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QFT 2320. 01 TRACTOR Vendor s Registration / Evaluation Form To Chief of Purchase Department Tractor Division HMT Limited PINJORE 134 101 Dist. Panchkula Haryana* 1. a- Name Address of the Vendor 1. b- Please specify whether you are Manufacturer / Manufacturer s Authorized Distributor / Authorized Dealer / Stockist. In case of manufacturer please specify addresses of WORKS HEAD OFFICE BRANCH OFFICE Address Tele Fax Mobile E-Mail I. D 1. c-Company Profile - Please enclose. Also indicate Production capacity per annum Source of Raw Material and Standard Parts 1. d- Financial Status - Value of total capital employed - Turn over of the company for the past three years. - Income-tax return for the past 3 financial years - Value of current assets as on date Attach balance sheet for the last three years. - Value of orders in hand - Amount up-to which supply can be made at one time. 1. e- Banker s Details - Banker s Name Address - Maximum credit facility from your Bankers. Duly supported with Banker s certificate 2. - Quality system implemented ISO 9001 2000 etc* 3. - Name address Telephone No* of owner / proprietor Person to contact Name Official Capacity Telephone / Mob. No* 4. - Details of HMT employees having financial interest in the Unit. 5. - Central Excise Range / Divn* to which the Unit belongs 6. - Sales Tax Regn* No* Central State. 7. - If Registered under Micro Small Medium Enterprises Act 2006 give Registration Certificate specifying category under which your unit is covered* 8. - Details of products offered* Please enclose catalogue 9. - Detail of Machinery / facilities available please enclose list 10. - Details of Inspection / Testing facility please enclose list 11. - Manpower / Organization structure please enclose list 12. - Details of your Major present customers Please enclose documentary proof 13. - Are you exporting products / services If so pleases furnish details of exports for past three years. 14. - Are you supplying to any other units of HMT and if so give details of the Units 15. - Do you have your authorized dealers / service centers if so please furnish the details of network of your Authorized dealers / Service centers in India* Declaration I / We declare that the details given above are true and correct and I / we agree to abide by the guidelines / terms and conditions informed by HMT limited Pinjore from time to time. Panchkula Haryana* 1. a- Name Address of the Vendor 1. b- Please specify whether you are Manufacturer / Manufacturer s Authorized Distributor / Authorized Dealer / Stockist. In case of manufacturer please specify addresses of WORKS HEAD OFFICE BRANCH OFFICE Address Tele Fax Mobile E-Mail I. In case of manufacturer please specify addresses of WORKS HEAD OFFICE BRANCH OFFICE Address Tele Fax Mobile E-Mail I. D 1. c-Company Profile - Please enclose. Also indicate Production capacity per annum Source of Raw Material and Standard Parts 1. D 1. c-Company Profile - Please enclose. Also indicate Production capacity per annum Source of Raw Material and Standard Parts 1. d- Financial Status - Value of total capital employed - Turn over of the company for the past three years.

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