F O R M - C(Part-II)
DIRECTORATE GENERAL OF
SUPPLIES & DISPOSALS
(QUALITY ASSURANCE
WING)
Application for registration of Indian
agents of foreign manufacturers
(To be filled by Indian
Agents)
1. Name of Applicant firm:
Address/telephone no./fax/E-mail no. of
a) Registered Office
b) Head Office
c) Other Offices
2. Status of applicant firm
a) Date of Incorporation:
b) Constitution of the firm:
i) Proprietorship /Partnership
(attach copy of Partnership deed and
Form-A
or equivalent entry
certificate
from Registrar of Firms
duly notarised)
ii) Public Limited/Pvt.Limited.
(Attach
Memorandum/Article of
Association and copy of signed
certificate of incorporation duly
notarised.)
c) Names,addresses and telephone nos
of
Proprietor/Partners/ Directors
having interest in the firm:
d) If the firm is a subsidiary of an
Indian/foreign company, give
particulars
of parent/ holding
company?
e) If there are other susidiaries of
the
same parent company in India,
give full particulars.
f) If the Directors/ Partners/
Proprietor have financial interests
or are represented on Board(s)
of
other companies give details.
g) Income-tax Circle/Ward/District
in which the Applicant firm
is
assessed to
Income-tax. (Please
indicate GIR/PAN No.)
h) Sales Tax registration no(s).
3. Stores for which registration is sought:
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Sl.No.
Description Specification Limiting Country of
of stores with model size/capacity origin
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(1)
(2) (3) (4) (5)
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4.
Name and address of the foreign
manufacturer.
5.
If you/your principal
are
registered with DGS&D and/or
other
govt organisations, give particulars
and
enclose a copy of Registration
Certificate.
6.
Particulars of agency agreement
with
foreign manufacturer (attach
copy of the
agency agreement duly
notarised.)
a) Date of Agreement
b) Agreement valid upto
c) Teritorial jurisdiction
d)
Whether agreement covers
all
items
for which registration
is
sought.
e) Percentage of agency commission
f)
Whether agent has authority to
commit and sign on behalf of foreign
manufacturer.
g)
Whether payment of
agency
commission
in Indian Rupee
is
acceptable.
7. Give names & addresses of places
where after sales service facilities
available indicating extent/value of
spare
parts maintained and
staff
employed.
8.
Details of past supplies
made
for
the items for
which registra
tion
has been sought in proforma as
in Annexure-4
9.
Annual turnover of applicant for
the
last three years duly supported
by relevant Balance Sheet.
10.Name and address of the bankers:
(Indicate account no.
with each
bank
and submit Bankers report in
original
as per proforma
in
11.Name
and designation of
the
signatory
of this application
(Enclose a copy of Power of Attorney
where applicable).
Authorised Signatory
with seal
Place:
Date:
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Notes:
1.
This form duly filled in must be submitted by the Indian
agents along with the application from foreign
maufacturers in Form- C(PART.I)
2.
All Annexures/Enclosures/documents, supporting the application should
be authenticated under signatures of
the applicant in ink with
seal of the
firm.
3.
This form is to be accompanied by the statements/ declaration etc as
in Annexures 1, 3A, 4, 5
& 6. The applicant must also complete the checklist
as given below
to ensure that
the application is
complete in all
respects.The applications with incomplete infomation/documents are
liable to be rejected.
Check list:
1. Application
form fee coupon of Rs.100/- or Indian
Postal Order for Rs. 100/- payable
to DGS&D, New Delhi in lieu of
application form fee alongwith
processing fee Rs.5000/- + Service Tax & Educational Cess as applicable(presently @12.36%)in
form of Demand Draft payable to DGS&D,New Delhi. For
additional items full registration charges will
be leviable.(No application form-fee charges will be
applicable if the application form
is downloaded from the website)
2.
Affidavit as per Annexure-3A duly notarised.
3.
Statement Profit & Loss and Balancesheet for the last three years.
4.
Notarised copy of General Power of Attorney in case in favour of
person signing the application is
authorised signatory.
5.
Performance statement as per Proforma Annexure-4
of the application.
6.
Documentary proof of the status of the firm:
a.
For the limited companies
i) Copy of Memorandum and Articles of
Association duly notarised.
ii)
Signed copy of
Certificate of incorporation
authenticated by Notary Public.
b) Partnership firms.
i) Copy of Partnership deed duly
authenticated by notary public.
ii) Power of Attorney in respect of partner,
if any duly notarised.
iii) Certified copy of Entry Form-A or equivalent
from the Registrar
of firm, duly notarised.
8.
Copy of ISO 9000 (Optional).
9.
Copy of Registration
Certificate if registered with
any other Govt. organisation.
10.
Copy of Agency Agreement with Foreign Manufacturer having the
following details :
a) Date of Appointment:
b) Agreement valid upto:
c) Territorial Jurisdiction:
d) Items covered in the Agreement:
e) Percentage of Commission:
f) Authority to commit & sign on behalf
of foreign mfr.
g) Payment of Agency Commission in Indian
Rupee is acceptable .
11.
List of Name & addresses of places where After Sales Service
facilities available indicating extent/value
of spare parts maintained and staff
employed.