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ACE-PUR-F-05

SUPPLIER INPUT FORM Issue No.: 1 Rev.-00


Issue Date: 19-06-2019
Please Complete Section 1.0 to 3.0
Section 1.0: Supplier Information
Supplier Name Pushpak Infra Steel Pvt Ltd
Office No.506, 5th Floor, S.No.557-A/1,Suyog Center, Gultekdi,Near Market
Mailing Address Yard, Pune-411037.Maharashtra, India.
Plot No A-33 Chakan Midc Ph-2 Khalumbare Savardari Gaon
Physical Address Pune .410501
Telephone 2029515634 Fax
Email sales@coloursteel.com Website www.pushpakinfra.com

COLOUR COATED PROFILE SHEETS, G.I. C/Z PURLIN, GALVANISED DECK


Product or Service PROFILE SHEETS, POLYCARBONATE SHEETS, ETC.
Type of Ownership Partnership
Owner/Partners Name Pritesh Baldota, Yogesh Lodha, Sumeet Kataria
Date/Year Established 1987
MANDATORY :Please attach Trade License/Registration Certificate of your Company.
Principal Contact Ganesh Jedhe
Designation Sales manager
Tel/Mobile 8554844443 Fax/Email: pushpak11@coloursteel.com
Total No of Staff 40
Payment Type Cheque Currency: Indian Rupees
Payment Terms
Bank Details
1.Bank Account no 59219890855558 2.Bank Name: HDFC Bank Salisbary Park

3.Beneficiary Bank Address 4.Swift Code/Sort


(for Overseas) code (if applicable):

5.IFSC (For Indian companies HDFC0009625 6.IBAN:


Accounts Contact accounts@coloursteel.com
Tel/Mobile 85548 44447 Fax/Email:
Non Operational Service may not complete Section 2.0&3.0
(ex-Laundry,StationarySupplies,Courier etc.)
Section 2.0
Does your Company have a valid Chamber of Commerce
Certificate? Yes ¨ No √ NA¨
(if yes please attach copy of certificate)
Does your company have a Certified Quality Management
System eg.
ISO 9001:2008 (if yes please attach copy of certificate)
Yes √ No¨ NA¨
Does your Company operate an Occupational Health & Safety
Management system to International Standards(If yes please a
copy of the associated policy & manual)
Yes √ No¨ NA¨
Does your Company have a Certified Environmental
Management System 14001? (If yes please attach copy of
certificate) Yes √ No¨ NA¨
Does your Company support Green products? Yes ¨ No √ NA¨

Page 1 of 10
ACE-PUR-F-05
SUPPLIER INPUT FORM Issue No.: 1 Rev.-00
Issue Date: 19-06-2019
Does your company have a brief profile of the Company's
Organization Yes ¨ No¨ NA¨

Section 3.0
Product Quality Questionnaire
Do you inspect/verify purchased materials and products prior to
acceptance?
Yes √ No¨ NA¨
Do you inspect/verify customer-supplied materials and products
prior to acceptance?
Yes √ No¨ NA¨
Is the inspection/verification status of materials, components and
work-in-progress identified throughout the manufacturing
Yes √ No¨ NA¨
process?
Do you provide job & quality related training to your staff?
Yes √ No¨ NA¨
If Yes to the above ,do you maintain training records (Welders,
NDT operators etc.)
Yes √ No¨ NA¨
Is all inspection and testing equipment subject to formal
calibration procedures?
Yes √ No¨ NA¨
Do you have a formal procedure for the control of NC products?
Yes √ No¨ NA¨
Are all inspection/verification records retained and made
available to customers on request?
Yes √ No¨ NA¨
Do you Have formal process for the release of completed
products prior to dispatch?
Yes √ No¨ NA¨
Are you agreeable to an onsite survey to verify the information
given in this questionnaire?
Yes √ No¨ NA¨
Do you provide Material Certificates as per ISO 10204 3.1 B or
equivalent?
Yes √ No¨ NA¨

Completed by: Name & Signature: Ganesh Jedhe

Designation: Sales manager

Company Stamp:
Instructions:
Please ensure that in addition to providing the bank details above, we require that you provides us this
information on your letter head with your company stamp and signature of an authorized officer of your
company.

Please attach scan copies of below documents as applicable


QA documentation (ISO,OSHAS,API,any other Yes √ No¨ NA¨
Proof of company registration (Trade license, Registration
certificate, Chamber of commerce, Certificate of incorporation
etc.) Yes √ No¨ NA¨
Any other documentation (company profile, customer listing etc.) Yes √ No¨ NA¨

Page 2 of 10
ACE-PUR-F-05
SUPPLIER INPUT FORM Issue No.: 1 Rev.-00
Issue Date: 19-06-2019

For Ace Group office use only

Approval / Rejection
Approval coding Certification No:
A. Approved Code: Score :
B. Approved subject to doc. review Date :
D. Rejected Designation

Approval ( To be signed)
Designation Signature Approved Date
Supply Chain Manager Yes ¨ No ¨
General Manager Yes ¨ No ¨
Entered to the system By

Price comparison Yes ¨ No ¨ Remarks :


Alternative supplier Yes ¨ No ¨ Remarks :
Remarks Yes ¨ No ¨ Remarks :
Reason in case of rejection Yes ¨ No ¨ Remarks :

Are the items to be supplied identified as critical for


supplier re -evaluation process

Internal remarks if any:

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rsteel.com

Page 4 of 10
Ace Crane Systems LLC
Hamriyah Free Zone
Tel: 06 5269080
SUPPLIER INPUT FORM info@ace-me.com
Please Complete Section 1.0 to 3.0
Section 1.0: Supplier Information
Supplier Name
Mailing Address
Physical Address
Telephone Fax
Email Website
Product or Service
Type of Ownership
Owner/Partners Name
Date/Year Established
MANDATORY :Please attach Trade License/Registration Certificate of your Company.
Principal Contact
Designation
Tel/Mobile Fax/Email:
Total No of Staff
Payment Type Cheque ¨ Wire Transfer¨Cash¨ Currency:
Payment Terms
Bank Details
1.Bank Account no 2.Bank Name:

3.Beneficiary Bank Address (for 4.Swift Code/Sort


Overseas) code (if applicable):

5.IFSC (For Indian companies) 6.IBAN:


Accounts Contact
Tel/Mobile Fax/Email:
Non Operational Service may not complete Section 2.0&3.0
(ex-Laundry,StationarySupplies,Courier etc.)
Section 2.0
Does your Company have a valid Chamber of Commerce
Certificate? Yes ¨ No¨ NA¨
(if yes please attach copy of certificate)
Does your company have a Certified Quality Management System
eg.ISO 9001:2008 (if yes please attach copy of certificate)
Yes ¨ No¨ NA¨
Does your Company operate an Occupational Health & Safety
Management system to International Standards(If yes please a
copy of the associated policy & manual)
Yes ¨ No¨ NA¨
Does your Company have a Certified Environmental Management
System 14001? (If yes please attach copy of certificate)
Yes ¨ No¨ NA¨
Does your Company support Green products? Yes ¨ No¨ NA¨
Does your company have a brief profile of the Company's
Organization Yes ¨ No¨ NA¨
Format No: ACE-PUR-F-05 Rev-00 (Issued on 10-09-2015) 5
Ace Crane Systems LLC
Hamriyah Free Zone
Tel: 06 5269080
SUPPLIER INPUT FORM info@ace-me.com

Section 3.0
Product Quality Questionnaire
Do you inspect/verify purchased materials and products prior to
acceptance?
Yes ¨ No¨ NA¨
Do you inspect/verify customer-supplied materials and products
prior to acceptance?
Yes ¨ No¨ NA¨
Is the inspection/verification status of materials, components and
work-in-progress identified throughout the manufacturing process?
Yes ¨ No¨ NA¨
Do you provide job & quality related training to your staff?
Yes ¨ No¨ NA¨
If Yes to the above ,do you maintain training records (Welders, NDT
operators etc.)
Yes ¨ No¨ NA¨
Is all inspection and testing equipment subject to formal calibration
procedures?
Yes ¨ No¨ NA¨
Do you have a formal procedure for the control of NC products?
Yes ¨ No¨ NA¨
Are all inspection/verification records retained and made available to
customers on request?
Yes ¨ No¨ NA¨
Do you Have formal process for the release of completed products
prior to dispatch?
Yes ¨ No¨ NA¨
Are you agreeable to an onsite survey to verify the information given
in this questionnaire?
Yes ¨ No¨ NA¨
Do you provide Material Certificates as per ISO 10204 3.1 B or
equivalent?
Yes ¨ No¨ NA¨

Completed by: Name & Signature:

Designation:

Company Stamp:
Instructions:
Please ensure that in addition to providing the bank details above, we require that you provides us this
information on your letter head with your company stamp and signature of an authorized officer of your
company.

Please attach scan copies of below documents as applicable


QA documentation (ISO,OSHAS,API,any other Yes ¨ No¨ NA¨
Proof of company registration (Trade license, Registration
certificate, Chamber of commerce, Certificate of incorporation etc.)
Yes ¨ No¨ NA¨
Any other documentation (company profile, customer listing etc.) Yes ¨ No¨ NA¨
Format No: ACE-PUR-F-05 Rev-00 (Issued on 10-09-2015) 6
Ace Crane Systems LLC
Hamriyah Free Zone
Tel: 06 5269080
SUPPLIER INPUT FORM info@ace-me.com

For Ace Group office use only

Approval / Rejection
Approval coding Certification No:
A. Approved Code: Score :
B. Approved subject to doc. review Date :
C. Rejected Designation

Approval ( To be signed)
Designation Signature Approved Date
Supply Chain Manager Yes ¨ No ¨
General Manager Yes ¨ No ¨
Entered to the system By

Price comparison Yes ¨ No ¨ Remarks :


Alternative supplier Yes ¨ No ¨ Remarks :
Remarks Yes ¨ No ¨ Remarks :
Reason in case of rejection Yes ¨ No ¨ Remarks :

Are the items to be supplied identified as critical for supplier


re -evaluation process

Internal remarks if any:

Format No: ACE-PUR-F-05 Rev-00 (Issued on 10-09-2015) 7


Ace Cranes & Engineering FZ-LLC
AL Jazeera,AL Hamra, R A K
Tel: + 971 7 2445002
SUPPLIER INPUT FORM af@ace-me.com
Please Complete Section 1.0 to 3.0
Section 1.0: Supplier Information
Supplier Name
Mailing Address
Physical Address
Telephone Fax
Email Website
Product or Service
Type of Ownership
Owner/Partners Name
Date/Year Established
MANDATORY :Please attach Trade License/Registration Certificate of your Company.
Principal Contact
Designation
Tel/Mobile Fax/Email:
Total No of Staff
Payment Type Cheque ¨ Wire Transfer¨Cash¨ Currency:
Payment Terms
Bank Details
1.Bank Account no 2.Bank Name:

3.Beneficiary Bank Address (for 4.Swift Code/Sort


Overseas) code (if applicable):

5.IFSC (For Indian companies) 6.IBAN:


Accounts Contact
Tel/Mobile Fax/Email:
Non Operational Service may not complete Section 2.0&3.0
(ex-Laundry,StationarySupplies,Courier etc.)
Section 2.0
Does your Company have a valid Chamber of Commerce
Certificate? Yes ¨ No¨ NA¨
(if yes please attach copy of certificate)
Does your company have a Certified Quality Management System
eg.(ISO 9001:2008 (if yes please attach copy of certificate)
Yes ¨ No¨ NA¨
Does your Company operate an Occupational Health & Safety
Management system to International Standards(If yes please a
copy of the associated policy & manual)
Yes ¨ No¨ NA¨
Does your Company have a Certified Environmental Management
System 14001? (If yes please attach copy of certificate)
Yes ¨ No¨ NA¨
Does your Company support Green products? Yes ¨ No¨ NA¨
Does your company have a brief profile of the Company's
Organization Yes ¨ No¨ NA¨

Format No: ACE-PUR-F-05 Rev-00 (Issued on 10-09-2015) 8


Ace Cranes & Engineering FZ-LLC
AL Jazeera,AL Hamra, R A K
Tel: + 971 7 2445002
SUPPLIER INPUT FORM af@ace-me.com

Section 3.0
Product Quality Questionnaire
Do you inspect/verify purchased materials and products prior to
acceptance?
Yes ¨ No¨ NA¨
Do you inspect/verify customer-supplied materials and products
prior to acceptance?
Yes ¨ No¨ NA¨
Is the inspection/verification status of materials, components and
work-in-progress identified throughout the manufacturing process?
Yes ¨ No¨ NA¨
Do you provide job & quality related training to your staff?
Yes ¨ No¨ NA¨
If Yes to the above ,do you maintain training records (Welders, NDT
operators etc.)
Yes ¨ No¨ NA¨
Is all inspection and testing equipment subject to formal calibration
procedures?
Yes ¨ No¨ NA¨
Do you have a formal procedure for the control of NC products?
Yes ¨ No¨ NA¨
Are all inspection/verification records retained and made available to
customers on request?
Yes ¨ No¨ NA¨
Do you Have formal process for the release of completed products
prior to dispatch?
Yes ¨ No¨ NA¨
Are you agreeable to an onsite survey to verify the information given
in this questionnaire?
Yes ¨ No¨ NA¨
Do you provide Material Certificates as per ISO 10204 3.1 B or
equivalent?
Yes ¨ No¨ NA¨

Completed by: Name & Signature:

Designation:

Company Stamp:
Instructions:
Please ensure that in addition to providing the bank details above, we require that you provides us this
information on your letter head with your company stamp and signature of an authorized officer of your
company.

Please attach scan copies of below documents as applicable


QA documentation (ISO,OSHAS,API,any other Yes ¨ No¨ NA¨
Proof of company registration (Trade license, Registration
certificate, Chamber of commerce, Certificate of incorporation etc.)
Yes ¨ No¨ NA¨
Any other documentation (company profile, customer listing etc.) Yes ¨ No¨ NA¨
Format No: ACE-PUR-F-05 Rev-00 (Issued on 10-09-2015) 9
Ace Cranes & Engineering FZ-LLC
AL Jazeera,AL Hamra, R A K
Tel: + 971 7 2445002
SUPPLIER INPUT FORM af@ace-me.com

For Ace Group office use only

Approval / Rejection
Approval coding Certification No:
A. Approved Code: Score :
B. Approved subject to doc. review Date :
C. Rejected Designation

Approval ( To be signed)
Designation Signature Approved Date
Supply Chain Manager Yes ¨ No ¨
General Manager Yes ¨ No ¨
Entered to the system By

Price comparison Yes ¨ No ¨ Remarks :


Alternative supplier Yes ¨ No ¨ Remarks :
Remarks Yes ¨ No ¨ Remarks :
Reason in case of rejection Yes ¨ No ¨ Remarks :

Are the items to be supplied identified as critical for supplier


re -evaluation process

Internal remarks if any:

Format No: ACE-PUR-F-05 Rev-00 (Issued on 10-09-2015) 10

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