EXPRESSION OF INTEREST ( EoI ) APPLICATION FORM

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EXPRESSION OF INTEREST ( EoI ) APPLICATION FORM (Ref : CPC/VDS/18/Open Ended EoI dt 28.12.2017) BEML LIMITED VENDOR DEVELOPMENT DEPARTMENT BEML SOUDHA S.R. NAGAR BANGALORE 560 027. 1

TYPE OF INDUSTRY DECLARATION Firm s Name : M/s. Type of Industry : Manufacturer Services / Labour Jobs (Off-Loading) Third Party / Customer approved (RDSO / ICF / RCF / DMRC / CVRDE / CQA/ DGQA etc. ) Category As per EoI (e.g Assembly, : forgings etc..) EoI is not applicable for Traders / Dealers Category of items interested to develop : Pls mention Category Contact details : Person Name : Phone : Email : ( To be contacted for any clarification) (SIGNATURE OF VENDOR WITH DATE & SEAL) 2

INFORMATION REGARDING VENDOR 1. NAME OF THE VENDOR : 2. REGISTERED OFFICE : 3. FACTORY ADDRESS : 4. TELEPHONE NUMBERS : 5. FAX / E-MAIL DETAILS : 6. NAME AND ADDRESS OF : SISTER CONCERN 7. TYPE OF INDUSTRY : 8. NATURE OF WORK : BEING EXECUTED 9. NATURE OF COMPANY : 10. YEAR OF COMMENCEMENT : OF MANUFACTURING 11. FOREGIN COLLABORATIONS, : IF ANY 12. ANNUAL TURN OVER DURING : LAST 3 YEARS 3

13. POWER SANCTIONED (HP) : 14. CAPTIVE POWER (HP) : 15. TOTAL AREA OF FACTORY : - COVERED - UNCOVERED 16. TOTAL NUMBER OF EMPLOYEES : ON DATE - ADMINISTRATIVE : - TECHNICAL : - NUMBER OF EMPLOYEES : EXCLUSIVELY EMPLOYED FOR QC / INSPECTION - SKILLED LABOUR : - UNSKILLED LABOUR : 17. LIST OF MAJOR FIRMS TO : WHOM SUPPLIES ARE MADE ATLEAST FOR THE PAST 3 YEARS CONTINUOUSLY 18. NAME AND ADDRESS OF : BANKERS AND A/C No. - SPECIFY OVERDRAFT LIMIT : WHERE APPLICABLE 19. MSME / UDYOG REGISTRATION No., : IF ANY (COPY OF THE CERTIFICATE TO BE ENCLOSED ) 20. INCOME TAX DETAIL : - PAN No. : - TAX PAID FOR LAST 3 YEARS : 4

1. REGULAR PRODUCTS BEING) : MANUFACTURED 2. HAS YOUR PRODUCTION BEEN : TESTED BY ANY AGENCY, IF YES, INDICATE DETAILS 3. ARE IMPORTED RAW MATERIALS : USED, IF SO, GIVE DETAILS 4. DETAILS OF PLANT AND : ENCLOSE DETAILS IN MACHINERY ANNEXURE - A 5. DETAILS OF LABORATORY AND : TOOL ROOM FACILITIES 6. DETAILS OF MEASURING : ENCLOSE DETAILS IN INSTRUMENTS ANNEXURE B 7. DETAILS OF SPECIAL TEST : FACILITIES AVAILABLE / CREATED TO CHECK MANUFACTURING PRODUCTS FOR ITS PERFORMANCE 5

8. FACILITIES TO STORE : INCOMING MATERIALS FINISHED GOODS AND IN-PROCESS GOODS 9. FOR WHAT OPERATION / : FACILITIES DOES THE FIRM DEPEND ON OUTSOURCING 10. WHO CERTIFIES THE QUALITY : OF OUTSOURCING OPERATIONS 11. FUTURE PLANS : - EXPANSION PROGRAMME : - INSTALLATION OF NEW : MACHINERY - ADDITIONAL TEST FACILITY : - ANY OTHER INFORMATION : YOU WOULD LIKE TO FURNISH 12. ORGANISATION CHART OF THE : WORKS TO BE ENCLOSED ******** 6

ANNEXURE A LIST OF PLANT AND MACHINERY Sl. No TYPE OF MACHINE FACILITY DESCRIPETION MAKE AND MODEL MACHINE SPECIFICATION No. OF MACHINES USAGE YEAR OF PURCHASE REMARKS ANNEXURE B LIST OF MEASURING INSTRUMENTS Sl. No TYPE OF GAUGE / TEST EQUIPMENT MAKE AND MODEL LEAST COUNT RANGE OF MEASUREMENT WHEN CALIBRATED YEAR OF PURCHASE REMARKS 7

FIRM S NAME : M/s. VC NUMBER : NEW PROCUREMENT POLICY FOR MICRO & SMALL ENTERPRISES (Please furnish the details whichever applicable, or else, indicate NA (Not applicable)) ADDRESS & CONTACT DETAILS : CONTACT PERSON NAME & PHONE / MOBILE NUMBER - QMS CERTIFICATIONS ( ISO9001 / IS0/TS / ISO 14001/ OHSAS / AS 9100 ETC. ) -. (Hard copy of the certificates to be enclosed) 1. Belong to MSME Category MSME (Micro, Small & Medium Enterprise) DETAILS You are requested to provide the details as per the format given below along with the hard copy of the Certificates ( both MSME & Caste certificate ) for our records. Category (Micro, Small, Medium) MSME STATUS Entrepreneur Memorandum Number / Udyog Aadhar Number Date of Issue SC OWNERSHIP STATUS CASTE DOES NOT ST BELONG TO SC/ST CATEGORY 2. Does not belong to MSME Category Note : System up-dation will be made only on receipt of hard copy of the certificates. ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- FACTORY REGISTRATION DETAILS You are requested to provide the details as per the format given below along with the hard copy of the Certificate for our records. Factory Location of Permanent Serial Registration No. Supplies made to Name of the the Factory No. (PSL) issued / Month and Year issued by the State BEML Company Village / allocated during the of commencement Factories (Tick the Business (M/s.) District / Annual Survey of of production Inspection vertical) State Industries, if any Directorate Rail & Metro Mining & Construction Defence Aerospace Note : System up-dation will be made only on receipt of hard copy of the certificates. SIGNATURE OF THE FIRM S REP. WITH SEAL & DATE 8

FIRM S NAME : M/s. VC NUMBER : MULTIPLE VENDOR CODES - SISTER CONCERN DETAILS ADDRESS & CONTACT DETAILS : CONTACT PERSON NAME & PHONE / MOBILE NUMBER - SISTER CONCERN DETAILS A. Details of the Sister concern furnished below (Sister Concern - Different units registered with BEML under same management / Same ownership / Same family background) Sl. No.* Name of the Firm (M/s.) Address Components supplied to BEML VC Number allocated by BEML * - If required, rows can be added Note : Sister concern firms should abide to the undertaking as below - - UNDERTAKING For any Tender enquiry of BEML, quote will be submitted by only one firm of the above stated sister companies, failing which, BEML may enforce strict action of cancellation of vendor registration of all our group firms with BEML. B No Sister Concern exists SIGNATURE OF THE FIRM S REP. WITH SEAL & DATE 9

VENDOR REGISTRATION TERMS & CONDITIONS - FOR MANUFACTURERS (Please return this letter duly signed, which shall construe your acceptance to the Terms and conditions mentioned below) (i) Once registered as Vendor to BEML, vendor should approach BEML Manufacturing Divisions / Vendor Development Cell (VDC) for developmental orders. (ii) Your scope of supply should be restricted only to the approved category only. Any change in the scope of supply should be intimated to BEML-Corporate Quality Department, for issuing necessary amendment. Any deviation is liable to cancellation of your vendor registration. (iii) BEML Inspection Policy insists for offering items for inspection at their premises (i.e. Source Inspection ) before dispatch unless otherwise there is clearance for Direct dispatch from BEML. Any Non-conformance / Rejection raised by our Source Inspection Team, BEML reserves the right to collect penalty on such rejections. (iv) Once registered with BEML, you should not supply any products under scope of supply to BEML to any of BEML s customers. This restriction applies to all such products manufactured against BEML drawings & standards or products manufactured exclusively for BEML, and all BEML Drawings information should be confidentially maintained. (v) Continuance of your registration with BEML as a vendor is subject to satisfactory performance on quality of supplies and other commercial requirements. Registration is liable to cancellation in case of poor performance and inability to establish Quality Assurance system by creating facility / documentation viz. Quality Plans / Check-sheets / Jigs & Fixtures for the components supplied to BEML. (vi) BEML reserve rights to register / Not register Sister Concern of same firms under same management. If registered, firms need to ensure to submit quote only from one firm, failing which, BEML can cancel registration. (vii) BEML reserves the right to cancel your registration as a vendor at any point of time without assigning any reasons whatsoever. (viii) Change of Name / address / management / facilities / process / inspection / testing facilities / ISO Status / GST Certification and related matter shall be intimated at the earliest to BEML-Corporate Quality Department, Divisional Purchase departments for up-dating the system / records and review for further action, if any. (ix) Although data submitted by vendors for registration shall be termed as confidential and normally not disclosed; however BEML LIMITED reserves the right that any information and data relating to the users of this website collected and received by BEML Limited from time to time, may be used and disclosed for such purposes and to such persons as may be found necessary by BEML Limited at its sole discretion in which case the vendor will indemnify BEML LIMITED from consequences of disclosure of such data claims / counterclaims arising on account of above. SIGNATURE OF THE VENDOR WITH SEAL & DATE 10