Enlistment Application Form

INDIAN RAILWAYS

OFFICE OF THE CONTROLLER OF STORES

CHITTARANJAN LOCOMOTIVE WORKS

4, CH= ITTARANJAN AVENUE

KOLKATA – 700 072

Addressed to M/s. …………………………̷= 0;…………… = &nb= sp; Date :

FORM OF APPLICATION FOR USE= OF FIRMS IN INDIA FOR

ENLISTMENT AS APPROVED CONT= RACTORS TO RAILWAYS

1.	Name of Firm/Company (Whether Private/Public/Governm= ent	:
(i= )	Telegraphic Address	:
(ii)	Address of Head Office	:
(iii)	Telephone No.	:
(iv)	Address of Branches	:
1(a)(i)	Proprietor(s) Name and Address	:
(ii)	Full details of other undertaking owned/Controlled b= y the proprietor(s)	:
1(b)(i)	Partner(s) Name, Address and percentage of shares ho= ld.	:
(ii)	Connection between the undertaking and other(s) if any i.e. Partners are common or have shares (= percentage) in any other undertaking(s) Firm(s) / Factory(s) with name(s), Address(ess) & their registration No.(s) with the conce= rned Railways for the various group of stores.	:
1(c)(i)	Managing Director/Wholetime Director/Manager (Name and Address)	:
(ii)	Board of Directors (Name and Address)	:
(iii)	It is a subsidiary of Indian Company / Foreign Compa= ny with particulars of parent holding company.	:

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1(c) (iv)	Other Companies, if any in Indian which are subsidia= ries of the parent company (Name and full particulars)	:
(v)	In which other companies the Directors have financial interest or are representated on the Board(s)= of these other companies/Firms / Factories with Name(s) Address(ess) and full particulars about their registration = Nos. with the concerned Railways for the various group of stores	:
(vi)	Stores Manufacturers/Handled with details of specifi= cation to which these are manufactured/stocked by you as well as by your subsidiaries mentioned above.	:
2.	Item of item of stores giving reference to the sanct= ion and serial No. of the attached list for which enlistment is desired.	:
3.(a)	Is your firm incorporated under the Companies Law or= any other Law of India ? if not, who are the partner / proprietors. (Please give their names and addr= ess(ess)	:
(b)	Is your firm registered under the Indian Partnership Act.1982	:
(c)	Is your Factory registered under the Indian Factorie= s Act, 1948	:
4.	Does your firm name under the scope of the Industrie= s (Development & Regulations Act, 1951 ? If so, the No. a= nd date of Registration or License held under the Act.	:
4.(a)	If the firm is registered under the Indian Companies= Act, 1913 or Companies Act 1 of 1956 state.	:

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4.(b)	The name in which item registered	:
(c)	The Registrar with whom it is registered and his pla= ce.	:
(d)	The date of registration and the number of registrat= ion certificate.	:
(e)	Subscribed Capital.	:
5.	If the firm is registered under the Indian Partnersh= ip Act, 1932 or any other act the registration of= firm / Partnership.	:
(a)	The name and / or style in which it is registered.	:
(b)	The place of registrar or firm with whom registered.	:
(c)	The date of such registration and the number and dat= e of registration certificate.	:
(d)	The Names and addresses of all the partners and the = extent of their shares.	:
(e)	Whether under the partnership deed any one partner h= as been authorized to sign and bind the firm in all contractual obligations including power of Attorney exists in favour of a particular partner to perform such functions. In the Later case a copy duly attested by a Notary Public should be submitted.	:

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6.	In any other cases, the name(s) and address(es) of the proprietor and for all the partners and = the nature and extent of their interest in the Joint Business (in the case of Joint Hindu Family) firm give this information regarding all persons who = have any interest in the Business.	:
(a)	The Income Tax Circle/Ward District in which the con= cern and each of its proprietor and each of its proprietors partner(s) is/are assessed Income Tax and C.I. No. of each.	:
7.	If you are a manufacturer location of manufacturing Works/Factory / Factories owned by you. (documentary<= /span> evidence of ownership must be produced.	:
(a)	Brief description of the factory (i.e. are a covered accommodation, departments into which it is divided, Laboratory etc).	:
(b)	Whether the firm comes under the scope of Industries Development Reputations Act, 1951 and if so, the No./= Date of registration of license hold under the Act.	:
(c)	Details of Plant & Machinery erected and functio= ning in each department (Monographs and descriptive pamphlets should be suppli= ed, if available).	:
(d)	Whether the process of manufacturer in the Factory is carried out with the aid of power or without it.	:

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7.(e)	Details of stores or class of stores which the facto= ry, as Is capable of production (specifying each item separ= ately)	:
8.	Details of arrangements for quality control of produ= cts such as laboratory etc.	:
(a)	Whether stores were tested to any standard specifica= tion if so, copies of original test certificates should be submitted in triplicates.	:
(b)	In case you do not own the factory but utilize the f= actory of some other firm for manufacturer, Fabrication of the stores for which = you apply for registration, on lease or other basis you should furnish a valid legal agreement that the factory of Here indicate the name of the firm wh= ose factory is being utilized.	:
9.	If you are accredited agents of any manufacturers, g= ive –	:
(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	:
(b)	Approximate value of annual sales	:
(c)	Address & Stock of your shop/shops	:
(d)	Address of your Godown w= here your stores can be inspected	:
11.	Clauses of articles imported by the firm.	:

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12.	Classess of imported art= icles normally stocker by the firm.	:
13.	State particulars with value (approx.) and date of a= ny contract of considerable magnitude) executed in the past 12 months by your firm for the Industries & supplies Department/ Railway or local body.	:
14.	Recognized cottage Industries and small scale Indust= ries N.S.I.C. Units should submit a certificates fr= om the regional Director of the Unit in support of their statement.	:
15.	Are you on the approved list of Director General of Supplies & Disposals and if so, give details of items for which enlis= ted and registration No. & date.	:
16.	If you were on the approved list of Director General= of Supplies & Disposals and if so, give details of items for which registered.	:
17.	Who are your Bankers ? Gi= ve complete address (Mailing).	:
18.	Further remains, if any.	:
19.	Do you pay Income Tax ? <= span class=3DGramE>if so, Income Tax clearance certificate as per form enclosed be furnished. Please state whether you have any interest in any ot= her Firm/Firms as a Proprietor/Partner/Director, if so, the name and address = of the Firm/Firms, the names and address of Partner(s)/Director(s) of the sa= id Firm should be clearly indicated. This declaration should be got signed. = By each and every Partner/Director.	:

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<= /span>I/We _________________________________________________________ do hereby declare that all entries made in this application form are true to the best of my/o= ur knowledge and also that I/We shall to found by the acts of my/our duly constituted Attorney. Mr._______________

_________________________= ________ who has signed this application and of any other person who in future may be appointed by me/us so, in his stated to carry on the business of the concern whether an intimation of such change is given to the Railway or not.

<= /span>I/We do hereby confirm that I/We have read the conditions govern in Railway contracts as amended from time to time and should abide by those conditions= in all respects.

Signature of Partner(s)/Proprietor(s)

Manager(s)/Director(s)

<= /span>All subsequent changes in the constitution or working or a firm effecting the accuracy of the now given should be promptly communicated to this Railway.<= /p>

Signature(s)

Name :_________________________________=

<= /p>
Place ________________= ___        =             &nb= sp;        Designation : ___________________________= _

        =             &nb= sp;            =             &nb= sp;            =             &nb= sp;            =       of person signing this application form
Da= te ___________________        =             &nb= sp;            =           (Proprietor/Partner/Manager/Director).