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 / TECHNICALNAME / CODE NO.
(If any) / CATEGORY / RAW MATERIALS USED
Local – L Imported - I / PERCENTAGE (%)
2.0. APPLICANTS INFORMATION
Name of OrganizationAddress
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: ……………………….…………………………