ULTRATECH CEMENT LIMITED UNIT: APCW -TADIPATRI VENDOR REGISTRATION FORM Vendor Code : (Generated by System) | Date of Reg. : | (By System) Sectio| Sr. | nNo. No. | Particular Detail I | COMPANY PROFILE : 1. | Name of the Organization * SHANTHALA SPHEROCAST PRIVATE LIMITED 2. | # Registered Office Address * #36B, Shimoga-Bhadravathi Industrial Estate, Machenahalli, Nidige Post - 577222, Shimoga Karnataka Name & Designation of Contact Mr.D.C.Vinay - COO jee Person * pe | Contact no. * 08182-246144 Mobile no. * 7899733388 Fax no. * NO... vinay@ shanthalaspherocast.com / E mail ID * sales@shathalaspherocast.com 3. | Factory Address ‘As above Name & Designation of Contact Mr. D.C. Vinay - COO Person Contact no. 08182-246144 | Mobile no. 7899733388 Fax no. No E mail ID sales@shanthalaspherocast.com * Mandatory Field # Attachment of Proof Page 10f7Dealing Office Address & Local office /Agent 4. | Contact Detail poeeoee Name & Designation of Contact Pose Mr.G, Prakash- GM Marketing Contact no. 08182-246144 Mobile no. 9880244188 Fax no. No. Prakash.g@shanthalaspherocast.com/_ E mail ID sales@shanthalaspherocast com 5, | Address & Contact details of | a. shove Name & Designation of Contact Person Contact no. Mobile no. Fax no. E mail ID 6.__| # Excise Details :_* GST NO. 29AACCS4281N1ZS Chapter ID : Tariff Head : Excise Range : Excise Division : Excise Commissionerate : 29AACCS4281N1ZS * Mandatory Field # Attachment of Proof Page 2 of7# Value Added Tax No. (VAT) / | Sales Tax Registration No. (TIN) | and validity date * # Permanent Income Tax No. (PAN) * 29AACCS4281N 10. # Provident fund Registration No. and validity date * iy # Service Tax Regn. No. & Validity Date * 12. Labour License No. & Validity Date 13. Nature oF Business : * MANUFACTURER/OEM/FABRICATOR /ASSEMBLER/MINES OWNER/ TRANSPORTER/CONTRACTOR/ TRADER/ AUTHORIZED DEALER/AGENT/SERVICE PROVIDER Manufacturer 14, LE MANUFACTURE PLEASE CONFIRM THE TYPE OF INDUSTRIES : Mega large / large / Small / Medium / Micro Scale Industries. Medium is; # Nature of Entity : * PROPRIETOR/PARTNERSHIP/ LPP/ PRIVATE LIMITED /PUBLIC LIMITED/GOVERNMENT. Private Limited Company 16. IN CASE OF PROPRIETY /PARTNERSHIP FIRM: a. Proprietor/Partnership’s Name b. Address . Contract No. Not Applicable * Mandatory Field # Attachment of Proof Page 307IN caSE OF PRIVATE LIMITED /PUBLIC Limurep Company : Mr, D.B.Ashok ~ Managing i. ‘a. Chief Executive's Name | pirector oes Mr. D.C. Vinay - Ct c. Contact No. | eae | IN CASE OF ANY OTHER TYPE OF ENTITY: | 18. ‘a. Chief Officer’s Name Not Applicable b. Address c. Contact No. We wish to supply spares components for your ig, | Name of Product / Services in irement in produced in "| which you are dealing with Iron / Grey Iron / Alloy cast Iron castings Our units is manufacturing Brief Information of Entity 20. | which you represent Ductile Iron / Grey Iron / Alloy cast iron castings / components. Year of Establishment | ae /Commencement of Production 1986 I | Not Applicable Name and Address of your 22. | Authorized Dealers Distributors for our area | ii, Not Applicable II | FINANCIAL STRENGTH & BANK INFORMATION Annual Turnover for last Three 1. i Financial years * eae ce # Total Investment/ Profit & | Loss Details ( Please attach Audited Balance sheet of the last Financial Year) | Enclosed i Name of Bank | State Bank of India * tandatory Field # Attachment of Proof Page 40f7Address of Bank Main Branch, Sir M.V. Road Shimoga, Karnataka Bank Account No. 10624112816 RTGS Detail (Payment through IFSC Code: spinoo40132 RTGS Y/N) | MICR Code: 577002202 III | PRODUCTION FACILITIES 1. | Production Capacity 1800 MTS per month 2. | Working Strength 520 Nos. Details of Equipment/Machinery 3. | available (Please attach list of i hit roe ener enet) | cadens seperately IV_ | QUALITY MANAGEMENT SYSTEM Do you have or applied for ISO 9001, ISO 140001, Social 1, | accountability 8000, OHSAS Enclosed seperately 18001 (If yes, please attach photocopy of certificate) 2. | Do you have a quality Manual__| Enclosed seperately Details of Laboratory facilities 3. | available with you (please attach | Enclosed seperately details) Product Certificate like ISI ete (if 4. | any please attach photocopy of | NA certificate) 5, | Testing Faciities available and | ecioceg seperately details about test conducted * Mandatory Field # Attachment of Proof page5 of 7Details of efforts made towards Social accountability, Organization health, safety and environment issues in last one year. Certified to ENMS and EHS V__| BUSINESS INFORMATION : Please attach copies of repeat _| We are supplying castings / 1, | Orders of minimum five reputed | components to OEM companies * | Companies, Preferably inthe | like Cummins, Wipro, BEML, business of our company Caterpillar etc., eel Do you have annual rate eee eee contract, with any reputed >, | company for your product, i "| services etc. preferably Cement | Company (please attach Contract copies ) sees Whether your company has any 3. | time earlier supplied to any of |_| No Aditya Birla Group Company a eee Earlier we were supplying spare 4, Reece ce parts to Indiaum Aluminium, Co. Belgaum for their requirements. VI | System Related Are you complying with requirement of SA 8000? (Yes/No) ‘Yes wages, PF, Gratuity & insurance _| if yes, pl. confirm below : * Child Labour : there is no child | Employees working with our a. | labour less than 15 yrs. | company aging more than 18 (Yes/No) a years. Forced & Compulsory Labour b, | ne compulsory deposit of money | y,, * | is taken for employment. (Yes/No) Health & Safety: all safety c. | precaution as per MSDS is “Yes followed. (Yes/No) Working Hours: not exceeds the d. | statutory limit of duty per head. | Yes Ee (Yes/No) | e, | Statutory compliance: Minimum | y.< * Mandatory Field # Attachment of Proof Page 6 of 7| Se complied esiper'statutes. | | (Yes/No) Declaration by Director/Proprietor/Partner ; 1/We declare that th knowledge / belief. I/We undertake to inform you of any change in above particulars formation furnished above are correct to the best of my/our at the earliest, QU Director, Date :20.11.2019 Signature Place :Shimoga Name & Designation Shanthala Spherocast Private Limited #96-B, KIADB Industrial Area Machenahalli, NIDIGE - 877 222 SHIMOGA, * Mandatory Field # Attachment of Proof Page 7 of 7