MPR-10

Dollar Industries (Pvt.) Ltd.

Rev:01
Materials Department
Supplier/Subcontractor Registration Application Form
D-85 SITE Karachi-75700 For Dollar use only
Date: Vendor Number:
Tel: 2563535-38 Fax: 2571210
Status: Register / Visit / Reject

Company Information

Name: ________________________________________________________________________

Type of Operation: Manufacturing Distribution Service

Office Address: ______________________________________________________________

Telephone: ________________Fax: ________________ Email: ______________________

Factory Address: _____________________________________________________________

Telephone: _______________ Fax: ________________ Email: ______________________

Number of years in business: _________________________________________________

Is your company a subsidiary, if yes, name of parent: ________________________

Personnel

Personal

Total Number of Employees: _______________________

Managerial: ____________ Technical: ______________ Administrative: ___________

Labor: Total________ (Salaried: _______ Contract: _______ Piece Rate: _______)

Highest Qualification: _________________ Union: Yes No

Work schedule: Hours __________ Shifts ______________ Working days ___________

Key Contacts

Name: 1)________________ Title: ______________ Phone: ______________________

Name: 2)________________ Title: ______________ Phone: ______________________

CNIC number of Concern person ____________________,kindly attached photo copy

Financial Information

Type of Ownership: Proprietorship Partnership

Private Ltd. Company Public Ltd. company

GST Number: __________________________ NTN Number: _________________________

Name of Bank: ______________________________________________________________

Address: ______________________________ Tel: _______________________________

Concerned person in bank: __________________________________________________

Technical Information
Value of Current Assets to date: ____________

Value of current liabilities to date (attach balance sheet): _______________

Technical Information

Products Manufactured or Services Offered

1. __________________________________________________________________________

2. __________________________________________________________________________

3. __________________________________________________________________________

4. __________________________________________________________________________

5. __________________________________________________________________________

6. __________________________________________________________________________

7. __________________________________________________________________________

8. __________________________________________________________________________

(Please provide some samples of work you have done recently)

Plant Machinery
Type of Machines Year Qty Specification of Machine
Of
Make
 6- How Receiving Inspection is carried out? 100% Inspection

Multiple Sampling Double Sampling Single Samplin

Other: ____________________________________________________________
Quality Control
7-System
Do you carry out In-process Inspection? Yes No (if n
question number 8).

8- Tools that you use for quality and reliability. SPC Bench ma

Seven Tools of Quality Control Charts Frequency Tabl

9- How Final Inspection is carried out? 100% Inspection

Multiple Sampling Double Sampling Single Samplin

Other: ____________________________________________________________

10- provide the following details:

 Test equipment and facilities available in factory.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

 Description of tests.

__________________________________________________________________

__________________________________________________________________
 Present Customers
1. Name of Company: ________________________________________________________

Address: _________________________________________________ Fax: ____________

Tel: _______________________________ Email: ________________________________

Concerned Person Name: _____________________

2. Name of Company: ________________________________________________________

Address: _________________________________________________ Fax: ____________

Tel: _______________________________ Email: ________________________________

Concerned Person Name: _____________________

3. Name of Company: ________________________________________________________

Address: _________________________________________________ Fax: ____________

Any_______________________________
Tel: other information you would like to provide:
Email: ________________________________

_________________________________________________________________________
Concerned Person Name: _____________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

________________________________________

I certify that the information supplied herein, including all pages

attached, is correct to the best of my knowledge.

Name: ______________________________ Designation: _______________________

Signature: _________________________ Date: ______________________________

Seal: ______________________________
 For Dollar Use Only

Evaluation 1 on samples:________________________________ Result: (Pass/Fail)

Evaluation 2 on samples:________________________________ Result: (Pass/Fail)

Evaluation 3 on samples:________________________________ Result: (Pass/Fail)

Analysis:__________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Designation:___________________ Signature: _________________ Date:_________

Dear Vendor:

As part of our process to develop a long-term relationship

with our vendor/subcontractors/suppliers, you are requested
to please complete the attached Vendor Registration
Application Form (MPR-10) (only fill in the fields that
pertain to your business).

This form is intended to develop a broader understanding

about your business; it will help us in deciding our
further course of action.

Please fax or mail this completed form with other relevant

information.

If you have questions or require assistance in filing out

this form, please call any of the following people who will
gladly help.

Manager Materials 32563535-38 (503)

Deputy Manager Purchase 32563535-38 (504)

Senior Vendor Coordinator 32563535-38 (518)

Sincerely,

Dollar Industries (Pvt.) Ltd.

Materials Department

Note: As far as possible, all columns are to be filled in. In case information asked for
does not pertain to the nature of the service / product of the Supplier / Subcontractor, the
column may be left blank or crossed out. The column may also be left blank if the
information asked for is not readily available, particularly in the case of suppliers
abroad.