REGISTRATION FORM FOR CONTRACTORS

Category of Contractor :

Civil

Electrical


Plumbing

HVAC


Landscape

Interiors


Others

Name of the company* :
Address :
City :
Pincode :
State :
Telephone No :
Mobile No:* :
Fax No: :
Email* :
Website URL :
Contact Person* :
Company Type :

Proprietary

Partnership


Pvt. Ltd

Public Ltd


SSI

Dealer


Manufacturer

Others

How long has this Company existed in the
same business?
:
Type of project done :

Civil

Electrical

Plumbing

HVAC

Landscape

Value of the jobs handled in the last five years

1st :
2nd :
3rd :
4th :
5th :
List of Empanelment done with Govt / Semi Government / Quasi Government / Corporate Bodies with Class:
Furnish the details of relevant Registration done with the statutory bodies :

Financial Details:

Banker's Name :
Branch :
Address / City / State / Pin code: :

Financial Position: (Rs in lakhs)


Please enter numbers only. Do NOT type Rs or Lakhs
Particulars :
Bank Guarantee Limit :
Overdraft / Cash Credit :
QA / QC Details : Yes        No
EHS policy details if any: : Yes        No
Arbitration/ Litigation details if any: : Yes        No
Mention the list of work completed during last FIVE years. Furnish the details (Firm name, address, contact person, telephone number and order value).
Firm 1 :
Firm 2 :
Firm 3 :
Firm 4 :
Firm 5 :

Attachments:

VAT No : Yes        No
Service Tax No. : Yes        No
SSI Registration No : Yes        No
PAN No : Yes        No
Balance Sheet / Profit & loss Account for 3 years : Yes        No
Details of Infrastructure
(No. of technical / non-technical staff and details of construction equipment)
: Yes        No
Empanelment Details : Yes        No
Any Other : Yes        No
Attachments :
     
  • The file/s size of the attachment should not exceed 2MB
  • If your file size is slightly more than 2MB, please zip the file/s and then attach it. The zipped file size should be less than or equal to 2MB
  • You can only attach a single file to this online form
  • File formats that are allowed as attachments : MS Word ( .doc), MS Excel (.xls), PDF (.pdf) and any zipped file ( .zip)
  • If your file size exceeds 2MB, please email the documents as attachments to supplier@brigadegroup.com In the subject line of the mail, please mention the name of your company
  • The following info needs to be attached: Company profile, manpower and client list.



  • I/We

    hereby declare that the information furnished above is true to the best of my/our knowledge. I/We shall adhere to the Purchase Order terms, Quality (ISO 9001-2008) and Environmental Occupational Health and Safety Assessment Series (OHSAS - 18001:2007, ISO 14001:2004). In the event of the above given details turning out to be incorrect, I / we will be liable to compensate you adequately.
    Place :