BHARAT PETROLEUM CORPORATION LTD

VENDOR REGISTRATION FORM

Category:
Sub Category:

1 Name of the Company : Marcuras Water Treatment (I) Pvt.
Ltd.
2 Posta !ddress ("#ce)
Teephone No : $actory % "#ce
$a& No. : $actory % "#ce
Contact Person
Mo'(e No
)*ma(
:
:
:
:
:
:
W1+,- ./0 1oc2- 1hosar( MI3C- 1hosar(
Pune ,11 425- Maharashtra
Ind(a.
6 +1 24 57114142
Mr. !m(t /ahasra'udhe
4+829481742
!m(t:marcuras.com
9 $actory !ddress
Teephone No
$a& No
Contact Person
Mo'(e No
)*ma(
:
:
:
:
:
:
W1+,- ./0 1oc2- 1hosar( MI3C- 1hosar(
Pune ,11 425- Maharashtra
Ind(a.
6 +1 24 57114142
Mr. !m(t /ahasra'udhe
4+829481742
!m(t:marcuras.com
, Name of Loca ;epresentat(ve
((f any)
!ddress
Teephone%Tee&%$a& No
$a& No.
Mo'(e No
)*ma(
:
:
:
:
7 Company0s "r<an(sat(ona /tructure
(!ttach "r<ano<ram !nne&ure I)
:
$";M N". 27198 ;ev.1 /=))T 1 "$ >
5 Names of Propr(etor% Partners %
3(rectors % )&ecut(ves
: Mr. !m(t /ahasra'udhe and
Mr. M((nd 1('(2ar
> Const(tut(on of the $(rm ? /oe
Propr(etorsh(p % Partnersh(p % Pvt Ltd %
Pu'(c Ltd. % Pu'(c /ector
:
8 Partnersh(p deed % !rt(ce of
!ssoc(at(on or Memorandum of
!ssoc(at(on (!ttach @ero& cop(es as
!nne&ure II)
:
+ Aear of )sta'(shment B /tart(n< of
Product(on % /hop B )sta'(shment
Cert(Ccate (!ttach @ero& cop(es as
!nne&ure III)
:
1
4
Investment * In(t(a
Present
:
:
1
1
a) Name of the 1an2ers
b) Current $(nanc(a year sovency
cert(Ccate ("r(<(na 'y (ssu(n<
'an2 !nne&ure ID)
:
:
1
2
Whether re<(stered under //I %
N/IC%M/M) (!ttach @ero& copy
!nne&ure D)
:
1
9
Income Ta& ? P!N (!ttach @ero& Copy
!nne&ure DI)
:
1
,
)&c(se ;e<(strat(on Num'er (!ttach
@ero& Copy !nne&ure DII)
:
1
7
/aes Ta&%D!T ;e<(strat(on Num'er
(!ttach @ero& Copy !nne&ure DIII)
:
1
5
/erv(ce Ta& ;e<(strat(on Num'er
(!ttach @ero& Copy !nne&ure I@)
:
1
>
Last 9 Aear0s !ud(ted 1aance /heet
and ProCt B oss account- aud(tor0s
Note and 3(rectors report (!nne&ure
@).
:
1
8
a) Instaed Capac(ty
') L(censed Capac(ty
c) !ctua Product(on for Last 9 Aears
:
:
:
1
+
!rea of $actory * Tota :
:
$";M N". 27198 ;ev.1 /=))T 2 "$ >
* 1u(t*up
2
4
PoEer /anct(oned
Present Connected Load
:
:
2
1
Personne )mpoyed:
)n<(neers
/uperv(sors
Inspectors
/2(ed Wor2ers
Fns2(ed
Wor2ers "#ce /taG
Tota
:
:
:
:
:
:
:
2
2
L(st of Mach(ner(es ((ncud(n<
product(on eHu(pment (nstaed E(th
capac(ty)
(!ttach (st !nne&ure @I)
:
2
9
Product ;an<e (I(ve names-
s(Jes- capac(ty ? ran<e%s- modes-
<rades- standards- catao<ues etc.
!nne&ure @II)
:
2
,
Codes % /tandards % /pec(Ccat(ons to
Eh(ch products manufactured
:
2
7
/ources of ;aE Mater(as (!ttach
@ero& Cop(es of Purchase "rders
!nne&ure @III)
:
2
5
!K Whether I/" +444 Cert(Ced
(!ttach @ero& Copy !nne&ure @ID)
(!so (nd(cate (f under process of
cert(Ccat(on)
:
1K !re you cert(Ced for I/"
1,444L
If yes- pease encose a copy of the
cert(Ccate. !nne&ure @D
Note: If the ansEer of the a'ove
Huest(on (s .Aes0- do not repy to the
Huest(ons <(ven 'eoE:
: Aes % No
a) !re you pann(n< to (mpement
any cert(Ced env(ronmenta
mana<ement systemL If yes-
Eh(ch and Ehen.
: Aes % No
') 3o you have any
env(ronmenta po(cy- (f yes-
Pease encose your po(cy.
: Aes % No
$";M N". 27198 ;ev.1 /=))T 9 "$ >
c) =ave you performed an
e&terna or (nterna
env(ronmenta aud(tL If yes-
pease send us (nformat(on on the
resuts.
: Aes % No
d) 3o you have a pro<ram for
cont(nua env(ronmenta
(mprovementL If yes- pease send
your pro<ram.
: Aes % No
f) 3o you have an upto date
env(ronment (mpact assessmentL
If yes- pease send us a copy
!nne&ure @DI.
If no- pease descr('e 'r(eMy Ehat
2(nd of env(ronmenta (mpacts
your operat(on0s cause.
:
<) 3o you have procedures for
hand(n< of haJardous Easte and
sp(a<e of harmfu su'stancesL
:
2
>
Inspect(on B Nua(ty !ssurance
(!ttach cop(es !nne&ure @DII)
a) Inspect(on % Test(n< of raE
mater(as (state test(n<
procedures adopted to chec2 %
conCrm Hua(ty of raE mater(a)
(!ttach reevant documents)
:
') Nua(ty Contro steps dur(n<
Product Manufacture
:
c) Inspect(on % Test(n< of Cn(shed
products (/amp(n< method- type
of tests carr(ed out- freHuency of
tests B test(n< % cert(fy(n<
author(ty)
:
d) Nua(ty !ssurance Pans :
e) /ystem adopted for (dent(Ccat(on
of Cn(shed <oods v(s*a*v(s
sources of raE mater(as
:
2
8
Test(n< $ac((t(es (!nne&ure @DIII)
* Non*destruct(ve (N3T)
- 3estruct(ve (3T)
* "thers
:
:
:
2
+
!pprova 'y Th(rd Party Inspect(on
!<enc(es (I(ve names. !ttach @ero&
cop(es of approvas) !nne&ure I@@
:
$";M N". 27198 ;ev.1 /=))T , "$ >
9
4
/afety Po(c(es and procedures
( !ttach !nne&ure @@)
9
1
Warehous(n< system of raE mater(a
to Cn(shed Product. !nne&ure @@I
:
9
2
/upport(n< /erv(ces from outs(de
a<enc(es (I(ve deta(s) !nne&ure @@II
:
9
9
a) L(st of C(ents (!ttach (st
prefera'y (nd(cat(n< supp(es
made to =ydrocar'on and
Chem(ca Process Industr(es)
!nne&ure @@III
:
') Purchase "rder of C(ents (!ttach
@ero& cop(es for maOor (tems
supp(ed)
:
c) 3eta(s of approvas and
re<(strat(on E(th other compan(es
(!ttach @ero& cop(es)
:
9
,
Informat(on re<ard(n< Ehether the
company has e&ecuted any order (n
the past for 1PCL % rece(ved any P"s
from 1PCL d(recty or throu<h any
PMC % contractor or supp(er
9
7
Name % !ddress of Coa'orator ((f
any)
:
9
5
Whether 3(<(ta /(<nature Cert(Ccate
ava(a'e for part(c(pat(n< (n e*tender
:
9
>
Whether the app(cant (s aready
re<(stered (n th(s or<an(Jat(on. If yes-
prov(de
Cass of ;e<(strat(on
Cate<ory of ;e<(strat(on
;e<(on%/1F
:
:
9
8
Whether the app(cant has any s(ster
concern re<(stered (n th(s
or<an(Jat(on- (f yes pease prov(de
Cass of ;e<(strat(on
Cate<ory of ;e<(strat(on
9
+
Whether the app(cant has 'een
'ac2(sted %removed%ho(day
(sted%de re<(stered from the
approved (st or demoted to a oEer
cass 'y any or<an(Jat(on (n the past.
$";M N". 27198 ;ev.1 /=))T 7 "$ >
If yes- name of or<an(Jat(on
3ate of 1ac2(st(n<
,
4
Whether the app(cant has <one for
!r'(trat(on%L(t(<at(on for any of the
past Eor2 E(th any or<an(Jat(on
If yes- Name of "r<an(Jat(on
Nature of Wor2
Nature of !r'(trat(on
,
1
MaOor C(ent ;eferences
Name of the )mpoyee of C(ent
3es(<nat(on
Phone No.
(!t Least Three ;eferences)
,
2
Ieo<raph(ca area of suppy :
,
9
!ny other spec(a%reevant
(nformat(on
:
I% We cert(fy that I%We E( not <et mysef%ourseves re<(stered as Dendor(s) (n the
underta2(n< under more than one name.
I%We here'y conCrm that the a'ove (nformat(on (s true to the 'est of my%our
2noEed<e and 'e(ef.
I%We aso underta2e that- (f at any sta<e- the a'ove (nformat(on are found to 'e
(ncorrect- the Corporat(on sha reserve the r(<ht to cance my%our re<(strat(on- at
any t(me- E(thout not(ce- at (ts d(scret(on
Pace: PPPPPPPPPPPPPPPPP /(<nature: PPPPPPPPPPPPPPPPPPPPPPPP
3ate: PPPPPPPPPPPPPPPPP 3es(<nat(on:
PPPPPPPPPPPPPPPPPPPPPPPP
COMPANY SEAL
Our offices for submitting the forms with Annexure:
1. Central Procurement Organization (Marketing): Chief Procurement Officer, CPO(Mktg.),
A- Intallation, !e"ree, Mumbai #$$$1%
$";M N". 27198 ;ev.1 /=))T 5 "$ >
&. Central Procurement Organization ('efiner():Chief Procurement Officer ('ef.),Mumbai
'efiner(, Mahul, Chembur, Mumbai -#$$$)#
*. Mumbai 'efiner( (P+C!)- ,-M (P+C!), Mumbai 'efiner(, Mahul, Chembur, Mumbai
-#$$$)#
#. .ochi refiner(: ,-M (P+C!), Pot /ag 0o.&, Ambalamugal, 1enakulam, .erala-
23&*$&
%. 4or com5uter har6"are relate6 regitration: !r. Manager, Procurement an6 Contract, I!
,e5artment, /harat /ha7an #+2, /allar6 1tate, Mumbai -#$$$$1.
2. 4or Office furniture, Office e8ui5ment, !tationar(: !r. Manager, (A6min 4acilit(),
/harat /ha7an, /allar6 1tate, Mumbai 9 #$$$$1.
$";M N". 27198 ;ev.1 /=))T > "$ >