SUPPLIER EVALUATION CUM REGISTRATION FORM

I PRODUCT FOR APPROVAL

II NAME OF THE SUPPLIER

III MANUFACTURING PLANT ADDRESS

1 TELEPHONE NO.

2 FAX NO.

3 EMAIL
4 CONTACT PERSON & DESIGNATION

IV YEAR OF ESTABLISHMENT

V OFFICE ADDRESS

1 TELEPHONE NO.

2 FAX NO.

3 EMAIL
4 CONTACT PERSON & DESIGNATION

VI AREA OF WORKSHOP/FACTORY
1 COVERED
2 UNCOVERED

VII NO. OF PERSONS EMPLOYED

1 TECHNICAL
2 NON TECHNICAL
3 ADMINISTRATIVE
BUSINESS HOURS & WEEKLY
VIII
HOLIDAY
IX EXCISE DETAILS

X SALES TAX NO.

XI WORK CONTRACT TAX / PAN NO.

LIST OF YOUR REPUTED CUSTOMERS

XII FOR THE PRODUCTS TO BE SUPPLIED
TO APL

(ATTACH SHEETS WHEREVER NECESSARY)

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 SUPPLIER EVALUATION CUM REGISTRATION FORM

XIII LIST OF MACHINERY INSTALLED

YEAR OF
SR.
MACHINE DESCRIPTION MAKE MODEL INSTALL QTY.
NO.
ATION

XIV LIST OF MEASURING INSTRUMENTS

SR. CALIBRATION
INSTRUMENT DESCRIPTION MAKE MODEL QTY.
NO. STATUS

XV ANY OTHER USEFUL INFORMATION

XVI SIGNATURE & DATE

(ATTACH SHEETS WHEREVER NECESSARY)

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 SUPPLIER EVALUATION CUM REGISTRATION FORM

FOR BOUGHT OUT ITEMS

XVII VALID DEALERSHIP CERTIFICATE ENCLOSED / NOT ENCLOSED / NOT APPLICABLE

XVIII PRICE LIST ENCLOSED / NOT ENCLOSED / NOT APPLICABLE

XIX PRODUCT CATALOGUE ENCLOSED / NOT ENCLOSED / NOT APPLICABLE

ISO 9000 CERTIFIED,

XX ENCLOSED / NOT ENCLOSED / NOT APPLICABLE
IF YES CERTIFICATE COPY

XXI TEST CERTIFICATE FORMAT ENCLOSED / NOT ENCLOSED / NOT APPLICABLE

TO BE FILLED BY APL PERSONNEL

XXII VISIT REPORT SUMMARY

XXIII REMARKS / COMMENTS

XXIV DECISION APPROVED / PROVISIONALLY APPROVED / NOT APPROVED

INCHARGE - PURCHASE INCHARGE - Q.A.

(ATTACH SHEETS WHEREVER NECESSARY)

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