Annex 4/a

ANNUAL PRODUCT AWARDS - 2017

FOR LOCALLY MANUFACTURED BUILDING AND OUTDOOR

MATERIALS AND FINISHED PRODUCTS

A P P L I C A T I O N F O R M

(Valid only for a single Product)

1.0.  PRODUCT INFORMATION

BASIC / TECHNICAL
NAME / CODE NO.
(If any) / CATEGORY / RAW MATERIALS USED
Local – L Imported - I / PERCENTAGE (%)

2.0.  APPLICANTS INFORMATION

Name of Organization
Address
Authorized Person
Contact Details / Telephone: / E-mail:

3.0.  PRODUCT QUALITY

(Please attach copies of relevant documents)

3.1 Quality Tested at (Name of the Institute)

(The Certificate should have been issued within three months before the date of submission):

…………………………………………………………………………………..…………………………

3.2 Date of Test Done:………………………………………………………………………..

3.3 Certificate No. & Date:……………………………………………………………………

4.0.  PRODUCT REFERENCES (References by Corporate Clients preferred)

(i.)  ……………………………………………………………………………………

(ii.)  ……………………………………………………………………………………

(iii.)  ……………………………………………………………………………………

(Please attach copies / original of the above reference documents)

Annex 4/b

5.0.  MARKET POSITION (The Product should have been in the market at least for One Year)

5.1 How long has the Product been in the market :……………………………………………………….

5.2 State if any competitive advantage over other similar products …………………………………………

6.0.  MANUFACTURING DETAILS : (Please describe in a separate sheet the detailed process of Manufacture) Name of Manufacturer :………………………………..……………………………………………………..

Address : …………………………………………………………………………………..

……………………………………………………………………………………

……………………………………………………………………………………

Contact Nos: …………………..…………………………………………………………..

No. of work force:…………………………………………………………………..

Place/s where the product can be inspected.

……….…………………………………………………………………………………………………………..

……….…………………………………………………………………………………………………………..

No. of Units Manufactured per day :…………………………………

7.0.  ANY OTHER RELEVANT TECHNICAL INFORMATION : ………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………….

I …………………………………………………………………………of …………………………………... …………………………………………………………………………………………………………………

Hereby declare that the information given in this application is true and correct to my knowledge. In case my product is pre-qualified for the final submission, I will submit samples as requested. I am forwarding ……. Nos. photographs of the products along with this application. A cheque for Rs. …………….…. (Cheque No:…………………. Bank……………………… Branch……………………) is sent herewith in favour of “Sri Lanka Institute of Architects”

Signature : ………………………………………………………….

Name : …………………………………………………………….

Address :……………………………………………………………..

Tel. : …………………………… Fax :……………………………

Date : …………………………… E- mail: ……………………….…………………………