard measuring instruments :
(e) Indicate quality assurance/quality control system
presently adopted by your organization for guarantee
quality product :
23.(a) Do you have a Laboratory for Metallurgical/Physical/
Chemicals Testing? :
(b) Do you avail yourself of testing facilities outside
your organization ? If so, please indicate the Name
& address of Testing Agency:
24.(a) Do you as a regular practice subject your raw material
to Chemical/Metallurgical & other tests before issuing
them for production ? :
OR
Do you depend wholly on supplier’s certificate/
guarantee? :
25. Do you employ statistical method for Quality Control?:
26. Do you conduct 100% inspection of all products
prior to despatch ? :
OR
Do you conduct only percentage/random inspection
27. Give a brief write-up of the Inspection and Quality
Control Procedures followed by you :
28. Give a brief write-up of the Inspection and Quality
Control procedures followed by you :
29. No. of shifts working per day:
Prepared by NR/ SH / Reviewed by MR / Approved by HOD (C) / Date of issue 10/05/2003
…4/-
-4-
GOA SHIPYARD LTD / COMMERCIAL DEPARTMENT
FORMS & FORMATS
7.4.1 VENDOR REGISTER
QUESTIONNAIRE / Doc. No. : 06/QSF/13P
Section : 19
Sheet No. : 4 of 5
Issue 01 Rev. No. 00
Effective Date 10/05/2003
30. Name & designation of officials who will directly
negotiate or transact business with us:
31. Does your firm have any expansion programme?
If any please give details:
32. Attach details of product/services (Technical
Leaflets/Literature/Price list) :
33. Transport facility for delivery & collection of
goods to and from our yard :
34. (a) Name & Postal Address/Telex No. of the foreign
collaborators, if any:
(b) Attach copy of foreign collaboration agreement:
(c) Name & Postal address of foreign principals for
Agency, if any:
35. If importers of Raw materials/product, give details
of Import license, name of supplier :
36. If stockiest, minimum stock held for each item
[in Qty. & Value] :
37. Whether your products are on rate contract with
DGSD, if so please furnish copy of the contract:
38. Whether your products confirm to BS/DIN :
39. Are you in a position to supply items duly
approved and Lloyds/ABS/IRS/DNV/MMD/EIL etc:
40. Any other details which you, wish to mention for
judging your firms standing in the market :
DECLARATION BY THE APPLICANT FIRM
I/we hereby declare that the information furnished above is correct and true to the best of my/our knowledge and belief.
I/We confirm that our Proprietor/Partner/directors are not associated with any firm with which the business has been banned by the Central/State Govt. Dept/Public Sector Undertaking (Central State Govt.)
Signature :
NAME (in Block Letter)
Designation
Seal of Company
Prepared by NR/ SH / Reviewed by MR / Approved by HOD (C) / Date of issue 10/05/2003
….5/-
-5-
00000
GOA SHIPYARD LTD / COMMERCIAL DEPARTMENT
FORMS & FORMATS
7.4.1 VENDOR REGISTER
QUESTIONNAIRE / Doc. No. : 06/QSF/13P
Section : 19
Sheet No. : 5 of 5
Issue 01 Rev. No. 00
Effective Date 10/05/2003
Place :
Date :
NOTES: (a) Complete & definite answers must be given in the space provided. In case if it not sufficient, extra sheet may be attached as enclosure.
(b) The registration questionnaire duly filled complete in all respects (in a file) should be addressed to for evaluation and consideration.
(c) A/c Payee DD/Pay order for Rs. 1000/- (Non-refundable) in favour of Goa Shipyard Ltd., Goa as processing fee should accompany along with the Registration Form (in case if not paid already)
(d) Kindly contact Commercial Dept. for clarification of any queries/doubts.
______
( FOR OFFICE USE)
Ref. No. : 06/ /V. R./Assessment
Date Revised: NIL Revision No.
Date of Issue :
AUTHORISED SIGNATORY
Prepared by NR/ SH / Reviewed by MR / Approved by HOD (C) / Date of issue 10/05/2003
…6/-
-6-
ANNEXURE’A’
DOCUMENTS TO BE ATTACHED WITH VENDOR REGISTRATION QUESTIONNAIRE
(Each and every document shall be self attested)
1.a)Details of Products/Service/technical Leaflet/Catalogue (2 copies). Please indicate the category of
equipment/items.
b)Please Tick the items for which you want to be registered in the category of equipment/items.
However, please note that you have to provide technical catalogues/Purchase orders with
corresponding delivery challans for all the items ticked by you
c)Also fill up the GSL format attached below at sr. no. iv of Note
2.Photo copy of ISO Certification (if applicable).
3.Registration certificate under SSI/NSIC.
4.Copy of registrar of company’s certificate/Factory License/ Municipal Shop’s/ Establishment Certificate
5.Registration certificate with govt. undertaking/PSU/DGQA.
6.VAT registration certificate.
7.CST registration certificate.
8.Excise registration certificate.
9.Copy of PAN card and copies of I.T. return paid for last 3 years.
10.Annual report for last 3 year with dully audited Balance sheet together with profit & loss account. (Auditor’s stamp should be there on the documents)
11.a)Original Bank Solvency Certificate In the format enclosed.
b)Financial information for the previous 4 years in the format enclosed
12.a)Copies of Major orders executed for govt./PSU/other defense PSU/ other private organization along
with respective copies of delivery challan. (The Challans should match the Purchase Orders
submitted). At least one PO and DC for each item / equipment for which registration is being sought.
b)Submit a copy of the third party inspection certificate (IRS/ABS/LRS/ any other Inspection
Agency) for the items to be registered by you.
13.Evidence of QM System/QC Practice/QA System in vogue (Including typical QAP of the firm) and QA/QC/NDE facilities.
14.Evidence of manufacturing methodology used for your products / Infrastructure and standards & modalities used for packing.
15.Photo copies of products Test and Inspection certificates for last executed order.
16.Import license (if importer)/ Import Export Certificate.
17.Evidence of stock maintained for your products in Qty. and Value.
18.Evidence of your products confirm to BS/DIN/ASTM/ISS Standards.
19.ISI license (if ISI marking).
20.Evidence of your products approved by Lloyds/ABS/IRS/DNV/MMD/EIL etc.
21. Lead time (delivery) for manufacturing and supply of typical product (Inclusive of drawing support, initial Correspondence etc.) and the time required to depute your Service Engineer (no. of days)
22.Technical Specification/Extracts for any last 2 shipment orders listed in the PO reference.
23.Proof of Qualification of Management & Key personals including certified personals. Flow chart of personnel in your organization in hierachial order.
24.Authorization Certificate/ Dealership Certificate from OEM (if applicable).
25.DQA (N)/DQA (WP) Certificate of Registration.
26. A/c Payee DD/Pay order for Rs. 1000/- (Non-refundable) in favour of Goa Shipyard Ltd.,
Goa as processing fee should accompany along with the Registration Form
NOTE: i. Please tick the documents enclosed and if not enclosed, give reason.
ii. Please submit documents that have current validity. Documents without validity will not be
accepted.
iii. Please submit the VR Form with all the documents in a file with proper tags having above sr.
nos. for proper handling:i.e. the document submitted against sr.no.1 should be tagged as 1
and document submitted against sr.no.2 as 2 and so on for all the other documents.
iv. The list of items/equipment for which your firm wants to be registered with required
details in the following format to be submitted.
Refer the following two examples in our format
Sr. No. / Description / Category in our vendor list (refer the list attached with the vendor form) / Copy of Purchase order(a) / Delivery challan of the corresponding order
(b) / Third Party Inspection Certificate
(c)
1 / Air Compressor / * E-4 / PO. no. 12345 dtd. 17/02/12 / O93 dt. 25/06/12 / IRS certificate no. KDHJI dt.01/02/13
2 / Mattresses / * C-65 / PO. no. 97786 dtd. 09/09/13 / 262 dt. 17/10/13 / No Inspection
*Note: The letter E & C in the third column stand for Engineering & Capital Sections
respectively.
- In E-4, the no. 4 represents the sr. no. of Air Compressor in Engineering Section
- In C-65, the no. 65 represents the sr. no. of Mattresses in Capital Section
Please note that for each and every item you want to register in GSL, you have to forward the Purchase Order copies alongwith the corresponding delivery challans and the corresponding Third Party Inspection Certificates against each Order.
Make a note of the same in the above format and also forward a soft copy of the above duly filled format
You are requested to forward the required details in the above format only at the earliest to process your file further for evaluation.
Request forward documents having validity.
BANK SOLVENY CERTIFICATE
…………………………………………………BANK.
HO………………………………………………….
………………………………………………BRANCH.
Date:……………………….
The General Manager (Commercial)
Goa Shipyard Ltd,
Vasco-Da-Gama
GOA
Sub.: Capability Solvency Certificate in respect of M/s.………………………………………………..
This is to certify that in our opinion and to the best of our knowledge and information available on the records of Bank as on …………………… M/s………………………………………… a firm / Private Ltd. Co. carrying on business at ……………………………………………………………………………......
with Shri……………………………………………………………...... as a proprietor / Partners / Directors ………………………………………… is capable of undertaking business/ contract works to the extent of Rs…………………. (Rupees …………………………………………………… only)
This certificate is issued without any guarantee of responsibility or commitment on the part of the bank or any of its Officers / employees.
For……………………………
………………………..Branch.
MANAGER / SENIOR MANAGER
FINANCIAL INFORMATION FOR THE PREVIOUS FOUR YEARS
Sl. No. / Particulars / Year 1 / Year 2 / Year 3 / Year 4Years in ascending order, Money Value in Million / Lakhs
1 / NET WORTH
(Share Capital +Reserves)
2 / Growth over previous year (%)
3 / Current assets
(a) Current investments
(b) Inventories
(c) Trade receivables
(d) Cash and cash equivalents
(e) Short-term loans and advances
(f) Other current assets
4 / Current liabilities
(a) Short-term borrowings
(b) Trade payables
(c) Other current liabilities
(d) Short-term provisions
5 / Net Working Capital (3-4)
6 / Sales Revenue from operations
7 / Net Profit
(Profit After Tax)
8 / Profitability Ratio
(Net Profit/Net Worth)
NOTE:
1. Copies of Annual reports/ annual accounts (Audited Balance Sheet and Statement of Profit and Loss Accounts) for the last three years (or from date of incorporation whichever is less) along with audit report are to be submitted.
2. The above details shall be highlighted in the Balance Sheet and Statement of Profit and Loss A/c.
Place:
Date:
SUPPLIER’S AUTHORISED SIGNATORY
LIST OF CATEGORIES OF EQUIPMENTS / ITEMS
Tick the items for which registration is sought
HULL SECTIONSr. No. / Item Description
1 / A bracket/ P bracket
2 / AC ventilation and Refrigeration system
3 / A) Adhesive Material
B) Adhesive for MFMB/MFRB
4 / Air Whistle
5 / Aluminium Brow
6 / Aluminium plates, perforated sheets, chequered plates, rods, sections, profiles
7 / Anchor chains and accessories
8 / Anchor Windlass
9 / Anchor and Forging A) Cast anchors
B) forged anchors
C) General forging
10 / Anodes: Sacrificial Inc/Aluminium anodes
11 / B0, B15 and B-30 class panels
12 / BI – Metallic strip
13 / Boats A) Life Boat, Rescue Boat, Survey Motor Boat, Work Boat & RIB
B) Inflatable Gemini
14 / Bollards
15 / Breathing Apparatus
16 / Bunks (M.S. & Aluminium)
17 / Bunks(Wooden)
18 / C.P.Towel Rail
19 / Canvas FR Naval Pattern
20 / Canvas PVC
21 / Capstan
22 / Carpet & Curtain Material
23 / Cast Iron Blocks
24 / Castings:Cast/Iron/Cast Steel/SS/Special Steel
25 / Cement
26 / Chains
27 / Clocks
28 / Coir Foot Mat
29 / Compartment Furnishing & Fitting Items A)Coat Hooks,Cromium Plated /Brass/Brass Cromium Plated
B)Kitchen Items And Utensils
C)Sanitary Fittings
D)FRP Shower Tray '(Sanitary Fittings)
30 / Cranes: a)Deck crane & other special purpose crane for ships
B) Pollution control
31 / Curtains - Fire Retardant Type
32 / Damage Control Items & Safety Equipment
33 / Davits : All Types Of Boat Davit ,A) Ammunition davits, torpedo recovery davits
B)Radial davits
34 / Deck Covering Material Syncolite Terracrate & Resin Matrix
35 / Diving Equipment
36 / Doors a) Fire class
B)Water tight & weather tight/ steel & aluminium
C)Hydraulic sliding doors
D)Wooden doors
37 / Drain Plugs
38 / Fairleads(Cast Steel)
39 / Fin Stabliliser Eqpt. & Component
40 / Food Lift System
41 / Fueling/Replenishment At Sea(Items)
42 / Furniture a)M.S. furniture
B) Aluminum furniture
C)Medical furnitures/ equipment
43 / Hardwares & MISC.FTGS.Mild Steel'& Stainless Steel & Brass
44 / Hatches
45 / Heli hanger door
46 / Heli Landing Grid
47 / Heli Lashing Gear
48 / Helicopter hanger hoist
49 / Insulation material A) Glass wool/Mineral wool/rock wool
B) Fibreglass tape & cloth
50 / Interior decorators
51 / Jack staff and engine staff
52 / Kit Lockers
53 / Ladders A) Accomdation
B) Fabricated/ordinary -sloping/vertical/gangway ladder
C)Pilot/jumping/ embarkation
D)Stables and painter stage
54 / Laminated Sheets Decorative(M.P.L)
55 / Life Rafts
56 / Life Saving Appliances-Lifebouys,Life Jackets,Line Throwing Appliances
57 / Linolium Rolls
58 / Manholes
59 / Marine Clock
60 / Mast & Boom
61 / Mattresses a)Fire retardant
B)Non fire retardant type
62 / A)Name Plate
B) Name Board
63 / National Emblem
64 / Navigational AIDS
65 / Outboard Motors
66 / Particle Board
67 / Pipes A)Seamless(M.S.,CAST STEEL) ETC / ASTM A106 (B)/ASTM A53,A68
B)ERW
C)Stainless Steel & Other Special Alloy Steel
68 / Plywood A)Ordinary And Marine Type
B)plywood fire retardant
C)teak/venear faced plywood ' (one side or both sides)
69 / Reels For Wirerope (Nylon/Polypropyllene Rope Geared)
70 / A)Rigging & Towing Ftgs
71 / Rivets A)S.S Pop
B)AL AND M.S Rivets
72 / Ropes A)Nylon And Polypropelene
B)Wire Rope
C)Sisal Rope/Manila Rope
D)PVC Coated
73 / Rubber Fenders A)Solid Rubber Fender
B) Pneumatic Type
C)Rubber Mats/Non Skid
D)Neoprene Rubber Sheets & Packing
74 / Rudder & Rudder Stock
75 / Scrim Cloth
76 / Scuttle
77 / Ship's Bell & Duty Bell
78 / Ship's Model
79 / Stanchions Guard Rail & Awnings
80 / Steel-A)PLATES
B) S.S Plates & Sheets And Special Alloys Steel
C) MS Angles,Channels And Bars, Bars(Rounds) Tor Bars 'T' Bars,Square Bars
D)Angles,Bars(Rounds) Profiles, B.P/H.P ETC.Lrs Grade,'A'/'B'(Imported) ABS GRADE'A'/'B' ETC
E)M.S Slotted Angles And Panels
81 / Talley Plates
82 / Tanks(Loose)
83 / Tiles A) Ceramic
B) Marblex/PVC
84 / Towing Hooks
85 / B) Tent
86 / Ventilation Sytem Motors And Other Equpt
87 / Vinyl Flooring
88 / Weighing Machine
89 / Winches-Hydrographic, Oceanographic/Specialpurpose Winches--Oceanographic/ Portable, Oceanographic/Special,Winches''-Hydrograpihic