Sub - Contractor Registration Form

Date:

1. Name of Organisation:

2. Name of Director/ Proprietor / Partners:

3. Address. With phone and fax details –

Permanent address Present / Contact address

4. Contact Person: Name –

Mobile No. -

5. Type of Service offered

Sr. No. Type of Service Yes No

01 Steel Structural Fabrication Work
02 Fabrication of Bunkers, chimney flue
03 Fabrication of Piping work
04 Erection of structural steel works
05 Erection of Bunkers, chimney flues
06 Erection of Piping works
07 Erection of Boilers
08 Erection of ESP
09 Erection of rotating & static Equip.
10 Civil works
11 Miscellaneous Civil works
12 O/H & repairing of Bir Pr. Parts
13 O/H & repairing of Mils Fans, APH
 14 Repairing & Serv. Of ducts, dampers
15 Ser. & O/H of valves
16 O/H & er. Of CHP systems
17 O/H & Serv. Of ESP
18 Renovation & Modern of Boilers
19 Serv. Of Pumps & motors.
20 Insulation work
21 Painting Work
22 Piping Fabrication & Erection

6. Previous experience with RIPPL: Years ______ Months ______

7. Experience with other companies

Sr. No Company Project Duration Status in % Remarks

Value month/ yr
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15

8. Region of interest to work Anywhere in India OR Specify the Region interested :

9. Mobilisation time required – with strength. -

( For Special Works Only)

10. Are you registered with any government or Yes/No
semi government or any other organisation? (If yes Give details)

___________________________________________________________

11. Are you registered under labour law?

12. Awareness of Contract Labour Act:

a) Knowledge of Minimum wages: Yes/No

b) Retrenchment Benefit: Yes/No

c) Workmen compensation / insurance: Yes/No

d) Preparation of Payment register: Yes/No

13. Knowledge of safe working: Yes/No

14. Knowledge of min. quality requirement: Yes/No

15. Are you registered under Sales tax act? (If yes Give TIN/CST No.)

___________________________________________________________

16. Give number of Skilled /Trained manpower available with you as per the below
format.

Sr. Category Available Remarks

No. Stength
1 Supervisors    
2 Foreman    
3 Store Keeper    
4 Site Assts for Services    
5 MIG/SAWG Welder    
6 IBR Welder    
7 LP Welder    
8 Structural Welder    
9 Mill Wright Fitter    
10 Fitters    
 11 Fabricator    
12 Gas Cutter    
13 Grinder Man    
14 Sarangi    
15 Semiskilled workers    
16 Unskilled workers    
17 Labor    
18 Mansion    
19 Sheet metal fabricator    
20 Painter    

17. Details of tools/Equipments/Machinery available with you which can be

mobilized for the work.

Sl.No Description No. Remarks

01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19

18. Turnover of your company in last three years.

 Year- Year- Year-

19. Income Tax clearance certificate attach or not? Yes/No

20. PAN No:

21. SERVICE TAX NO.:

22. TIN NO.:

23. Bank Account Details:

1) Name & Address of the Bank:

Account No.:

IFS Code:

2) Name & Address of the Bank:

Account No.:

IFS Code:

24. Financial Capability:

____________________________
Initials of Director/Project Manager
 For Office Use Only
• Remarks if any :

• Recommended & Approved : Yes / No :

• Category (C / D / E as defined in RIPPL Purchase Manual ):

Signature DATE:
Name of Project In charge / head :
Location ( RO/ Site) :