Vendor Enlistment Form

Organization Name *

Registration Category * --Select-- Manufacturer Supplier/Trader/Stockist Other

Seeking Approval for (Items Category) * -- Please Select -- GENERAL CIVIL PACKAGED EQUIPMENTS ROTATING EQUIPMENTS ELECTRICAL INSTRUMENTATION AUTOMATIC WELDING SYSTEMS AUTOMATIC ULTRASONIC TESTING AGENCIES NDT SERVICES OTHER THAN AUT GEO TECHNICAL SURVEY OR SOIL INVESTIGATION LIST OF THIRD PARTY INSPECTION AGENCIES PIGGING CATHODIC PROTECTION SYSTEM APPROVED MAKES FOR ELECTRICAL COMPONENTS MECHANICAL ITEMS OTHER

Seeking Approval For (Items) * -- Please Select Category First --

Nature of Organization * --Select-- Single Owner Pvt. Ltd Public Ltd Partnership Firm

Area of Business * --Select State-- Oil & Gas Sector Other

Year of Establishment *

Total Experience in the product for which qualification is requested * --Select-- 0 to 5 yrs 5 to 10 yrs Above 10 years

Name of Contact Person *

Designation *

E-Mail ID *

Mobile No./Contact No *

Fax No

Contact Address *

Any dispute / legal issue / case / Put on Holiday with Govt. / Client / Supplier since inception of your organisation. If yes, please provide details *

Place of Jurisdiction --Select-- Within Gujarat Within India Outside India

List of all major projects executed/ on hand till date in Oil & Gas sector.(Details to be submitted separately as Annexures in Excel sheets) * --Select-- More then 15 works Between 9 to 15 works Between 4 to 8 works Between 1 to 3 works

Accepted: Excel (.xlsx, .xls)

List of Clients / Consultants with whom the company is registered as an approved Vendor alongwith their approval / registration letters (Please attach Proof of the same) *