enlistment form - Chittaranjan Locomotive Works

INDIAN RAILWAYSOFFICE OF THE CONTROLLER OF STORESCHITTARANJAN LOCOMOTIVE WORKSNEAR TOLLYGUNGE CARSHED (METRO RAILWAY)DESHPRAN SASMAL ROADKOLKATA – 700 040Addressed to M/s. ……………………………………………………………………………. Date: ………………………FORM OF APPLICATION FOR USE OF FIRMS IN INDIA FOR ENLISTMENT AS APPROVED CONTRACTORS TORAILWAYS1. Name of Firm/Company (WhetherPrivate/Public/Government:(i) Telegraphic Address :(ii) Address of Head Office :(iii) Telephone No. :(iv) Address of Branches :1(a)(i) Proprietor(s) Name and Address :(ii)1(b)(i)(ii)1(c)(i)(ii)Full details of other undertakingowned/Controlled by the proprietor(s)Partner(s) Name, Address andpercentage of shares hold.Connection between the undertakingand other(s) if any i.e. Partners arecommon or have shares(percentage) in any otherundertaking(s) Firm(s) / Factory(s) withname(s), Address(s) & their registrationNo.(s) with the concerned Railways forthe various group of stores.Managing Director/Whole timeDirector/Manager (Name andAddress)Board of Directors (Name andAddress):::::(iii) It is a subsidiary of Indian Company /Foreign Company with particulars ofparent holding company.:1 of 6

1(c)(iv)(v)(vi)Other Companies, if any in Indianwhich are subsidiaries of the parentcompany (Name and full particulars)In which other companies theDirectors have financial interest or arerepresentated on the Board(s) ofthese other companies/Firms /Factories with Name(s) Address(ess)and full particulars about theirregistration Nos. with the concernedRailways for the various group ofstoresStores Manufacturers/Handled withdetails of specification to which theseare manufactured/stocked by you aswell as by your subsidiaries mentionedabove.:::2. Item of item of stores giving referenceto the sanction and serial No. of theattached list for which enlistment isdesired.:3.(a)(b)(c)Is your firm incorporated under theCompanies Law or any other Law ofIndia ? if not, who are the partner /proprietors. (Please give their namesand address(ess)Is your firm registered under the IndianPartnership Act.1982Is your Factory registered under theIndian Factories Act, 1948:::4. Does your firm name under the scopeof the Industries (Development &Regulations Act, 1951. If so, the No.and date of Registration or Licenseheld under the Act.:4.(a)If the firm is registered under theIndian Companies Act, 1913 orCompanies Act 1 of 1956 state.:4.(b) The name in which item registered :(c)The Registrar with whom it is registeredand his place.:2 of 6

(d)The date of registration and thenumber of registration certificate.:(e) Subscribed Capital. :5. If the firm is registered under theIndian Partnership Act, 1932 or anyother act the registration of firm /Partnership.:(a)(b)(c)(d)(e)The name and / or style in which it isregistered.The place of registrar or firm withwhom registered.The date of such registration and thenumber and date of registrationcertificate.The Names and addresses of all thepartners and the extent of their shares.Whether under the partnership deedany one partner has been authorizedto sign and bind the firm in allcontractual obligations includingpower of Attorney exists in favour of aparticular partner to perform suchfunctions. In the Later case a copyduly attested by a Notary Publicshould be submitted.:::::6. In any other cases, the name(s) andaddress(es) of the proprietor and forall the partners and the nature andextent of their interest in the JointBusiness (in the case of Joint HinduFamily) firm give this informationregarding all persons who have anyinterest in the Business.:(a)The Income Tax Circle/Ward District inwhich the concern and each of itsproprietor and each of its proprietorspartner(s) is/are assessed Income Taxand C.I. No. of each.:7. If you are a manufacturer location ofmanufacturing Works/Factory /Factories owned by you.(documentary evidence of ownershipmust be produced.:3 of 6

7 (a) Brief description of the factory (i.e. area covered accommodation,departments into which it is divided,Laboratory etc).:(b)(c)(d)Whether the firm comes under thescope of Industries DevelopmentReputations Act, 1951 and if so, theNo./Date of registration of licensehold under the Act.Details of Plant & Machinery erectedand functioning in each department(Monographs and descriptivepamphlets should be supplied, ifavailable).Whether the process of manufacturerin the Factory is carried out with theaid of power or without it.:::(e) Details of stores or class of stores :which the factory, asIs capable of production (specifyingeach item separately)8. Details of arrangements for quality :control of products such as laboratoryetc.(a) Whether stores were tested to any :standard specification if so, copies oforiginal test certificates should besubmitted in triplicates.(b) In case you do not own the factory :but utilize the factory of some otherfirm for manufacturer, Fabrication ofthe stores for which you apply forregistration, on lease or other basisyou should furnish a valid legalagreement that the factory of Hereindicate the name of the firm whosefactory is being utilized.9. If you are accredited agents of any :manufacturers, give –(a) Name and address of manufacturers :(b) Articles for which you gave agencies :(c) Stock carried by you :10. If you are stockiest :(a) Items stocked :4 of 6

10 (b) Approximate value of annual sales :(c) Address & Stock of your shop/shops :(d)Address of your Godown where yourstores can be inspected:11. Clauses of articles imported by thefirm.12. Classess of imported articles normallystocker by the firm.13. State particulars with value (approx.)and date of any contract ofconsiderable magnitude) executed inthe past 12 months by your firm for theIndustries & supplies Department/Railway or local body.14. Recognized cottage Industries andsmall scale Industries N.S.I.C. Unitsshould submit a certificates from theregional Director of the Unit in supportof their statement.15. Are you on the approved list ofDirector General of Supplies &Disposals and if so, give details ofitems for which enlisted andregistration No. & date.16. If you were on the approved list ofDirector General of Supplies &Disposals and if so, give details ofitems for which registered.17. Who are your Bankers ? Givecomplete address (Mailing).:::::::18. Further remains, if any. :19. Do you pay Income Tax if so, IncomeTax clearance certificate as per formenclosed be furnished.Please state whether you have anyinterest in any other Firm/Firms as aProprietor/Partner/Director, if so, thename and address of the Firm/Firms,the names and address ofPartner(s)/Director(s) of the said Firmshould be clearly indicated. Thisdeclaration should be got signed. Byeach and every Partner/Director.:5 of 6

I/We _________________________________________________________ do hereby declare that allentries made in this application form are true to the best of my/our knowledge and also that I/We shall tofound by the acts of my/our duly constituted Attorney. Mr.________________________________________________ who has signed this application and of any other person who in futuremay be appointed by me/us so, in his stated to carry on the business of the concern whether anintimation of such change is given to the Railway or not.I/We do hereby confirm that I/We have read the conditions govern in Railway contracts asamended from time to time and should abide by those conditions in all respects.Signature of Partner(s)/Proprietor(s)Manager(s)/Director(s)All subsequent changes in the constitution or working or a firm effecting the accuracy of thenow given should be promptly communicated to this Railway.Signature(s)Name :_________________________________Place ___________________Date ___________________Designation : ____________________________of person signing this application form(Proprietor/Partner/Manager/Director).6 of 6