F O R M - D

DIRECTORATE GENERAL OF SUPPLIES & DISPOSALS

(QUALITY ASSURANCE WING)

Application for registration of firms for supply of imported stores as

stockist (To be submitted in triplicate)

1. Name of applicant firm:

Address/telephone/fax/E-mail no. of

a) Registered Office

b) Head Office

c) Other offices

d) Godown

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/Distt in

which the Applicant firm is assessed

to Income-tax. (Please indicate

GIR/PAN no.)

h) Sales Tax registration no(s).

3. Details of godown

a) Address & telephone no.

(Attach copy of ownership documents/

if on lease-attach copy of lease

agreement valid for at least three

years; duly notarised)

b) Description of godown giving

covered/ uncovered area.

c) Staff employed.

4. a) Names & addresses of foreign

manufacturer(s)/OEM whose stores are

stocked.

b) Details of stores or class of

stores normally stocked and for

which registration is sought.

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Sl no. Full name and Country Details of Quantity value

address of of stores stocked stocked

manufacturing origin with specifica- (Monthly

firms tion, if any average)

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(1) (2) (3) (4) (5) (6)

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5. Have you been accredited by

foreign manufacturers / OEMs to

stock the items?Enclose copy(ies) of

the accredition letters/ agreements

for each.

6. In case of OEM spares, if stores

are imported through OEM's authori-

sed distributors or export agents,

furnish details of such

authorisation with supporting

documents.

7. Whether registered with

DGS&D/NSIC or any Govt. organisation

if so, furnish copies of such

registration:

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 for last 3 years

duly supported by relevant Balance

sheet:

10. Name & address of the bankers

(Indicate account no.with each

bank and submit Bankers report in

original as per proforma in

Annexure-6)

11. Do you have Import Code No.

issued by RBI? If yes, give Code

No. and attach copy of the letter

issued by RBI.

12. Name & Designation of signatory

of this application (enclose a copy

of Power of Attorney where

applicable).

Place: Authorised signatory

Date: with seal

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Notes:

1. In case the firm is seeking registration as stockist of imported spares of more than one OEM/ source, separate registration processing fee shall be required to be deposited for each OEM/source.

2. The stockist should have imported during the 12 months proceeding the date of application, spares worth Rs.2.5 lakhs (C.I.F value). The stockists should produce necessary import documents, invoices, vouchers, bills of lading etc which should include substantial value of spares for which registration is sought.

3. All Annexures/Enclosures/documents, supporting the application should be authenticated under signatures of the applicant in ink with seal of the firm.

4. This form is to be accompanied by the statements/ declaration etc as in Annexures 1, 3A, 4, 5 & 6. The applicants 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 of 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. Notarised copy of ownership documents of the premises or copy of lease deed (valid for a minimum period of three year).

7. Bankers' Report in original giving details of financial status of the applicant firm as per annexure-6.

8. 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 from the Registrar of firm, duly notarised.

9. List of stock maintained with each principal/manufacturer.

10. Copy of Registration Certificate if registered with any other Govt. organisation.

11. Copy of accredition letters/agreement with foreign mfr./ principal (OEM).

12. In case imports through OEM authorised distributor or export agent copy of authorisation upto the OEM.

13. Documents of import of spare parts worth of Rs.2.5lakhs during 12 months preceding the date of application such as invoice, voucher, bill of lading etc for each foreign principal/ manufacturer duly notarised.

14. Verification as per Annexure-5.

15. Declaration regarding condition of registration as per Annexure-1.