APPLICATION FOR VENDOR REGISTRATION Read the instructions and conditions at the end of this application format before preparing to fill-in the form.

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1 CENTRAL MINE PLANNING AND DESIGN INSTITUTE LIMITED (A SUBSIDIARY OF COAL INDIA LIMITED) ELECTRICAL & MECHANICAL DIVISION GONDWANA PLACE : KANKE ROAD : RANCHI APPLICATION FOR VENDOR REGISTRATION Read the instructions and conditions at the end of this application format before preparing to fill-in the form. PART I GENERAL 1.0 Name of the company 2.0 Nature of the company (Proprietory/ Partnership/ Private/ Public Limited) (Annex photocopy of articles of association/ Registration/ Partnership/ Deeds etc.) 3.0 Registered office 4.0 Works address 5.0 Name of chief executive 6.0 Name of the person to be contacted for getting additional information. (Furnish photocopy of Power of Attorney in his name) 7.0 OFFICE : 7.1 Telephone No(s) : 7.2 Fax No: Web site, if any 8.0 WORKS : 8.1 Telephone No(s) : 8.2 Fax No: Website, if any 9.0 Details of area of the factory: 9.1 Total area of the factory 9.2 Covered 9.3 Uncovered 9.4 Factory layout (to be annexed) 10.0 Manpower details : 10.1 Total number of employees 10.2 Managerial 10.3 Technical 10.4 Administrative 10.5 Support services 11.0 Organisation chart (to be annexed) 12.0 Range of products manufactured (annex all relevant technical catalogue and literature etc.) 13.0 Year of commencement of manufacturing Page 1 of 5

2 PART II TECHNICAL 1.0 Details of product(s) for which registration is applied for: 1.1 SPECIFY THE NAME OF PRODUCT(S) FOR WHICH THE REGISTRATION IS BEING APPLIED FOR 1.2 Type 1.3 Capacity 1.4 Description 1.5 Annual production for preceding three years (in number/ weight) 1.6 Details of other major products manufactured 2.0 Has your product been tested by any Third Party Inspection Body? (if yes, annex copies of test reports etc.; if not, annex Second Party Inspection/ test reports) 3.0 Details of Foreign Collaboration ( if any) : 3.1 Products covered 3.2 Name and address of collaborator(s) 3.3 Status of collaboration 3.4 Collaborator s scope of involvement and responsibility with respect to product(s) for registration (annex copy of evidence in support thereof) 4.0 Details of plant and machinery (list out major items of plant and machineries/ equipment relevant to the products for registration) Have you supplied the product similar to product(s) for registration to other firm(s)? (If yes, furnish details including price with recent supply order copies and corresponding delivery/ receipt challans) Have you supplied the product similar to product(s) for registration to Coal India Ltd. and its Subsidiary Company or other PSUs? (If yes, furnish details including price with recent supply order copies and corresponding delivery challans) Copy of Supply Orders yet to be executed (with prices) 6.0 Quality Assurance : 6.1 How is the quality assurance function carried out? (Give its organization and linkage with the Chief Executive) 6.2 Are there written procedures for all quality related activities? 6.3 Is the organization ISO9001:2008 certified? (if yes, then please annex a copy of the certificate showing range of products covered & its validity) Product -1 Product -2 Product -3 Page 2 of 5

3 7.0 Do you have an R & D Department? (if yes, furnish details of its infrastructure and laboratory test facilities) 8.0 How is quality control of raw materials, purchased items exercised? If in-coming goods are inspected, provide the following details : 8.1 Test equipment and facilities available in factory 8.2 Assistance from external agencies 8.3 Description of test (s) 8.4 Name of the agency carrying out the test(s), if not done in-house 9.0 Inspection and quality control of finished products: 9.1 List of Test equipment and facilities available in factory 9.2 Scope of assistance from external agencies, if required 10.0 Principal customers : 10.1 Name and address 10.2 Indicate operating parameters of supplied product(s) 10.3 Sales for last three years (in terms of numbers/ weight) 10.4 User s performance certificates (annex copy(s)): Coal India Ltd. subsidiary companies Other PSUs/ Govt Other Companies 10.5 List of Companies approving the applied-for product(s) separately for (a) PSUs/ Govt. (b) Others 11.0 Future Expansion : 11.1 Programme 11.2 Installation of new machinery 11.3 Any other information you would like to provide 12.0 Process plan / flow chart of product(s) for enlistment 13.0 Product brochures (annex) 14.0 Details of BIS license, if any 15.0 Outsourcing activities for product(s) under consideration, if any : 15.1 Activities being outsourced 15.2 List of out source agencies for each activity and their official address 15.3 List of P&M & testing facilities available with outsourced agencies Page 3 of 5

4 15.4 List of product manufactured by outsourced agencies 15.5 List of client of outsourced agencies 15.6 Attach copy of order received from client for outsourcing agency and performance certificate, if any 15.7 Any other information about outsourced agencies (whether ISO9001:2008 certified, BIS license holder etc.) PART III COMMERCIAL 1.0 Name and address of your banker(s) 2.0 Value of current assets as on date 3.0 Value of current liabilities as on date 4.0 Net fixed assets (Attach balance sheets for last three years) 5.0 Value of total sales during the last three years (separately for each year) 6.0 Value of orders in hand, enclose copy of supply orders 7.0 Value of total capital employed 8.0 Source of finance 9.0 Borrowing limit as sanctioned by bank, if any 10.0 Are your products covered by warranty, if so, state 10.1 Period 10.2 Scope of warranty 11.0 Would you provide after sales service? (If so, furnish details in respect of availability of adequate spare parts and distribution network for spare parts, trained personnel, for servicing, special tools and tackles and test equipment as may be required for servicing) 12.0 Any other information that the vendor may like to furnish in support of their capability etc. with respect to product(s) or otherwise. Note : 1. All information must be arranged in proper sequence. 2. If the space is short then the same may be suitably expanded in excel sheet or put as annexure with page numbers. Page 4 of 5

5 INSTRUCTIONS TO FILL THE FORM AND OTHER CONDITIONS This scope of registration is limited to Equipment / Machineries for usage in Coal / Material Handling Plants / Systems, including sub-stations and other major electrical equipment. The registered vendor will be eligible to quote for their products to the turnkey contractor selected by the Subsidiary Companies of Coal India Limited. The enlistment does not necessarily confirm issue of tender enquiry. 1. All paras. are mandatory to be filled and supported with documents as evidence/ proof etc. where required. If any para. is not filled or improperly filled, only once clarifications/ request for submission of documents etc. will be asked through address or postal address. If no clarifications are received within two months from the issue of the above-referred letter, then your application for vendor registration will not be further considered for vendor evaluation by the Vendor Evaluation Committee. 2. Excel sheets of MS Office may preferably be used for hard copies of the filled-in form. 3. Registration shall be valid for two years from the date of issuance of letter of registration. 4. All pages of registration document shall be signed by the Power of Attorney Holder (refer to para 6(Part-I) of the vendor registration format). 5. If quality of product(s) is not maintained within two years of validity, name will be deleted from the approved vendor list. 6. Inclusion/ Deletion will be sole authority of GM(E&M). 7. Vendors are advised to get fresh registration through submission of Renewal of Registration Form (supported with required documents) sufficiently before natural expiry of validation. 8. User s performance certificate should be at least for two years. 9. Approved vendors shall submit technical details with current price/ budgetary offer for our review, whenever asked for, failing which this registration may be cancelled. 10. The registration/ enlistment shall not be valid for on-going works/ contracts as well as tenders which are in process. It will be valid for only those tenders which are issued after the issuance of registration letter. I certify that the information supplied herein, including all annexed pages, is correct to the best of my knowledge. Further, I agree that validity of registration can be cancelled at the discretion of competent authority in the event of any information/ data found wrong/ false any time during the validity tenure. I also declare that my company has never been banned/ delisted/ blacklisted by any Government or Quasi-government agencies or PSUs. 1. SIGNATURE (Power of Attorney holder) : 2. NAME : 3. DESIGNATION : 4. SEAL : 5. PLACE: 6. DATE : x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x Page 5 of 5