GUJARAT ALKALIES AND CHEMICALS LIMITED
Vendor Pre-Qualification Application Form
Company Detail
Location* :    
Company Name *:    
Address Office:* : Works:* :
   
   
   
District:* : District:* :
Pincode:* : Pincode:* :
State:* : State:* :
Telephone:* : Telephone:* :
Fax : Fax :
Email Id:* : Email Id:* :
Website :    
Contact Detail
Contact Person:* :    
Designation:* : Mobile:* :
Fax : Email Id:* :
Tax Detail
GST No.:* : Date:* : [DD/MM/YYYY]
PAN No.:* :
Region(State):* :   Region(Code):* :
Material & Registration Detail
Category:* :
Contracts & Job Work Mechanical Items Instrument Items
Electrical Items Raw Material(Indigeneous) Auxiliary Chemicals(Indigeneous)
Packaging Materials Raw Materials(Imported) Auxillary Chemicals(Imported)
Others (please specify)
Specify Detail :  
Company Type:* :      
Category of firm:* :
Manufacturer Authorised Dealer / Distributor
Stockist
Registration Detail:* :
The Indian Companies Act The Indian Partnership Act,1932
The Indian Factories Act, 1948 Any other Act / If Not Who are the Owners
Specify Detail :  
Accrediations:* :  
Regd as Approved Vendor: * :  
Third Party Approval:* :
EIL UHDE
TDC PDIL
E-Tendering:* :    
Banker & Financial Detail
Name of Bank:* : Branch:* :
Account No:* :
IFSC/SWIFT Code:* :
Annual Turn Over:* :
  Year* Currency* Value(Audited)*
Other Detail
Transportation :
Storage Facility :
Consumers Served :
  Name Order Value
(in Rs.)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Attachment * :
File 1:
Fields marked with* are compulsory