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REGISTRATION FORM FOR CONTRACTORS
Category of Contractor :
Civil
Electrical
Plumbing
Generators
HVAC
Structural Glazing
Lifts
Landscaping
Fire Protection
Others:
Name of the company:
Address:
City:
Pincode:
State:
Telephone No:
Mobile No.:
Fax No.:
Email ID:
Website URL:
Contact person:
Company type:
Proprietary
Partnership
Pvt. Ltd
Public Ltd
SSI
Dealer
Manufacturer
Others
How long has this Company existed in the same business?
Type of project done:
Civil
Electrical
Plumbing
HVAC
Landscape
Value of the jobs handled in the last five years
1st
2nd
3rd
4th
5th
List of Empanelment done with Govt / Semi Government / Quasi Government / Corporate Bodies with Class:
Furnish the details of relevant Registration done with the statutory bodies:
Financial Details:
Banker's Name:
Branch:
Address/City/
State/Pin code:
Financial Position: (Rs in lakhs)
Please enter numbers only. Do NOT type Rs or Lakhs
Particulars:
Bank guarantee limit:
Overdraft/Cash Credit
Limits with Banker:
QA/QC Details:
Quality Policy / System if any (ISO or similar)
Yes
No
EHS policy
details if any:
Yes
No
Arbitration/ Litigation
if any:
Yes
No
Mention the list of work completed during last FIVE years. Furnish the details (Firm name, address, contact person, telephone number and order value).
Firm 1
Firm 2
Firm 3
Firm 4
Firm 5
Attachments:
VAT No.
Yes
No
Service Tax No.
Yes
No
SSI Registration No.
Yes
No
PAN No.
Yes
No
Balance Sheet / Profit & loss Account for 3 years
Yes
No
Details of Infrastructure
(No. of technical / non-technical staff and details of construction equipment)
Yes
No
Empanelment Details
Yes
No
Any others
Yes
No
Attachments:
The file/s size of the attachment should not exceed 2MB
If your file size is slightly more than 2MB, please zip the file/s and then attach it. The zipped file size should be less than or equal to 2MB.
You can only attach a single file to this online form
File formats that are allowed as attachments: MS Word ( .doc), MS Excel (.xls), PDF (.pdf) and any zipped file ( .zip)
If your file size exceeds 2 MB, please email the documents as attachments to
contractor@brigadegroup.com
. In the subject line of the mail, please mention the name of your company
The following info needs to be attached: Company profile, manpower and client list
I/We
hereby declare that the information furnished above is true to the best of my/our knowledge. I/We shall adhere to the Purchase Order terms, Quality (ISO 9001-2008) and Environmental Occupational Health and Safety Assessment Series (OHSAS - 18001:2007, ISO 14001:2004). In the event of the above given details turning out to be incorrect, I / we will be liable to compensate you adequately.
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Date
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Sales Enquiries:
sms : BRIGADE to 56767
Tel : 91-80-4046 7666
e-mail:
salesenquiry@brigadegroup.com
Corporate:
Tel : 91-80-4137 9200, 4046 7600
Fax : 91-80-2221 0784
e-mail:
enquiry@brigadegroup.com
Brigade Enterprises Limited
Hulkul Brigade Centre
82, Lavelle Road
Bangalore 560 001 INDIA
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