PIGMENTS

FORM NO. QF/PUR/01 Rev. 01 Effective From:15.05.2019

REGISTRATION &
ASSESSMENT BOOK
for
Manufacturer/Supplier
and
Distributor/Dealer
To
Tata Pigments
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A. Company Profile 01-02

B. Statutory Compliance 03

C. Quality Assurance 04-05

D Affirmative Action 05

E. Declaration 06-09

F. Annexures 10-11

G. Check-List: Manufacturer/Distributor/Dealer 12
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A. Company profile
Name of the Firm/ Msafe Equipments Private Limited
A1.a. Company

A1.b. Year of Incorporation:

A2. Corporate Office Address:

Corp Office : Noida Sector 15 Metro Station, C-108, Ground Floor, Sector 2,
Noida, Gautam Buddha Nagar,Uttar Pradesh, 201301

Regd Office :C-186, Vivek Vihar, Phase - I, Delhi – 110095

YARD ADDRESS- G-103, UNIT-2, SITE V, KASNA, GAUTAM BUDDHA

NAGAR,GREATER NOIDA, Uttar Pradesh-201306

Telephone:9859857100,9322225163,9354072369
E. Mail
ID:info@msafegroup.com,ak@msafegroup.com,opsdelhi@msafegroup.com

A3. Type of Firm/ Company: ( Pls Tick)

Public Ltd Company Partnership Firm Others (pls specify):
Private Ltd Company Proprietorship Firm
Co-opera�ve Society Distributor/Dealer

A4. Proprietor/ All Partners/ Board of Directors/ Senior Execu�ves of the Firm/
company
Name Designa�on PAN
Mr Ajay Kanoi DIRECTOR AAKPK4971C
Mr Rushil Agarwal DIRECTOR

A5. Please men�on the Authorised Signatory of the Firm/Company.

( Authoriza�on le�er to be a�ached)
Name: MR Rushil Agarwal Sample Signature:
Designa�on: Director

A6. Product Informa�on:

Standard Products –
• Aluminium Scaffoldings
•  Aerial Working Platforms
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•  Aluminium Ladders

a) Customized Products

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A7. Contact Person:-Mr Ajay Kanoi ak@msafegroup.com, Ms Monika Agarwal

monika@msafegroup.com ,info@msafegroup.com

A7.a) Commercial Contact Person:

Name Mr. Ajay Kanoi
Designa�on SALES HEAD
Telephone
Mobile No. 9322225163
E Mail ID ak@msafegroup.com
A7.b) Technical Contact Person:
Name Same as above
Designa�on
Telephone
Mobile No.
E Mail ID

A8. Financial status of the Firm/ Company (INR)

Current Year Previous Year-1 Previous Year-2

Annual Turn Over 30

Expenses

Opera�ng Profit

Net profit/Loss

Men on Roll (Nos.)

A9. Customer List. (Please men�on Top 5 customers that you are servicing, for reference only)
Product Contact
Customer Name person Contact No. E Mail
Offering
BLUE STAR AL-SCF NA NA NA
VOLTAS AL-SCF NA NA NA
L&T AL-SCF NA NA NA
STERLING AND AL-SCF NA NA NA
WILSON
KEC AL SCF NA NA NA
INTERNATIONAL

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B. Statutory Compliance.
( A�ach suppor�ve documents; write NA if not applicable)
Permanent Account No. (PAN)
a. A A M C M 8 8 3 4 F

Goods & Service Tax Reg. No.(GST)

b.
0 9 A A M C M 8 8 3 4 F 1 Z 0

Provident Fund (PF No.)

c. D S S H D 2 4 5 9 2 9 2 0 0 0

Employees State Insurance (ESI) Code

d. 1 0 0 1 3 1 7 4 5 0 0 0 0 4 9 9

1. MSME Reg. No.

e.
2. Category (Micro-1;Small-2;Medium-3: applicable for MSME)

Labour License No.

f.

Electrical License No. ( for Electrical service provider)

g. NA

Food Licence no. ( for Caterer)

h. NA

Drug License No.( for Medical Supply / Service)

i. NA

CIN ( for
j. Public/Private
Firm)
U 2 9 3 0 9 D L 2 0 1 9 P T C 353
93
Factory License No.

Bank Account No.

l. 1 5 7 9 5 1 0 0 0 0 0 8

IFSC Code
m
I C I C 0 0 0 1 5 7 9

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C. Quality Assurance
C.1) SAMPLING &
TESTING:

For Input RM/Finished good

Name/s
Testing done YES
(Y/N)
Basic RANDOM
Nature
Informa (All/Random)
tion
MM Metacraft
Supplier
Sourcing Local
(Glob/Local)
No (3rd Party
Self Certfd (Y/N)
inspection)

Gage R
Test Test
Name Parameter Sampli Sampling Testing &R Eqpmnt
Eqpmnt Eqpmnt
tested ng Standard standard for calibration
used supplier
metho testing
d
3rd Party
Inspection
RM

AQL-1.5 3951-2:2013 Visual;

As per WSS
Vernier;
INSIZE Yes
WIP
Micrometer ASTM22
Sampling
; Measuring 1
Tape;Webst
er

& 3rd Party

Testing Inspection
FG

Test Certificate available

from supplier (Y/N)
Parameters
specified in Test
Certificate
Test Certificate receipt frequency
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C.2 QUALITY ASSURANCE

1 Are you certified to ISO 9001:2015?
a) Yes (attach certificate)
b) No
2 Are you certified to ISO 14001:2015?
a) Yes (attach certificate)
b) No
3 Are you certified to OHSAS 18001:2007?
a) Yes (attach certificate)
b) No
4 Are you certified to SA 8000?
a) Yes (attach certificate)
b) No
5 Are you certified to IATF:16949?
a) Yes (attachcertificate)
b) No
6 Are you certified for AEO? (only applicable for shipping and logistics)
a) Yes (attachcertificate)
b) No

D. Affirmative Action:
Do you qualify as a Vendor in Affirmative Action Category (Please Select)

(Qualifying criteria: > 50% shareholding by SC/ST category Partners /shareholders AND >
75% employees belonging to SC/ST category)

a) Yes --- (Attach SC/ST certificate & other supporting documents)

b) No

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E. Decalration
E.1. Self-Declaration Managing Director

Tata Pigments

a) I/We declare that the Proprietor/any Partner/any Director of our firm is/are not a
Proprietor/ Partner/Director of any other firm which is already registered with Tata
Steel.

Or

b) I/We declare that the Proprietor/any Partner / any Director of our firm is a Proprietor/
Partner/Director of the following firm which is already registered with Tata Steel.

(if option(b) is selected, provide the details below)

i) Name of Proprietor / Partner / Director:

ii) Vendor Name associated with:

iii) Vendor code:

I/We Declare that all the information furnished above are true

I/We hereby also declare that all the details furnished and documents attached for the
registration in Tata Steel Limited is correct and if any change occurs in future, it will be
intimated to Vendor Management, Tata Steel within one month of the change.

(Signature of the Director(s) / Proprietor/All Partners

Name(s)

Designation

Date

(To be made under company seal here)

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Acceptance of the guidelines for the Code of Conduct Tata
Pigments Business Associate’s Code of Conduct:
The Tata Code of Conduct (TCOC) represents the values and core principles that guide the conduct of every Tata
business. At the Tata Group, we are committed to improve the quality of life of the communities we serve
globally through long-term stakeholder value creation based on ‘Leadership with Trust’. Tata Pigments Ltd
(TPL) has epitomized the true spirits of Ethics in its interactions with all its stakeholders be it the Customers,
Suppliers, Employees, Shareholders, the Government or the Society at large.
TPL follows the Tata Code of Conduct (TCOC) globally and expect all Suppliers to adhere to the same principles
of TCOC.
“Business Associate” here means suppliers, customers, vendors, dealers, distributors, franchisees, lessors, lessees
or such other persons with whom Tata Steel has any business or transactional dealings including the Business
Associate’s employees, agents and other representatives.
1. Products & Services:
The Suppliers shall be committed to supplying products and services of high quality that meet all
applicable standards. The products and services offered shall comply with applicable laws, including
product packaging, labelling and after-sales service obligations. The Supplier shall market its products
and services on their own merits and not make unfair or misleading statements about the products and
services of competitors.
2. Regulatory Compliance
The Supplier shall comply with all applicable laws and regulations, both in letter and in spirit, in
all the territories in which it operates.
3. Bribery & Corruption:
The Supplier shall not engage in any form of bribery or corruption.
4. Money Laundering :
We shall not involve in any money laundering activities or whether by deemed conversion
of illegally gained money or whether directly or indirectly, even where the involvement
may be unintentional in the conduct of our \ operations and business activities.
5. Human Rights:
a) The Suppliers shall not employ children at their workplaces.
b) The Suppliers shall not use forced labour in any form.
6. Gifts & Hospitality:
Business gifts and hospitality are sometimes used in the normal course of business activity. However,
if offers of gifts or hospitality (including entertainment or travel) are frequent or of substantial value,
they may create the perception of, or an actual conflict of interest or an ‘illicit payment’. Therefore,
gifts and hospitality given or received should be modest in value and appropriate, and in compliance
with TPL’s Gifts and Hospitality policy.
The Suppliers shall neither receive nor offer or make, directly or indirectly, any illegal payments,
remunerations, gifts, donations or comparable benefits that are intended, or perceived, to obtain
uncompetitive favors for the conduct of its business with TPL.
7. Health & Safety:
The Suppliers shall strive to provide a safe, healthy and clean working environment for its
employees.

8. Environment:
The Supplier shall strive for environmental sustainability, particularly about the emission of greenhouse
gases, consumption of water and energy and the management of waste and hazardous materials. The
Supplier shall endeavor to offset the effect of climate change in its activities.
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9. Conflict of Interest:
The Supplier shall not engage into a financial or any other relationship with a TPL employee that
creates any actual or potential conflict of interest for TPL. The Supplier understands that a conflict of
interest arises when the personal interests of the TPL employee are inconsistent with the responsibilities
of his/her position with the company. All such conflicts must be disclosed. Even the appearance of a
conflict of interest can be damaging to TPL and to the Suppliers, and are to be disclosed and approved
in advance by TPL management.

10. Third Party Representation:

a) The Supplier shall represent our company (including Tata brand) only with
duly authorized written permission from our company. They are expected to abide by the
Code in their interactions with, and on behalf of us, including respecting the
confidentiality of information shared with them.

b) The Supplier shall safeguard the confidentiality on the use of intellectual property and
data of TPL.

11. Protecting Company Assets:

The assets of TPL shall not be misused; they shall be employed primarily and judiciously for conducting the
business for which they are duly authorized. These include tangible assets such as equipment and machinery,
systems, facilities, materials and resources as well as intangible assets such as proprietary information and
intellectual property.

12. Reporting Violations:

The Supplier shall notify TPL regarding any known or suspected improper behavior by the supplier relating to
its dealings with TPL, or any known or suspected improper behavior by TPL employees by email to:
nidhi@tatapigments.co.in Reported violations will be treated confidentially without retaliation.
We hereby confirm that we have received the TPL Supplier Code of Conduct and
commit to comply with it in letter and in spirit. We are also aware that these
clauses/provisions form an integrated part of Suppliers agreement, signed with TPL.
We understand that TPL reserves the right to check compliance with the
requirements of Supplier Code of Conduct.
We understand that TPL encourages its Suppliers to implement their own binding
Code of Conduct and agree that we will be responsible for complying obligations
under this code. Failure to adherence to this code would attract the disciplinary
consequences.

(Signature of the Director(s) / Proprietor/All Partners Name(s)

Designation
Date
(To be made under company seal here)

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Acceptance of Guidelines for SA 8000

SA 8000 Compliance:
(Note: Tata Steel being a responsible corporate citizen would expect its business partners to comply
with SA8000 requirements. Please refer to SA8000 standard for details of clauses
&requirements)
1. We do not engage or support engagement of Child Labor (i.e. persons less than 18 years
ofAge)
2. We do not use or support the use of forced or compulsory labor. We ensure right of
personnel to leave premises after workday and ensure freedom to quit employment as
and when desired.
3. Weensure providing a safe and healthy workplace and work towards prevention of
potential occupationalaccidents.
4. We respect the right of personnel to form and join trade unions and bargain collectively
and ensure no discrimination is done against personnel engaged in worker
organizations.
5. We ensure that no discrimination is done based on race, national or social origin, caste,
birth, religion, disability, gender, sexual orientation, union membership, political
opinions and age.
6. We treat all personnel with dignity and respect; there is no evidence of corporal
punishment, mental or physical abuse of personnel.
7. We ensure compliance with laws & industry standards on working hours- normal
workweek, notincluding overtime, shall not exceed 48 hours.
8. Weensure all personnel are paid at least legal minimum wage; wages and benefits are
clearly communicated to them and paid in a convenient manner and overtime, if any is
paid at premium rate.
9. The Company has systems for monitoring the requirements as given above from Step 1
to 8, analyzing and taking corrective actions.
We hereby confirm that we commit to comply with the requirements of
SA 8000 in letter and in spirit.
We understand that TSL reserves the right to check compliance with the
requirements of SA 8000 standard.

(Signature of the Director(s) / Proprietor/All Partners

Name(s)
Designation
Date
(To be made under company seal here)

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F. Annexure
RTGS Format for Uploading: (Annexure-
i)
Electronic Payment (RTGS/NEFT) Application Format
Managing Director
Tata Pigments Ltd
Jamshedpur

Dear Sir
Re: Bank Account details for RTGS/NEFT Transfer of payments
Payment due tous for services provided/supplies made to Tata Steel Ltd may please be credited to
our Bank Account as detailed below:

Beneficiary Details:
Msafe Equipments Private Limited
ICICI BANK
157951000008
ICIC0001579
CASH CREDIT

AAMCM8834F
Declaration: I/We hereby certify that I/We am/are the sole proprietor/ partners/ authorized
representative of the company. In case of any false declaration made above, Tata Steel Ltd.
will not be liable to any of the parties.
Note:
In case of partnership firm all the partners are required to sign on this declaration. In case of
any falsification, Tata Steel Ltd will not be liable to any of the partners.

Signature of Proprietor / All Partners / Director or authorized representative (in case of Ltd.
Company)
Name(s):
Date
(Seal of the Company)

Bank Account no and signature of the Account Holder is hereby certified.

Signature ofauthorized personofaccountholding Bank

Name:
Date
(Seal of the Bank)
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(Annexure-ii)
Annexure – 3A

Safety Criteria for Contractor's Selec�on – Low risk job Vendors

Form NO: SAFETY/FORMS/CSM/01 Revision NO: 03 Effec�ve date: 16th July 2018
(Safety Due-diligence Self-Declara�on Format)
(Applicable only for Vendors who are willing to be registered with Tata Steel as a material supplier,
outside service provider, expert or Expert Supervision, consultant and for Vendors who are willing to
engageinLow risk work)
Chief Procurement, Tata
Steel, Dear Sir,
I (Name in capital le�ers)........................................................................................................of M/S
.................................................................want to declare that my organiza�on is not required to
involve inany servicerelated to plant opera�on/ plant maintenance/ construc�on ac�vity in Tata
Steel. My organiza�onwill provide only the following service as describedbelow.
Descrip�on of work covered by the organiza�on: ..................................................................................
............................................................................................................................. .................................
...............................................................................
Further, I am assuring you that Safety of all my employees during execu�on of the job will be the
prime responsibility of my organiza�on. All employees of my organiza�on including me shall be
boundto abide by all Safety & Security rules of Tata Steel as applicable. All the employees will
follow all Safety rules, Standards and norms of Tata Steel and/or as laid down by the concerned
Government department/official from �me to�me.
I will ensure following during the tenure of the contracted job at Tata Steel:
Description Yes Remarks
Safety induction program for employees
System to control issue and use of required PPEs during the job
Provide required PPEs (as approved by Tata Steel) to employees
Conduct risk assessment before starting of any job
Make the employees conversant with steel plant hazards
Report and maintain record of incidents

Signature of the Organization’s Proprietor

Name: Date:
Place:

Note: This form is not applicable for vendors who are willing to register in Tata Steel as a
service provider in operation, maintenance & construction and will be required working in high
risk core activity at any plant.

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G. Check-List:
Manufacturer/Distributor/Dealer

1. Enclosures with Registration Form:

1) PAN
2) Goods and Service Tax certificate
3) PF (Provident Fund) Certificate & ESI (Employee State Insurance17
Digit) Certificates
4) Labor License
5) Electric Contractor License with validity in case of electrical contractor
6) Entrepreneurs Memorandum Number (MSME Registration Certificate, if
Applicable)
7) ISO 9000/14000;SA 8000/ OHSAS 18001:2007/ IATF:16949/AEO
certificate(s)
8) Authorization letter for authorised signatory.
9) Dealership / Distributor Certificate (if applicable)
10) Factory Licence (For Manufacturer)
11) PESO Certificate/Other relevant Certificate (for Handling/Storing/Gaseous
Product
The documents which are not applicable/ exempted, please mention reason for the
same and attach necessary evidence accordingly.
2. Documents in support of constitution of the firm as follows:

a) For Proprietary firm - Any statutory document showing the name of the firm along
with the name of the proprietor.
b) For Partnership firm– Partnership deed (notarized)
c) For Limited or Pvt. Ltd firm – Certificate of incorporation and Memorandum &
Article ofAssociation
3. Application for electronic payment (RTGS) as per format in annexure I. The format to be
printed on the letterhead of the firm and to be submitted in original along with a
cancelled Cheque.

Note:
1. The e-mail address mentioned in point no. A.2. will be used for triggering e procurement
user id & password to the firm for using the site, for auto communication of payment
( through RTGS) detail and for other communication.
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