rkj@Telegram : SMALLCORP

QSDl@Fax : 26926820
26920907

FREE OF COST
NSIC COPY

nwjHkk"k@Phone

jk"Vh; y?kq m|ksx fuxe fyfeVsM

The National Small Industries Corporation Ltd.

(Hkkjr

ljdkj dk mie@A Government of India Enterprise)

^^,u ,l vkbZ lh Hkou** vks[kyk vkS|ksfxd {ks=k] ubZ fnYyh&110020
NSIC Bhawan Okhla Industrial Estate, New Delhi-110020

dsUnzh; ljdkj HkaMkj [kjhn

dk;Ze esa Hkkxhnkjh ds fy, lwph;u gsrq vkosnu
APPLICATION FOR ENLISTMENT FOR PARTICIPATION IN THE
CENTRAL GOVERNMENT STORES PURCHASE PROGRAMME
1.

vkosnd QeZ dk uke@Name

irk@Qksu@QSDl@bZ&esy la-

of Applicant firm:

Address/Telephone/Fax/e-mail No. of
(a) eq[; dk;kZy;@Head Office

2.

(b)

dkj[kkuk@Factory

(c)

'kk[kk,a@Branches

y?kq m|ksx iathdj.k la- ,oa rkjh[k@

i;k izek.ki=k dh uksVjh }kjk izekf.kr yxk,a
SSI Registration No. & Date
(Please attach a Notarized copy of certificate)

3.

vkosnd QeZ dh fLFkfr@Status of applicant firm:

(a) laLFkkiuk dh rkjh[k@Date of Incorporation:
(b) mRiknu@dkjksckj vkjEHk djus dh rkjh[k
(c)

Date of commencement of production/business:

QeZ dh lajpuk@Constitution of the firm:
(i)
LokfeRo@lk>snkjh lk>snkjh i=k dh rFkk QeZ

ds
jftLVkj ls QkeZ&, ;k led{k izfof"V izek.k i=k
dh izfr uksVjh }kjk lR;kfer lkFk yxk,a

Proprietorship/Partnership (Attach copy of

Partnership Deed and Form-A or equivalent
entry certificate from Registrar of Firms duly
notarised)
(ii)

(iii)
(iv)

lkoZtfud lhfer@futh lhfer@vkS|ksfxd lgdkjh

la?k ds fu;e o Kkiu rFkk uksVjh }kjk lR;kfir
laLFkkiu ds gLrk{kfjr izek.ki=k dh izfr yxk,a
Public Limited/Pvt. Limited/Industrial Cooperative
(Attach Memorandum & Article of Association and
copy of signed Certificate of Incorporation
duly notarised)
fgUnw vfoHkkftr ifjokj@Hindu Undivided Family

Lokeh@lka>ns kjksa@funs'kdksa@drkZ ftudk QeZ ls fgr gS] ds uke]

irs o VsyhQksu laNames, addresses and telephone Nos. of Proprietor/
Partners/Directors/Karta having interest in the firm:
1.
2.
3.
4.
5.

: 26926275
26926370

(v)

(d)

D;k
tks

D;k vki fdlh cM+s m|ksx ;k jk-y-m-fu-@Mh-th-,l-,aM Mh ls iathr

bdkb;ksa ds lka>ns kj@funs'kd gSa ;fn gka rks mudk C;kSjk nhft,%
Whether you are a Partner/Director of any large industries
or units registered with NSIC/DGS&D. If so, give details.
vkidh QeZ buds varxZr iathr gS@Whether your firm is registered under:
ykxw gks] mls fVd djsa@Please tick as applicable)

Hkkjrh; dkj[kkuk vfkfu;e 1948@Indian Factory Act 1948

nqdku ,oa LFkkiuk vfkfu;e@Shops & Establishment Act.
(iii) vkS"kk vfkfu;e@Drugs Act.
D;k vkidh QeZ fdlh Hkkjrh;@fons'kh@cM+s m|ksx daiuh dh lgk;d gSa]
rks isjUs V@gksfYMax daiuh dk C;kSjk nsaA
(i)
(ii)

(e)

If the firm is a subsidiary/Associate of an Indian/foreign/large

scale company, give particulars of Parent/holding Company:
(f)

D;k Hkkjr esa mlh ewy daiuh ds vU; lgk;d gSa rks C;kSjk nsaA
If there are other subsidiaries of the same parent company
in India, give full particulars.

(g)

D;k funs'kdksa@lka>ns kjksa@Lokeh vU; daifu;ksa esa viuk fokh; fgr j[krs
gSa ;k cksMZ dk izfrfufkRo djrs gSa] rks C;kSjk nsaA
If the Directors/Partners/Proprietor have financial interests or
are represented on Board(s) of other companies, give details.

(h)

D;k vkidh iwath dk dksbZ Hkkx fdlh cM+h bdkbZ ds ikl gS\
;fn gksa] rks C;kSjk nsaA
Whether any portion of your capital is held by any large unit?
If some, give details.

(i)

D;k mlh izcaku ds varxZr iwath ;k _.k fufk dh fdlh cM+h bdkbZ ds
lkFk ikjLifjd lac)rk gS] ;fn gka rks C;kSjk nsaA
Whether there is any inter-locking of capital or loan funds with
any large unit under the same management? If so, give details.

(j)

(k)
(l)
(m)

D;k dksbZ _.k ;k vfxze kujkf'k fdlh cM+s ;wfuV ;k lkku ;qDr O;fDr
}kjk mir fd;k x;k gS ;fn gka rks C;kSjk nsaA
Whether any loan or advance has been under written by any
large unit or persons possessing large means? If so, give details.
vk;dj ldZy@okMZ@ftyk @ Income-tax Circle/Ward/District.
i;k crk,a fxj@iSu la- @ (Please indicate GIR/PAN No.)

fch dj iathdj.k la- @ Sales Tax Registration No(s)

D;k vkius blls igys Hkh bl fuxe esa bl uke ls ;k fdlh vU; uke ls
iathdj.k ds fy, vkosnu fd;k Fkk ;fn gka] rks mldk ifj.kke D;k jgkA
Did you applied for registration with NSIC before under this
or any other name? If so, with what result?

(n)

D;k vki bl uke ls ;k fdlh vU; uke ls bl fuxe ds lkFk O;kikj dj

jgs gSa ;fn gka] rks uke vkSj irk crk,aA
Are you already doing business with NSIC under this or some
other name? If so, give name and address.

(o)

D;k vkidh QeZ ;k mlds fdlh funs'kd@lka>ns kj dks fdlh le; fdlh
vnkyr }kjk flfoy@QkStnkjh@jktLo ;k vkfFkZd vijkk ds fy, nf.Mr
fd;k x;k gS ;fn gka] rks vijkk vkSj naM dk C;kSjk nsaA
Whether your firm or any of its Directors/Partners were
prosecuted at any time for any offence under any Court for
Civil/Criminal/Revenue or Economic Offence? If so, give
particulars of offence and penalty.

4.

og Hk.Mkj@mRikn ftlds fy, iathdj.k dh vko';drk gS%

Stores for which registration is required:
(a) D;k vki iwfrZ ,oa fuiVku egkfuns'kky;

ds ikl iathr gSaA ;fn gka rks

iathdj.k la[;k o rkjh[k crk,aA iathdj.k izek.ki=k dh ,d izfr layXu
djsa vkSj og en fy[ksa ftlds fy, iathr gSaA
Whether you are registered with DGS&D? If so, give registration
No. and date, attach a copy of registration certificate and specify
the item for which registered.

(b)

D;k vkius dksbZ Hk.Mkj@mRikn iwfrZ o fuiVku egkfuns'kky; ds ek;e ls

ljdkj dks ;k lhks ljdkjh foHkkx dks vFkok fdlh vU; vkiwfrZdrkZ ds
ek;e ls lIykbZ fd;k gS ;fn gka] rks fiNys rhu o"kZ ds vuqcak] ;fn dksbZ
gks] rks mldk C;kSjk layXud&th esa nsA
Have you supplied any stores to the Government through DGS&D,
Direct to the Government Department or through any other
Supplier? If so, give details of the contract if any, during the last
Three years in Annexure-G

(c)

mu HkaMkjksa@mRiknksa dk C;kSjk ftuds fy, iathdj.k izkfFkZr gS%

Details of the stores/products for which the registration is sought:

Sl. Description/Stores/
Products
No.

Ref. of BIS
Specification

Model/
Brand

Limiting Size
Capacity/Rating

Annual Production
Capacity per shift

No. of shifts factory

normally works

la-

HkaMkjksa@mRiknksa
dk fooj.k

ch-vkbZ-,l- fof'k"V
dk lanHkZ

ekMy@
czSaM

lhfer vkdkj@
{kerk@jsfVax

okf"kZd mRiknu {kerk

izfr ikfj

ikfj;ksa dh la- tks izk;%

dkj[kkus esa pyrh gSa

(1)

(2)

(3)

(4)

(5)

(6)

(7)

5.

dkj[kkus@xksnke ds C;kSjs @ Details of Factory/Godown:

(a) irk o Qksu la- @ Address & Tel. No.
(b)

D;k fofuekZ.k dk;Z ikoj ds fcuk ;k ikoj dh lgk;rk ls

fd;k tkrk gS ;fn ikoj dh lgk;rk ls fd;k tkrk gS rks
i;k crk,a%
Is process of manufacturing is carried out with or
with out power? If with the aid of power please state:(i)
gklZ ikoj & vkcafVr @ Horse Power - allotted
(ii) gklZ ikoj & LFkkfir @ Horse Power - installed

(c)

dkj[kkus@doj fd, x, xksnke@fcuk doj dk {ks=k] foHkkxksa vkSj

iz;ksx'kkykvksa vkfn dk laf{kIr fooj.k%
Brief Description of the Factory/Godown Covered/
Uncovered Area Departments and laboratories etc.

6.

iawth lajpuk dk C;kSjk @ Detail of capital structure:(a) fLFkj iwath fcuk ewY;gzkl ds ewy ykxr
/ Fixed Capital (original value without depreciation
(i)
Hkwfe vkSj Hkou @ Land & Building

la;a=k vkSj e'khujh @ Plant & Machinery

pkyw ifjlaifk blesa dPps eky dk LVkd] mi;ksT; HkaMkj] vkkZfufeZr
mRikn] fufeZr mRikn udn jksdM+] cSad vfk'ks"k vkfn 'kkfey gksuk pkfg,
(ii)

(b)

Current Assets (this should include stock of Raw material.

Consumable stores, semi finished/finished products, cash
in hand, bank balance etc.)
Total of (a) vkSj / & (b)
7.

dk ;ksx%

rduhdh lqfokk,a% @ Technical facilities:

(a) layXud ^^ch** ds vuqlkj LFkkfir la;a=k o e'khujh ds C;kSjs
Details of plant and machinery installed as per Annexure B.
(b)

fofuekZ.kkkhu HkaMkj@mRikn dks fofufnZ"V djsaA

Specify stores/products under manufacture.

(c)

mRiknksa ds rduhdh Kku rFkk izokg pkVZ lfgr iwjh lwpuk

Full information of the technical know-how of products with
flow chart.

(d)

useh rFkk Lohdk;Zrk VSLV ds fy, xq.kokk O;oLFkk

Quality control arrangement for routine and acceptance test.

(e)

VSfLVax e'khujh o lqfokkvksa ds C;kSjA

s
Details of testing machinery & facilities.

8.

i;k crk,a fd Vkbi VSLVksa lfgr tgka ;g visf{kr gS] mRiknksa dks iwjh rjg
ls VSLV fd;k x;k gS ;fn gka rks VSLV fjiksVks dh ,d izfr yxk,aA
State if the products have been fully tested, including type tests
where required in specifications. If so, attach copy of test reports:

9.

D;k mRiknksa dks fch ckn lfoZl dh vko';drk gksrh gS mu LFkkuksa dk

uke o irs nsa tgka ,slh lqfokk,a miyCk gSaA crk,a fd D;k vkids mRikn
iwjs Hkkjr esa lhks vkids }kjk gh csps tkrs gSa] ;fn ugha rks mu Qeks ds
uke crk,a ftuds lkFk mRikn&okj@{ks=k&okj foi.ku izcak fd, x, gSaA
If the products require after sales service, give Names &
Addresses of places where such facilities are available.
Indicate if your products are directly marketed by you in whole
of India. If not, indicate names of firms with whom marketing
arrangements have been made product-wise/area-wise:

10.

y?kq m|ksx bdkbZ dk foxr rhu o"kks dk o"kZ&okj izpkyu ifj.kke o fokh;
fLFkfr n'kkZrs gq, fooj.kA lEc) vadfs {kr rqyu i=kksa lfgr layXud&lh
Statement indicating the Result of Operations and Financial
Position of the SSI Unit for the last three years (year-wise)
duly supported by relevant Audited Balance Sheets (Annexure-C).

11.

12.

cSadjksa ds uke o irs izR;sd cSad dk [kkrk la- nsa vkSj lyXud&,Q ds vuqlkj
ewy cSadj fjiksVZ izLrqr djsa
Name and address of the Bankers (Indicate Account No.
with each bank and submit Bankers Report in Original as
per proforma in Annexure-F):
vfrfjDr@oSdfYid lwpuk @ Additional/Optional information:
(a)

i;k crk,a fd D;k mRikn ch-vkbZ-,l- ekdkZ gSA ;fn gka] rks
oSk ch-vkbZ-,l- ykblsal dh ,d izfr yxk,aA
State if the products are BIS Marked. If so, attach a
copy of valid BIS License.

(b)

i;k crk,a fd D;k QeZ vkbZ ,l vks 9000 izek.ku esa gSA
;fn gka] rks mldh ,d izfr yxk,aA
State if the firm has ISO 9000 Certification. If yes,
attach copy of the same.

13.

bl vkosnu ds gLrk{kjdrkZ dk uke o inuke tgka ykxw gks] eq[rkjukek

dh ,d izfr yxk,a

Name and designation of the signatory of this application

(enclose a copy of Power of Attorney where applicable)
LFkku @ Place:
fnukad @ Date:
vfkr

eSa@ge

gLrk{kjdrkZ @

Authorised Signatory(ies)

eksgj lfgr @

with seal

I/We ..............................................................................................................................................................
(;gka Lokeh@lka>hnkj@funs'kd@drkZ vkfn ds uke dk mYys[k djsa @ here indicate the name of the Proprietor/Partner/Director/Karta etc.)

;g ?kks"k.kk djrk gwa@djrs gSa fd bl QkeZ esa Hkjh xbZ izfof"V;ka esjh@gekjh tkudkjh esa lgh gSaA

Do hereby declare that the entries made in this application from are true to the best of my/our knowledge.

ge tkurs gSa fd iathr QeZ ds :i esa gels ;g vk'kk dh tkrh gS fd fofHkUu ; djus okyh ,tsafl;ksa@laLFkkvksa ls
lqfokk ds lkkkj.k fu;e o 'krks ds vuqcafkr jgsax]s fo'ks"k :i ls Mh-th-,l-Mh- ds QkeZ la-68 la'kksfkr esa nh xbZ 'krks
dk ikyu djsaxA
s bl fucaku o 'krks ds ikyu djus esa vlQy jgus ij iathdj.k j gks ldrk gSA
We note that as registered firm we are expected to abide by General Terms and Conditions of contracts of
various Purchasing Agencies/Bodies specially the terms and conditions as contained in DGS&D Form No. 68
(Revised) as amended from time to time. Failure on our part to abide by theseTerms and Conditions may result
in the CANCELLATION of the registration.

fnukad @ Date:
LFkku @ Place:

gLrk{kj & Lokeh@lka>ns kj@funs'kd@drkZ@eq[rkjukek kkjh

Signature of the Proprietor/Partner/Director/Karta/General Attorney

eksgj lfgr @
4

with Stamp

fujh{k.k vfkdkjh dh fjiksVZ

INSPECTION OFFICERS REPORT

Hkkjr ljdkj y?kq m|ksx lsok laLFkku

GOVERNMENT OF INDIA SMALL INDUSTRIES SERVICE INSTITUTE
(vkS|ksfxd fodkl foHkkx @ Dept. of Industrial Development)

y?kq fofuekZrkvksa dk iathdj.k%

Registration of small scale manufacturers:

fujh{k.k dk C;kSjns kj fjiksVZ%

eSllZ ds ifjlj vkSj dk;Z fujh{k.k ij C;kSjns kj fjiksVZ%
Detailed report on Inspection of premises and work
of Messrs ____________________________________________________________________________

QeZ esa fujh{k.k ds nkSjs dh rkjh[k%

Date of Inspectors visit to firm:
1.
2.

fofuekZ.k dk;Z dk LFkku @ Location of Mfg. Works.

QSDVh dk laf{kIr fooj.k tSls {ks=k] Hkou] foHkkx] iz;ksx'kkyk vkfnA
Brief description of the factory e.g. area covered, accommodation,
departments into which it is divided, laboratory etc.

3.

laxBu D;k Hkkjrh; dkj[kkuk vfkfu;e ds varxZr gS i;Zo{s k.k izcak vkfn

4.

Organisation: Whether registered under Indian Factories Act/

Supervision, Management etc.
fons'kh lg;ksx ;fn gks @ Foreign Collaboration, if any.

5.

fujh{k.k ds le; fofuekZ.kkkhu lkexzh dk fooj.k

Details of stores under manufacture at the time of Inspection.

6.

,d foHkkx esa laLFkkfir la;a=k vkSj e'khujh dk fooj.k

Details of plant and machinery installed in each department.

7.

fujh{k.k ds le; j[ks x, dPps eky dk LVkd vkSj fooj.kA D;k ns'kh gS ;k vk;kfrr

8.

Details and stocks of raw materials held at the time of Inspection

also whether imported or indigenous.
xq.kokk vkSj dkjhxjh dk Lrj @ Standard of workmanship and quality.

9.

vc rd QeZ }kjk fy, x, vkiwfrZ ,oa fuiVku egkfuns'kky;@jkT; ljdkj@

vkZljdkjh fudk;ksa ds vkns'kksa dk fooj.k
The details of DGS&D/State Govt./Quasi-Govt. bodies orders
handled by the firm so far.

10.

QeZ }kjk fofufeZr fofHkUu enksa ds ekStwnk la;a=k rFkk e'khujh dh {kerk rFkk VuZ vkmV
Capacity and out turn with the existing plant and machinery of various
items manufactured by the firm.

11.

bl le; fu;ksftr lqijokbtj LVkQ@VSDuhdy LVkQ vkSj dq'ky etnwjksa dh la[;k

12.

Number of Supervisory Staff/Technical Staff and Skilled labour at

present employed.
a)
fofuekZ.k ;wfuV ds ikl miyCk xq.kokk fu;a=k.k rFkk ijh{k.k lqfokk dh O;oLFkk
Arrangement for Quality Control and Testing Facilities available with
b)
fofuekZ.k ;wfuV ds vklikl vkS|ksfxd {ks=k ;k fdlh iz;ksx'kkyk esa lkekU; :i

ls miyCk djkbZ xbZ xq.kokk fu;a=k.k vkSj lkekU; ijh{k.k lqfokkvksa dk fooj.k%
Details of common Testing Facilities and Quality Control provided
in common at Industrial Estate, or in a laboratory etc. to which the
manufacturing unit has access.

c)

13.
14.

vklikl dh fdlh cM+h vFkok NksVh ;wfuV ds ikl ijh{k.k lqfokkvksa ds mi;ksx
ds ckjs esa O;oLFkk lkFk gh mi;ksx dh xbZ ,slh lafonkvksa dk fooj.k
Agreement with any nearby large scale or small scale unit about
the utilization of their Testing Facilities together with the details of
such facilities enjoyed.
ds ckn dh lsok lqfokk @ Facilities for after sales service.

fch
D;k ekfyd@lka>hnkj@funs'kd dk fdlh cM+s m|ksx ds lkFk lEcUk gSA
;fn gks rks fooj.k nsaA

Whether the Proprietor/Partners/Directors have any link with large

scale industries, if so, details thereof.
a)
D;k QeZ fdlh cM+h ;wfuV dh lgk;d ;k lac) ;wfuV gS\
Is the firm a Subsidiary or Associate of a large scale unit
or not.

b)

D;k iwath dk cM+k Hkkx fdlh cM+h ;wfuV ds ikl gS\

Whether sizeable portion of the capital is held by any
large unit?

c)

D;k ,d gh izcUku ds varxZr ,d ;k nks cM+h ;wfuVksa ds lkFk iwath

vFkok _.k fufk dk ikjLifjd lEcUk gS\
Is there any Inter-locking of capital and loan founds, with
one or two large scale units under the same management?

d)

D;k dksbZ _.k ;k vfxze kujkf'k fdlh cM+s m|ksx ;k cM+s lkku;qDr
O;fDr }kjk vidrZ gSA
Has any loan or advance been under-written by one or more
large scale units or persons possessing large means?

flQkfj'k @ RECOMMENDATIONS
a)
b)

flQkfj'k u djus dh fLFkfr esa vfHk;qDr @ Remarks when not recommended

&&&&&&&ds fofuekZ.k ds :i esa vkSj y?kq m|ksx ds :i esa iathdj.k ds fy, flQkfj'k dh tkrh gS%
Recommended for registration as a small scale unit and as manufacturers of:
Name of Store

lkexzh dk uke

Specification to which
stores are manufactured

lkexzh ds fofuekZ.k dk fofunsZ'ku

izfrgLrk{kfjr @ Countersigned:
izHkkx eq[; vfkdkjh @ Divisional Head:
funs'kd @ Director:
lUnHkZ la[;k @ Ref. No.:
LFkku @ Station:
fnukad @ Date:

Qualitative Capacity

xq.kokk {kerk

Quantitative Capacity P.M.

ek=kk lEcUkh {kerk

fujh{k.k vfkdkjh ds gLrk{kj

Signature Inspecting Officer
(eksgj lfgr @ with Seal)

lyXud&,1@Annexure-A(1)

lkekU; eq[rkjukek @

GENERAL POWER OF ATTORNEY

uku tqfMf'k;y LVkEi isij ij fu"ikfnr fd;k x;k rFkk uksVjh ifCyd@izFke Js.kh eftLVVs }kjk lk{;kafdr fd;k tk,
(For Partnership concerns) (To be executed on a Non-Judicial Stamp Paper and to be attested by a
Notary Public / 1st Class Magistrate)

lHkh lacafkrksa dks ;g Kkr gks fd ge-------------------------------------------------------------------------------------------------------------ftl@ftu lka>ns kjksa dks eq[rkj@eq[rkjksa ds :i esa ukfer fd;k x;k gS mls@mUgsa NksM+dj lHkh lka>ns kjksa ds uke o irs
1. eSllZ --------------------------------------------------------------------------------------- ds lHkh lka>n
s kj Jh ------------------------------------------------------------------------ lqiq=k Jh ---------------------------------------------------------------------------------------------------------vkSj eSllZ ----------------------------------------------------------------------------------------------------------- ds lka>ns kj dks gekjs uke esa
vkSj mDr lka>ns kjh QeZ dh vksj ls dk;Z djus] lHkh ;k dksbZ ,d dke djus ;k iwfrZ vkSj fuiVku egkfuns'kky; {ks=kh;
dk;kZy;ksa dks 'kkfey djrs gq, fdlh lacafkr [kjhn foHkkx }kjk fn, x, ;k fn, tkus okys lafonkvksa ls mRiUu ekeyksa
dks e;LFkrk ds fy, Hkstus lfgr lafonk nkf;Roksa dks 'kkfey djrs gq, lHkh djkj@izy[s k fu"ikfnr djus rFkk mu ij
gLrk{kj djus ds fy, fu;qDr djrs gSaA la{ksi esa og eSllZ QeZ dk uke ds uke ls lacafkr mi;qDr ms'; ds lHkh
vko';d dk;Z djus ds fy, iwjh rjg izkfkr gSaA
Be it known to all to whom it may concern that we:
1. Name and address of all the partners excepting one(s) who is/are nominated as Attorney(s) (i) (ii)
2. All the partners of Messrs ...............................................................................................................hereby
appoint Shri ................................................................................... S/o Shri .................................................
Resident of ...................................................................................................................................................

and also partner of Messrs ................................................................................................................. as our

Attorney to act in our name and on behalf of the said partnership firm, to do all or any of the act or things and
sign, and execute documents/agreements binding the firm for all contractual obligations including references
of cases to Arbitration arising out of contracts placed or to be placed by any of the concerned Purchase
Departments, including DGS&D, its Regional Offices. In short, he is fully authorized to do all, each and
everything, requisite for the above purpose concerning Messers .................................................................
(Name of the firm)

vkSj ge mls iznk izkfkdkj dh lhek ds vUnj gekjs mDr eq[rkj }kjk fu"ikfnr fdlh Hkh izy[s k ;k fd, x, lHkh ;k
izR;sd dk;Z dh iqf"V djus ;k mldk vuqleFkZu djus ds fy, lger gSa vkSj ;g ge ij rFkk gekjh QeZ ij bl izdkj
ck;dkjh gksaxs tSls fd og gekjs }kjk vyx&vyx ;k la;qDr :i esa fu"ikfnr fd, x, gksaA
And we hereby agree to confirm and ratify his all and every act or dealing or any documents executed by our
said Attorney within the scope of the authority hereby conferred on him including references to arbitration and
the same shall be binding on us and our firm as if the same were executed by us individually or jointly.

xokfg;k @
1.

Witnesses

vU; lka>ns kjksa ds gLrk{kj @

Signature of the other Partners

1.
2.
3.

Lohdkj fd;k x;k @ Accepted

eq[rkj ds gLrk{kj @ Signature of Attorney
vuqcak&,2@Annexure-A(2)

cksMZ dk ladYi @

BOARD RESOLUTION

izkbosV fyfeVsM@fyfeVsM daiuh ds fy, @

For Private Limited/Limited Companys)

fnukad ------------------------------- dks gqbZ daiuh ds funs'kd eaMy dh cSBd ds dk;Zo`r ds m)j.kA
Extract of the Minutes of Meeting of the Board of Directors of Company held on .........................................

;g cSBd daiuh ds iathr dk;kZy; irk ---------------------------------------------------------------------------------------esa gqbZ Fkh

at the Registered Office of the Company at (Address) ..................................................................................

;g ladYi fy;k x;k fd daiuh ds izcak funs'kd@funs'kd Jh ---------------------------------------- dks ,dy fcUnq iathdj.k
;kstuk ds varxZr jk"Vh; y?kq m|ksx fuxe fyfeVsM --------------------------------------------------------------------------------------------------------------------------------- 'kk[kk dk;kZy; dk irk ds ikl daiuh dk iathdj.k djkus ds fy, izfkr fd;k tk,A
Resolved to authorise Shri ..................................... Managing Director/Director of the Company, to register
the Company with the National Small Industries Corporation Limited ...........................................................
...................................................... (Address) of Branch Office under the Single Point Registration Scheme.

vkSj ;g Hkh ladYi fy;k x;k fd Jh ------------------------------------------- daiuh ds izcak funs'kd dks daiuh dh vksj ls bl
lacak esa lHkh vko';d dk;Zokgh djus] vkosnu i=k o vU; nLrkostksa dks gLrk{kj djus ds fy, izfkr fd;k tkrk gSA
Further resolved that Shri .......................................................... Managing Director/Director of the company
is authorised and empowered to take all necessary steps and actions on behalf of the company in this
connection and to sign Application Form and other documents.

daiuh dh vksj ls @ For & on Behalf

daiuh dk uke o irk
Name & Address of the Company

funs'kd dk uke] gLrk{kj

Name, Signatures of the Director

o daiuh dh eksgj
with seal of the Company

'kiFk i=k @

layXud&ch@Annexure-B
AFFIDAVIT

uku tqfMf'k;y LVkEi isij ij fu"ikfnr fd;k tk, vkSj uksVjh vFkok izFke Js.kh eftLVVs }kjk lR;kfir fd;k tk,
(To be executed on a Non-Judicial stamp paper of Rupees two and to be attested by a Notary Public or 1st Class Magistrate)

eSa@ge -------------------------------------------------------------------- lqiq=k Jh --------------------------------------------------------------------ekfyd@lka>hnkj@funs'kd eSllZ ---------------------------------------------------------------------------------------------------------------------'kiFk iwoZd ?kks"k.kk djrk gw@djrs gSa%
I/We ........................................................................................ S/o ...............................................................
Proprietor/Partner/Director of Messrs ...........................................................................................................
resident of .....................................................................................................................................................
do hereby solemnly affirm and declare as under:-

fd mi;qZDr QeZ vkerkSj ij fuEufyf[kr enksa dk fofuekZ.k djrh gS%

That the above named unit normally manufactures the following items:
1.
2.
3.
4.

fd gekjs iw.kZ LokfeRo esa vkSj &&&&&&&&&&&&&&&&&&& esa fLFkr esjh@gekjh QSDVh esa bl le; laLFkkfir lHkh e'khuksa dk fooj.k
fuEufyf[kr gS%
That the details of the machines that are exclusively owned by us and presently installed in my/our factory
situated......................................................................................................are given below:
Sl. No.

Name of Machine

Date of Purchase

Original Value of Machines of accessories

e la[;k

e'khu dk uke

[kjhn dh rkjh[k

mikxh lfgr e'khu dk ewy ewY;

(1)

(2)

(3)

(4)

1.
2.
3.
4.
5.

fd mi;qZDr la;a=k o e'khujh ds dqy dks ;ku esa j[krs gq, ge y?kq m|ksx bdkbZ ds fy, fukkZfjr dh xbZ lhek ds Hkhrj
gSA ;g fd dkj[kkuk ifjlj ds Hkhrj j[kk gq, LVkd dk vuU; LokfeRo eSllZ ---------------------------------------------------dk gS vkSj mlh ds }kjk iz;ksx fd;k tkrk gS rFkk LVkd dk C;kSjk bl izdkj gSA
That in view of the total value of plant & machinery as detailed above, we are well within the ceiling limit
prescribed for a Small Scale Unit. That the stocks held in the factory premises are exclusively owned and used
by Messrs................................................................. and details of the stocks are as under:
Sl. No.

Name of Stock

Date of Purchase

Value

e la[;k

LVkd dk uke

[kjhn dh rkjh[k

ewY;

(1)

(2)

(3)

(4)

1.
2.
3.
4.
5.

fd iathdj.k ls igys ;k ckn esa dksbZ ,slh QeZ tks izfrcafkr@fuyafcr gks xbZ gS vkSj ;g Lokeh@lka>hnkj@funs'kd bl
gSfl;r esa gS] rks lwpuk izkIr gksus ds 15 fnu ds Hkhrj jk"Vh; y?kq m|ksx fuxe dh iathdj.k 'kk[kk dks lwfpr djsaxA
s
That to inform the Registration Branch of NSIC immediately after we are informed but in any case not later than
15 days, if any firm in which proprietor/partner/director are proprietor/partners/directors of such a firm which
is Banned/Suspended in future either before the registration is granted or thereafter.

'kiFkdrkZ @

Deponent

eSa@ge] mi;qZDr 'kiFkdrkZ ;g lR;kfir djrk gwa@djrs gSa fd mDr 'kiFki=k dh fo"k; oLrq esjh@gekjh tkudkjh vkSj fo'okl
ds vuqlkj lgh gS vkSj mlesa dqN Hkh fNik;k ugha x;k gSA
I/We the above named deponent(s) do hereby verify and affirm that the contents of the above affidavit are true
and correct to the best of my/our knowledge and belief and that nothing has been concealed there from.

'kiFkdrkZ @
8

Deponent

layXud&lh@Annexure-C
fiNys rhu o"kks ds nkSjku QeZ ds izpkyu o fokh; fLFkfr ds ifj.kke n'kkZus okyk ,d fooj.k uhps fn, x, QkeZ esa fn;k
tkrk gSA
A statement showing the Results of Operation and Financial Position of firm during preceding three years in
the format given below:

fiNyk o"kZ

nwljk o"kZ

rhljk o"kZ

Last Year

Last but One Year

Last but Two years

fch ldy

1.

Sales (Gross)
2. (-)
mRikn 'kqYd
(Less) Excise Duty
3. (-)
Less

fch dj
Sales Tax

4. (-)
Vfs Max lsy
(Less) Trading Sales

uSV lsy

5.

Net Sales

dj ls igys 'kq) ykHk

6.

Net Profit before tax

izkfkr gLrk{kjdrkZ
(Authorized Signatory)

daiuh dh eksgj
Stamp of Company

lunh ys[kkdkj ds gLrk{kj] eksgj lfgr

(Chartered Accountant Signatures with Seal)

layXud&Mh@Annexure-D

y?kq m|ksx bdkbZ }kjk gLrk{kj fd;k tkus okyk ?kks"k.kki=k

DECLARATION TO BE SIGNED BY THE SSI UNIT

eSau@s geus] vkosnu i=k ds layXud ^^bZ** esa nh xbZ iathdj.k dh 'krs i<+ yh gSaA eSa@ge mls iwjh rjg ls le>rs gSa vkSj
;g iqf"V djrk gw@djrs gSa fd mldk iwjh rjg ls ikyu djus ds fy, lger gSaA
I/We have gone through the conditions of the registration detailed in Annexure-E of the Application. I/We fully
understand the same and confirm that I/We agree to fully comply with the same.

eSa@ge iwjh rjg ls ;g le>rs gSa fd i;kZoj.kh; dyh;jsal lfgr lHkh fo|eku dkuwuksa@vfkfu;eksa@lkafofkdksa tks fuekZ.k
dh gekjh ykbu ij ykxw gSa rFkk vk;dj@vkbZ-Mh-vkj- vfkfu;e ds rgr ykblSal o iathdj.k@dhVuk'kd ykblSal@uxj
fuxe ykbZlSal@vkS"kk ykbZlSal@ck;yj ykbZlSal] ch-vkbZ-,l- ykbZlSal@dkj[kkuk vfkfu;e iathdj.k vkSj vU; ykxw dksbZ
vfkfu;e@dkuwu@lkafofkd vko';d vis{kkvksa ds lHkh izkokkuksa dks ikyu djus dk nkf;Ro esjk@gekjk gS geus bu@vU;
lHkh lkafofkd vis{kkvksa dks ikyu djrs gq,] jk"Vh; y?kq m|ksx fuxe ds ikl iathdj.k ds fy, ,d vkosnu i=k izLrqr
fd;k gS vkSj mlds lqkkj o iwjk djus dh ftEesnkjh gekjs ij gksxhA
I/We fully understand that it is incumbent on my/our part to comply with the provisions of the all existing laws/
acts/statues as applicable to our line of manufacture and other provisions like Income-Tax/licensing and
registration under IDR Act/Insecticide License/Municipal Corporation License/Drug License/Boiler License/
BIS License/Factory Act Registration and any other applicable Acts/Law/statutory requirements including the
requirements of environmental clearance etc.We have submitted an application for registration with NSIC after
having complied with these/all other statutory requirements and onus for corrections and fulfillment of the same
would be on us.

LFkku @

izkfkr gLrk{kjdrkZ

Place:

fnukad @

Authorized Signatory(ies)
eksgj lfgr @ with seal

Date:

layXud&bZ@Annexure-E

iathdj.k dh 'krks ls lacafkr ?kks"k.kk

DECLARATION REGARDING CONDITIONS OF REGISTRATION
1.

iathr Qeks dks] Mh-th-,l- ,aM Mh&68 la'kksfkr vkSj Mh-th-,l- ,aM Mh&1001 tks le; ij la'kksfkr gqvk gS]
esa nh xbZ vuqcakksa dh lkekU; 'krks dk ikyu djuk gSA
Registered firms are to abide by the General Conditions of Contracts contained in DGS & D-68 (revised)
and DGS&D-1001 revised from time to tune.

2.

iathr Qeks ds fy, izR;sd nks o"kZ esa layXud&th ds fukkZfjr QkeZ esa] mudks fn, x, lHkh dk;Z vkns'kksa dks n'kkZrs
gq, fu"iknu fooj.k nsuk vfuok;Z gSA
It is obligatory on the part of the registered firms to furnish Performance Statement in format prescribed
in Annexure-G every two years indicating all orders placed on them.

3.

iathr Qeks dks muds mRiknksa esa ifjorZu fof'k"Vrk ;k fdlh mRikn dks can djus] ftlds fy, os iathr gSa] ds
ckjs esa iathdj.k izkfkdkjh dks lwfpr djuk gksxkA ;g lwpuk ,sls ifjorZu ;k can djus dh rkjh[k ls 15 fnuksa
ds Hkhrj nsuh gksxhA
Registered firms are required to keep Registering Authority informed about the changes in their products
specification or discontinuation of production of any item for which they stand registered. This intimation
is to be given within a period of 15 days from the date of such change of discontinuation.

4.

iathr Qeks dks fof'k"V oSkr vofk okys lHkh nLrkostksa tSls ch-vkbZ-,l- ykblsal yht vuqcak] fizlhiy@ewy
fuekZrk ds lkFk vuqcak] dks tc Hkh os ns; gksa] rks mUgsa iathdj.k izkfkdkjh dks izLrqr djuk gksxkA tgka fdlh QeZ
dh ,d ls vfkd fuekZrk bdkbZ;ka gSa] izR;sd bdkbZ ds fy, vyx ls vkosnu nsuk gksxkA QeZ ds uke@;k muds dk;kZy;
irs esa cnyh ds fy, vyx ls vkosnu nsuk gksxkA QeZ ds uke@;k muds dk;kZy; irs esa cnyh ds fy, vuqjksk
i=k iathdj.k dk;kZy;@jk-y-m-fu- dh ml 'kk[kk dks lacksfkr gksuk pkfg,] ftlus ewy iathdj.k iznku fd;k Fkk
vkSj blds lkFk ewy iathdj.k izek.ki=k rFkk nLrkosth izek.ki=k gksuk pkfg,A QeZ dh lajpuk] ;k muds fuekZ.k
dk;Z ds LFkku esa ifjorZu dh n'kk esa jk-y-m-fu- ds fu;ekuqlkj iathdj.k izek.ki=k esa vko';d la'kksku fd;k tkuk
gksrk gSA ,sls ifjorZuksa dh fLFkfr ls 15 fnu ds Hkhrj jk-y-m-fu- ds iathdj.k dk;kZy; esa lwpuk Hkstuh pkfg,A

Registered firms are required to furnish all the documents having specific validity periods like BIS license,
Lease agreement, Agreement with the principal/manufacturers to registering authority as and when they
become due. Separate application shall be made for each such unit, where a firm has more than one
manufacturing units. Requests for change in the name of a firm and/or their office address should be
addressed to the Registration Office/Branch of NSIC who granted the original registration enclosing the
original registration certificate and duly supported by documentary evidence. In the event of any change
in the constitution of the firm or in the location of their manufacturing works, the necessary amendments
in the registration certificate has to be done as per the rules of NSIC. Intimation of such changes must
be sent to NSIC Registration Office/Branch within 15 days from such changes.
5.

lHkh iathr Qes iwjh fu"Bk cuk, j[ksxh] O;olk; uhfr'kkL=k ds f'k"V ekud dk vuqlj.k djsxh vkSj ,slk dqN
ugha djsxh tks ,d iathr vkiwfrZdrkZ ds fy, v'kksHkuh; gksA

All registered firms are expected to maintain absolute integrity, follow a decent standard of business ethics
and do nothing unbecoming of a registered supplier.
6.

iathdj.k izek.ki=k tkjh djus@uohdj.k dh rkjh[k ls nks o"kZ ds ckn] uohdj.k dh 'krZ ij gksxkA

Registration Certificate is subject to renewal after expiry of two years from the date of issue/renewal.
7.

vuqeksfnr lwph iathdj.k ls fdlh vuqcak dh xkjUVh ugha gksxhA

The registration on the approved list does not guarantee award of any contract.

8.

iathdj.k 'kk[kk@jk-y-m-fu- ds iathdj.k izkfkdkjh ds lkFk Hkfo"; ds lHkh i=kkpkj esa iathr y?kq m|ksx bdkbZ;ksa
dks iathdj.k i=k ds ij nh xbZ la[;k ges'kk fy[kuh gSA
In all future correspondence with the Registration Branch/Registering Authority of NSIC, Registered SSI
units are always required to quote the Registration No. given at the top of the registration letter.

9.

tc dHkh iathr Qeks dks] iathdj.k izek.k i=k dh izfrfyfi izLrqr djuh visf{kr gks] rks tksM+ ,Mh'kut@yksi
fMyh'kut lfgr lHkh la'kkskuksa ds lkFk ewy izek.k i=k dh izfrfyfi izLrqr dh tk,xhA
Whenever registered firms are required to produce copy of their Registration Certificate, copy of the
original certificate complete with all the amendments including additions/deletions etc. is made thereafter
shall be produced.

10.

ljdkj@jk-y-m-fu- dks enksa dh fdlh Hkh en dks tksM+u@s gVkus vkSj Qeks dks fn, x, iathdj.k esa 'kkfey fdlh Hkh
fucaku o 'krks dks ,sls ifjorZu vfklwfpr djus okys i=k esa mfYyf[kr rkjh[k ls la'kksku djus dk vfkdkj gSA
The Government/NSIC has right to add/delete any of the items and to amend any of the terms and
conditions included in the registration granted to firms with effect from any date specified in the
communication notifying such change.

LFkku @

izkfkr gLrk{kjdrkZ

Place:

fnukad @

Authorized Signatory(ies)
eksgj lfgr @ with seal

Date:

10

layXud&,Q@Annexure-F

cSadj dh fjiksVZ ds fy, izi=k

PROFORMA FOR BANKERS REPORT
To be submitted on the Bankers Letterhead)

cSad ds ySVj gSM ij izLrqr fd;k tk, @

jk-y-m-fu- fyfeVsM jk-y-m-fu- dh iathdj.k 'kk[kk dk uke o irk

NSIC Limited (name and address of the registering branch of NSIC)

fo"k;%

jk"Vh; y?kq m|ksx fuxe fyfeVsM ds ikl iathdj.k ds iz;kstu ls eSllZ ----------------------------------------------------------------------------------------------- QeZ dk uke o irk ds lacak esa fokh; fo'oluh;rk fjiksVZA

Subject:

Financial credibility report in respect of M/s ............................................................................

............................................... (Name of the firm with address) for the purpose of registration
with National Small Industries Corporation Limited .................................................................

egksn; @ Sir,
;g izekf.kr fd;k tkrk gS fd eSllZ --------------------------------------------------------------------------------------------------------------QeZ dk uke o irk dk fiNys -------------------------------- o"kks ls bl cSad esa pkyw@cpr [kkrk la-------------------------------py jgk gSA bl QeZ dks ----------------------------------------- #- dh _.k lhek iznku dh xbZ gSA
This is to certify that M/s ...............................................................................................................................
(Name of the firm with address) are maintaining Current/Saving Account No. ..................................with this
bank branch for the last............years. The firm has been provided with a credit limit of Rs. ..........................

;g Hkh vkxs izekf.kr fd;k tkrk gS fd bl cSad esa muds [kkrs larks"ktud <ax ls izpkyu fd;k x;k gSA
This is further certified that their account with this bank has been operated in a satisfactory manner.

Hkonh; @ Yours faithfully

eq[; izcUkd @ Chief Manager

cSad@'kk[kk] eksgj lfgr
Bank/Branch with seal

11

12

Sl.
No.

e
la[;k
vkns'k izkIr
djus dh
fnukad
Date of
Receipt
of order

lafonk Hkstus okys

izkfkdkjh vkSj vkns'k uEcj
rFkk fnukad

Order No. & Date & the

Authority placing
the contracts

ek=kk
Quantity

LVksj dk fooj.k
Description of
Stores

fu"iknu fooj.k

Value

ewY;
Name of Consignee

izfs "krh dk uke

PERFORMANCE STATEMENT

Seal of Unit

bdkbZ eksgj

Signature

Date of
Material
Delivery

rkjh[k
ijs"k.k dk
ftlesa eky dh
fooj.k
Despatching
lqiqnZxh dh
particulars
xbZ

vfHk;qDr gLrk{kj

Due Date
of Delivery

lqiqnZxh dh
fuf'pr
rkjh[k

Remarks

vfHk;qDr

layXud&th@Annexure-G

viuh fofHkUu ;kstukvksa ds fo'ys"k.k dh lqfokk ds fy, vusd Qkeks ij ljdkj dks la[;kRed vkadM+kas dh vko';drk
gSA jk"Vh; y?kq m|ksx fuxe dh ;kstukvksa ls m|fe;ksa rFkk lekt ds vU; oxks dks ykHk ls lEcfUkr lwpuk le;&le;
ij Hkstuh gksrh gSA m|fe;ksa ls vuqjksk gS fd os bl ms'; ds fy, fuEufyf[kr lwpuk HkstasA
Government requires statistical data on variety of formats to facilitate macro-analysis of its various schemes,
information on class Entrepreneurs and social gains arising out of NSICs Schemes have to be furished
periodically. Entrepreneurs are requested to furnish the following information for the purpose:-

lwpuk&i=kd

INFORMATION SHEET

1. a)

m|eh dh 'kSf{kd ;ksX;rk ekfyd ;k lka>hnkj ;k funs'kd tSlk Hkh

ykxw gks
Qualification of Entrepreneurs: (Proprietor or Partners or
Directors, as applicable).

b)

;ksX;rk dk Lrj

Level of Qualification
c)

rduhdh vkSj@;k lkekU;

Technical and/or General :

2. a)

m|eh dh i`"BHkwfe i;k Li"V fy[ksa fd D;k og vuqlwfpr

tkfr@tutkfr ;k lekt ds fdlh vU; detksj oxZ ls lacafkr gS
Background of Entrepreneurs: Please make specific
mention if belonging to Scheduled Caste/Tribe or to any
other Weaker Section of Society.

b)

m|eh ds vuqHko dh vofk

Length of experience of Enterpreneurs.

c)

D;k igys ukSdjh esa Fks ;k O;kikj esa

Whether previously in service or business :

d)

;fn ukSdjh esa Fks rks fdl Lrj ij dke fd;k gS odZj@lqijokbtj@
izcakd oxZ@ofj"B vfkdkjh
If in service, level at which worked (Worker/Supervisor/
Managerial/Sr. Officer).

e)

lka>ns kjh laLFkku ;k fyfeVsM daiuh ds ekeys esa lka>ns kjksa@funs'kdksa

dk vkilh lacak@fj'rsnkjksa vkSj mudh i`"BHkwfe vFkkZr~ D;k ;wfuV ,d
gh ifjokj ls lacafkr gS ;k ;wfuV ds fy, mi;qDr fofHkUu ;ksX;rk
okys O;fDr ,d lkFk feys gSa
In case of Partnership Concern or Limited Company, the
connection/relationship of Partner/Directors with each
other and their background i.e. whether the unit belongs
to same family or relation or persons with different traits/
qualifications suitable for the unit have come together.

3.

iSr`d i`"BHkwfe D;k O;kikfjd tkfr@viuk O;kikj@fofuekZ.k ;wfuV gS

Parental Background (Whether trader community/owns
business/manufacturing unit)

4.

ewy fu;ksftr O;fDr;ksa dh la[;k vkSj jk"Vh; y?kq m|ksx fuxe dh lgk;rk
ds ckn fu;kstu esa o`f)
No. of persons employed initially and increase in employment
after NSICs assistance.
a) rduhdh@xSj rduhdh@fyfidh;@odZj
Technical/Non Technical/Clerical Worker
b) vuqlwfpr tkfr@tutkfr@detksj oxZ i;k vyx fooj.k nsa
Scheduled Caste/Scheduled Tribe/Weaker Section
(Please give distinct breakup).

5.

fofuekZ.k fd, tk jgs mRiknksa dk Lo:i vFkkZr~ D;k mi;ksT; vkS|ksfxd gS

;k lkekU;

Nature of Products being manufactured i.e. whether Consumer,

industrial or intermediate.
6. ;wfuV dh Js.kh @ Category of the unit
i) Small/Tiny
ii) General/SC/ST/Backward
iii) Technical/Non-Technical
7. ;wfuV dk uke vkSj iwjk irk
Name & complete address of the unit.

rkjh[k @

izkfkr O;fDr ds gLrk{kj

eksgj lfgr
SIGNATURE OF AUTHORISED
PERSON WITH SEAL

Date:

13

jk"Vh; y?kq m|ksx fuxe fyfeVsM

THE NATIONAL SMALL INDUSTRIES CORPORATION LIMITED

dsUnzh; ljdkjh [kjhn dk;Ze esa Hkkx ysus ds fy, lwph;u gsrq vkosnu
APPLICATION FOR ENLISTMENT FOR PARTICIPATION IN THE CENTRAL GOVERNMENT
Hkkjr ljdkj dk m|e @ STORES PURCHASE PROGRAMME
G U I D E L I N E S
1.

ik=krk
,sls Hkh m|ksx ,dy fcUnq iathdj.k ;kstuk ds vkhu iathr gksus ds ik=k gSa tks m|ksx funs'kd ds ikl fofuekZrk y?kq
m|ksx bdkbZ ;k lsok o O;olk; m|e ds :i esa iathr gSa vkSj ftuds ikl iV~Vs ij ;k viuh Lo;a dh LokfeRo dh
dk;Z'kkyk gSa vkSj tks ch-vkbZ-,l- vFkok ,sls gh vU; ekudksa tks fd ljdkjh [kjhn djus okys vfHke vko';d le>rs
gSa] ds vuq:i vkiwfrZ ,oa fuiVku egkfuns'kky;] jsyos foHkkx] Mkd ,oa rkj foHkkx tSls ljdkjh foHkkxksa] jkT; ljdkj
ds foHkkxksa ,oa dsUnz@jkT; ljdkj ds mieksa vkfn dks vkiwfrZ ds fy, lkexzh mRiknu djus ds fy, O;kikfjd ,oa rduhdh
:i ls l{ke gSA
Eligibility
All industries which are registered with the Director of Industries (DI) as manufacturing SSI Unit/Small
Scale (industry related) Service & Business Enterprises (SSSBE), who own workshop of their own or on
lease basis and have the commercial and technical competence to produce stores/provide services for
supply to the Govt. departments such as DGS&D. Railways, Defence, P&T. Central/State Govt.
Departments and Central/State Govt. Public Sector Undertakings etc. conforming to BIS or such
standards as required by the Government buying agencies are eligible for registration under the Single
Point Registration Scheme (SPRS).

2.

vkosnu i=k ,oa iathdj.k

y?kq m|ksx bdkbZ;ksa ds vkosnu ds fy, nks izfr;ka izLrqr djuh pkfg,A ;s vkosnu i=k fu%'kqYd jk"Vh; y?kq m|ksx fuxe
vkapfyd@'kk[kk dk;kZy;ksa ls izkIr dj ldrs gSaA vkosnu i=k nks izfr;ka iw.kZr;k Hkjh gqbZ Hkh t:jh nLrkostksa nks izfr;ka
ds lkFk bdkbZ ds LFkku ds fudVre jk"Vh; y?kq m|ksx fuxe fyfeVsM ds vkapfyd@'kk[kk dk;kZy;ksa esa tek djk;saA
vkapfyd@'kk[kk@dk;kZy;ksa ds irs layXud&,p esa fn, x, gSaA ;s vkosnu QkeZ jk"Vh; y?kq m|ksx fuxe dh osclkbV
--------------------------- ij Hkh miyCk gSA
Application Form and Registration:
SSI Units shall have to apply on the prescribed application form in Duplicate which are available Free of
Cost from all Zonal/Branch offices of the NSIC. The application forms duly filled in (in duplicate) with all
the documents are to be submitted to the concerned Zonal/Branch Office of NSIC located nearest to the
Unit, addresses of NSIC Zonal/Branch offices are given in Annexure H. The application form is also
available on the NSIC Website www.nsic.co.in

3.

iathdj.k 'kqYd
bdkbZ;ksa dks iathdj.k djkus gsrq 5]000@& #i, lsok 'kqYd ds :i esa ns; gksaxs ftlds fy, 4]000@& #i;s dk cSad MkV
^^jk"Vh; y?kq m|ksx fuxe fyfeVsM** ds i{k esa rFkk 1]000@& #i;s dk MkV lgk;d funs'kd iz'kklfud] y?kq m|ksx
lsok laLFkku ds i{k esa ns; gksxkA
Registration Fee
The processing fee of Rs. 5000/- is charged for granting registration to SSI units under Govt. Stores
Purchase Programme (D.D. of Rs. 4000/- in favour of National Small Industries Corpn. Ltd. and D.D. of
Rs. 1000/- in favour of Asstt. Director (Admn.), SISI.
fVIi.kh@Notes:
i.
vkosnu i=k ds lHkh dkyeksa dk mkj lqfuf'pr vkSj Li"V gksuk pkfg,A ykxw ugha gS tSls 'kCnksa ds bLrseky ls

cpuk pkfg,A

Replies to all the columns of the application should be specified and unambiguous. The use of word
Not applicable (NA) should be avoided.
ii.

tgka Hkh txg de gks i;k vuqyXud ds :i esa ,d vyx dkxt ij lwpuk nsa tks fd izkfkr O;fDr }kjk
mldh eksgj ds lkFk gLrk{kj dh gqbZ gksuh pkfg,A
Wherever space is less please give information in a separate sheet in the form of annexure duly
signed by the authorised person under this seal.

iii.

pSd fyLV esa fn, x, nLrkostksa dks NksM+dj lHkh nLrkost vkSj 'kiFk&i=k izFke Js.kh eftLVVs vFkok ukSVjh ifCyd
}kjk izekf.kr gksus pkfg,A blesa fn, x, nLrkostksa dk izkfkr funs'kdksa@lka>ns kjksa@ekfydksa@drkZ }kjk fd;k x;k
izek.khdj.k Hkh Lohdk;Z gSA
Copies of documents and affidavits, are required to be certified by 1st class Magistrate or Notary
Public except documents referred to in Check List for which certification from Authorised Directors
Proprietor/Partner/Director/Karta is acceptable.

iv.

vkosnu i=k Hkjus esa ;fn dksbZ dfBukbZ gks i;k jk-y-m-fu-@y-m-ls-la- ds dk;kZy; esa lEidZ djsaA
In case of difficulty for filling the application form please consult any office of the NSIC/SISI.

v.

;fn djkj dk vuqikyu larks"ktud <ax ls u fd;k x;k tk;s vkSj lafonkRed nkf;Ro dks u fuHkk;k tk, rks
jk-y-m-fu- dks ;g vfkdkj gksxk fd og fcuk fdlh lwpuk ds iathdj.k j dj nsaA
NSIC reserves the right to Cancel the Registration without notice for failure to perform contract
satisfactory and in accordance with contractual obligation.

14

vi.

;wfuVksa dks pkfg, fd os viuh gh fgr esa vius ,tsafl;ksa dh ekud 'krks dks fo'ks"k :i ls le;&le; ij la'kksfkr
vkiwfrZ vkSj fuiVku egkfuns'kky;&68 ifj'kksfkr esa fofukkZfjr 'krks dks i<+ ysaA
Units should in their own interest, go through the standard terms and conditions of various agencies,
specially terms and conditions laid in DGS & D-68 revised, as amended from time to time.

vii.

ftu vyx&vyx enksa ds fy, iathdj.k dk vkosnu djuk gS muds fofunsZ'ku ds ckjs esa iwjk fooj.k fn;k tkuk
pkfg,A ;fn fdlh en ds fy, ch-vkbZ-,l- ;k dksbZ vU; fofunsZ'ku miyCk gSa rks mudk gokyk fn;k tkuk pkfg,A
vU; enksa ds fy, ;wfuV dks pkfg, fd og mu ljdkjh foHkkxksa ds fofunsZ'ku@uD'kksa dk gokyk nsa ftUgsa mlus lIykbZ
fd, gSa ;k lIykbZ djuk pkgrh gSaA ;fn fofufeZr en muds vius fofunsZ'ku@czk.M ekMy vkfn ds vuq:i gSa rks
mls Li"V :i ls fy[kk tkuk pkfg,A ljdkjh foHkkxksa ls izkIr lIykbZ vkns'k dh izfr;ka lkFk yxk,aA Qeks dks
;g lqfuf'pr dj ysuk pkfg, dh muds ikl vius ifjlj esa fuEufyf[kr ds fy, ijh{k.k lqfokk,a gSa%&
Complete details about the specifications of individual items for which registration had been sought
must be indicated. If BIS or any other standards are available for any items the same should be
indicated. For other items, unit should indicate the Drawing/Specifications of the Govt. Departments
to which they have supplied or intend to supply. If the items manufactured conform to their own
specifications/brand/model etc. same should be clearly stipulated. Copies of supply orders
received from Govt. Department be attached. Firms should ensure that they have necessary Testing
Facilities at their premises for:
a.
useh ijh{k.k vkSj Lohdk;Zrk ijh{k.k ds izkFker ijh{k.k Hkh] vkSj
Routine tests and preferably for acceptance tests too &
b.
ljdkj }kjk vuqeksfnr fdlh ijh{k.k x`g@iz;ksx'kkyk ls ftl rjg ds ijh{k.k le;&le; ij izkIr gks jgs

gSa mudh xq.kokk cuk, j[kuk ,sls ijh{k.kksa dh fjiksVZ dh izfr;ka lkFk yxkbZ tkuh pkfg,A mUgsa fuEufyf[kr
ckrsa Li"V :i ls fn[kkuh pkfg,A

To maintain quality control they are periodically getting the type tests from any Govt. approved
test house/laboratory. Copies of such test reports should be attached. They should thus
indicate clearly the followings:c.

useh ijh{k.kksa ds fy, mudh ikl miyCk lqfokk,aA

The facilities available with them for routine tests.

d.

Lohdk;Zrk ijh{k.kksa ds fy, muds ikl miyCk lqfokk,a vkSj ;fn bl izdkj dh lqfokk,a muds ifjlj esa
miyCk ugha gSa rks ,sls ijh{k.kksa ds fy, dh tk jgh O;oLFkkA
The facilities available with them for acceptance tests and if such facilities are not available at
their premises, the arrangement made & being utilized by them for such tests.

e.

D;k os vius mRiknuksa ds Vkbi VsLVksa ds fy, ljdkj }kjk vuqeksfnr iz;ksx'kkyk@ijh{k.k x`g ls ijh{k.k djokrs
gSaA ;fn gka rks ,slh ijh{k.k fjiksVks dh izfr;ka lkFk yxk,aA
Whether they have got their products tested for type tests from any Govt. approved laboratory/
test house. If so, to attach copies of such test report.

f.

D;k mUgsa iwfrZ vkSj fuiVku egkfuns'kky; ls ;k fdlh ljdkjh foHkkx ls vkns'k izkIr gqvk gS vkSj mUgsa iwjk
fd;k x;k gS vkSj ;fn gka rks mudk fooj.k nsaA
Whether they have obtained and executed orders from DGS & D or any other Govt.
departments and if so, to give details thereof.

3.

vkosnu i=k ij gLrk{kj djuk @ Signing of Application form:

a)

ekfydkuk gd okyk izfr"Bku & ekfyd gLrk{kj djsa

Proprietorship concern

b)

lk>snkjh QeZ

Partnership firm

c)

fyfeVsM daifu;ka

Limited companies

Proprietor to Sign

& lHkh lka>ns kj ;k lk>sankjksa ls dksbZ ,slk O;fDr gLrk{kj djsa ftlds ikl ,dy
iathdj.k ;kstuk ds varxZr jk-y-m-fu- ds ikl iathdj.k ds fy, vkosnu i=k
ij gLrk{kj djus ds fy, vkSj lHkh lafonk lacakh nkf;Roksa ls QeZ dks ck;dkjh
cukus ds fy, ftlesa e;LFkrk ds fy, ekeys Hkstuk 'kkfey gS lkekU;
eq[rkjukek gSA izk:i vuqcak 6,
To be signed by all the partners or by any one of the partners who
hold a General Power of Attorney for signing the application form
for registration with NSIC under Single Point Registration Scheme
and for binding the firm for all contractual obligations including
references of cases to arbitration (draft at Annexure-A)

& daiuh ds izcak funs'kd ;k fdlh ,sls funs'kd }kjk gLrk{kj fd, tk, ftls
daiuh ds cksMZ }kjk iathdj.k ds fy, vkosnu i=k ij gLrk{kj djus vkSj lHkh
lafonk nkf;Roksa ftlesa e;LFkrk ds fy, ekeys Hkstuk 'kkfey gS] ls daiuh
dks ck;dkjh cukus ds fy, izkfkr fd;k x;k gSA

To be signed by Managing Director of company or any one of the

Directors who has been authorised by the board for signing the
application form for registration scheme and for binding the company
for all contractual obligation including references of cases to
arbitration.

15

4.

pSd fyLV @ Check List

(A) vkosnudrkZ lqfuf'pr dj ysa fd vkosnu i=k ds lkFk fuEufyf[kr ys[k nks izfr;ksa esa gksa izFke Js.kh
eftLVsV@uksVjh ifCyd }kjk lk{;kafdr
Applicants should ensure enclosing the following documents in duplicate (attested by a Ist
Class Magistrate/Notary Public along with Application)
1. y?kq m|ksx bdkbZ LFkk;h izek.k i=k dh uksVjhr izfr
Notarized copy of permanent SSI Certificate of SSI Unit.
2. vyx&vyx e'khujh dh [kjhn dh rkjh[k vkSj ewy [kjhn fn[kkrs gq, la;a=k vkSj e'khujh rFkk dPps eky

ds LokfeRo dk izek.k udnh okmpj ;k 'kiFk i=k 'kiFk i=k dk izk:i vuqcak ^^ch** esa gSA

Proof of ownership of Plant & Machinery and Raw Material (CashVouchers or Affidavit) showing
date of purchase & Original Purchase value (NOT DEPRECIATED) of individual machinery
(Draft Affidavit at Annexure B).
3.

vkosnu i=k ds layXud ^^ch** izi=k ds vuqlkj fu"iknu fooj.kA

Performance Statement as per Performa Annexure-G of the application.

4.

ifjlj ds LokfeRo nLrkostksa ;k yht MhM dh uksVjhr izfrA

Notarized copy of ownership documents of the premises or copy of lease deed.

5.

ekfyd@lka>ns kj@funs'kdksa ls bl ckr dk izek.k i=k fd D;k mudk dksbZ lacak iwfrZ ,oa fuiVku egkfuns'kky;
;wfuV ds ikl iathr cM+h ;wfuV ;wfuVksa vkSj@;k vU; fofuekZ.k ;wfuV ;wfuVksa ds lkFk gS ;k ughaA vU;
;wfuV ;wfuVksa lkFk lacak ds ekeys esa mudk fooj.k fn;k tk,A
Certificate from the Proprietor/Partner/Directors whether or not they have any link with large
scale Unit(s) registered with DGS&D/ISI/and/or other manufacturing unit(s) in case of their links
with other unit(s), the details thereof to be specified.

(B)

izkfkr O;fDr }kjk fuEufyf[kr nLrkostA fooj.k gLrk{kfjr izLrqr fd, tk,%
Following documents/statements duly signed by the authorized person may be furnished:1. mRiknu o lsokvksa esa yxs rduhdh O;fDr;ksa dh lwphA
List of technical personnel employed in production and services.
2. foLr`r fof'k"V lfgr og en ftlds fy, iathdj.k dh vko';drk gSA
Item for which registration required with detailed specification.
3. QeZ }kjk dPps eky dh xq.kokk lqfuf'pr djus ds fy, viuk, x, xq.kokk fu;a=k.k mik;] vlSEcyh ds

fy, ykbZ xbZ ensa rFkk fQfu'k fd, x, xq.kokk fu;a=k.k ij ,d ys[kA

Write-up on quality control measurement adopted by the firm for ensuring quality of raw material
brought out item for assembly and sub-assembly and in process and finished products quality
control.
4.

dkj[kkus esa miyCk xq.kokk fu;a=k.k midj.k rFkk tkap lqfokkA

List of quality control equipment and testing facility available in factory.

5.

lEc) ekud esa Lora=k iz;ksx'kkyk ls Vkbi VSLV fjiksVZ dh izfr] tgka ykxw gksA
Copy of type test report from Independent lab, where applicable as mentioned in relevant
standard.

6.

vkf[kjh fctyh ds fcy dh dkWihA

Latest Electricity Bill Copy.

7.

izkfkr O;fDr }kjk viuh eksgj ds lkFk fofkor gLrk{kj fd;k gqvk fiNys rhu o"kks dk vadfs {kr O;kikj
ys[kk vkSj ykHk o gkfu ys[kkA
Audited Balance Sheet, Trading Account and Profit & Loss Account for the last 3 years duly
signed by the authorized person under his seal.

8.

izkfkr O;fDr }kjk viuh eksgj ds lkFk fofkor gLrk{kj fd;k gqvk fiNys rhu o"kks ds izpkyu ifj.kkeksa
dks fn[kkus okyk fooj.k izk:i vuqcak ^^lh** esaA
Statement showing the Results of Operation for the last 3 years duly signed by authorized
person under his seal (Draft at Annexure C).

9.

izi=k layXud&,Q ds vuqlkj vkosnu QeZ dh fokh; fLFkfr dk fooj.k nsrs gq, cSadj dh fjiksVZA

Bankers Report giving details of financial status of the applicant firm as per Performa (Draft
at Annexure F).
10. izi=k layXud ih-,- ua- @ Copy of Permanent Account No. (PAN No.)
(C)

QeZ dh fLFkfr dk nLrkosth izek.k

Documentary proof of the status of the firm:

1. lk>snkjh izfr"Bku ds ekeys esa izLrqr fd, tkus okys vfrfjDr izys[kA
ADDITIONAL DOCUMENTSTO BE SUBMITTED IN CASE OF PARTNERSHIP CONCERN.
i. lk>snkjh esa ls fdlh ,d ds i{k esa eq[rkjukekA
General Power of Attorney in favor of one of the Partners.
ii. lka>snkjh foys[k
Partnership Deed.
iii. lka>n
s kjksa ds uke fn[kkus okyk Qeks ds iathdkj ls izkIr QkeZ dA
Form A from Registrar of Firms showing the names of the partners.

16

2.

fyfeVsM daifu;ksa ds ekeyksa esa izLrqr fd, tkus okys vfrfjDr izy[s k
ADDITIONAL DOCUMENTS TO BE SUBMITTED IN CASE OF LIMITED COMPANIES.
i. fofkor lR;kfir lekos'ku dk izek.k i=kA
Certificate of Incorporation duly authenticated.
ii. fofkor lR;kfir eSeksjs.Me vkSj vkVhZdy vkWQ ,lksfl,'kuA
Memorandum and Articles of Association duly authenticated.
iii. ekStwnk funs'kdksa dk uke] muds irs vkSj 'ks;j gksfYMaxA
Names of sitting Directors, their addresses and share & holdings.
iv. vkosnu i=k vkSj izy[
s kksa ij gLrk{kj djus okys ds i{k esa cksMZ dk ladYiA
Board Resolution in favour of the Signatory of the application and documents.

3.

lgdkjh lfefr;ksa ds ekeys esa izLrqr fd, tkus okys vfrfjDr izys[k
ADDITIONAL DOCUMENTSTO BE SUBMITTED IN CASE OF COOPERATIVE SOCIETIES.
i. lfefr;ksa ds iathdj.k dk izek.ki=k
Certificate of Registration of Societies.
ii. lfefr ds mifu;e@fofu;e vkfn
Societys Bye-Laws/Regulations etc.
iii. lnL;ksa ds uke] muds irs vkSj 'ks;j gksfYMaxA
Names of Members, their addresses and share-holding.
iv. lfefr;ksa ds iathdkj ls bl ckr dk izek.k i=k dh lfefr vc Hkh py jgh gS vkSj bldk dk;Z larks"ktud

gSA

Current Certificate from Registrar of Societies that the Society is still functioning and its
working is satisfactory.
v.

vfkr 'ks;j iwath vkSj va'knku r 'ks;j iwath dk fooj.kA

Details of authorized share capital and subscribed share capital.

vi.

lfefr ds LokfeRo esa py rFkk laifk dk fooj.kA

Details of movable as well as immovable property owned by the Society.

vii.

ljdkjh [kjhn dk;Ze ds vkhu iathdj.k djkus lacakh lfefr dk ladYiA

Resolution of Society for seeking registration under Government Purchase Program.

viii.

vkosnu i=k rFkk izy[s kksa ij gLrk{kj djkus okys O;fDr ds i{k esa ladYiA
Resolution in favour of Signatory of the application & documents.

(D)

jsyos dks lIykbZ fd, tkus okys isUV vkSj okfuZ'k ds fy, vfrfjDr izys[k
tujy lIykbZ ds fy, jk"Vh; y?kq m|ksx fuxe ds lkFk iathr gksus ds ckn jsyos dks isUV lIykbZ ds fy, vuqeksfnr
lIyk;j ds :i esa iathdj.k djkus ds fy,] isUV dh fofuekZ.k Qeks dks pkfg, fd dksfpax LVkd ds isUV ds fy,
egkizcakd] baVxjy dksp QSDVh isjEcwj] enzkl dks vkSj oSxu@fczt rFkk vU; isUV ds fy, egkfuns'kd fjlpZ fMtkbu
,.M LVSUMMZ vkjxsukbts'ku] vkye ckx y[ku dks fy[ksaA
ADDITIONAL DOCUMENTS FOR PAINTS & VARNISH SUPPLIES TO RAILWAYS
The firm manufacturing Paints shall approach to the General Manager, Integral Coach Factory.
Perambur, Chennai for paints for Coaching Stock and the Director General, Research Design &
Standards Organization, Alam Bagh, Lucknow for Paints for Wagon/bridges and other applications
for registration as approved suppliers for supply of Paints to Railways, after the units have been
registered with NSIC for general supplies.

(E)

vU; lwpuk @ OTHER INFORMATION

1. vkosnd y?kq m|ksx bdkbZ }kjk gLrk{kfjr layXud&Mh rFkk bZ ds vuqlkj iathdj.k dh 'krs Lohdkj djus lacakh
?kks"k.kk&nks izfr;ksa esaA
Two copies of declaration signed by the applicant SSI Unit accepting conditions of registration
as per Annexure D & E.
2.

LVkd esa dPps eky o rS;kj oLrqvksa dh lwphA

List of raw materials and finished goods in stock.

3.

ch-vkbZ-,l- ykblsal dh izfr] ;fn ykxw gksA

Copy of BIS license, if applicable.

4.

vkbZ ,l vks 9000 dh izfr oSdfYidA

Copy of ISO 9000 (Optional).

5.

;fn Mh-th-,l- ,aM ;k vU; ljdkjh laLFkku ds ikl iathr gSa] rks iathdj.k izek.ki=k dh izfrA
Copy of Registration Certificate if registered with DGS&D or other Govt. Organizations.

6.

mu LFkkuksa dh lwph tgka fch ckn lsok lqfokk,a ;fn ykxw gksa miyCk gSaA

List of places where after sales service facilities (if applicable) are available.

uksV% nks o"kZ ds ckn] uohdj.k ds le; dsoy e la- d 1] 3] [k 7] 8 vkSj la;a=k ,oa e'khujh
ds nLrkostksa dh vko';drk gSA
Note:- At the time of renewal after two years only the documents at Sr. No. (A) 1, 3, (B) 7, 8, 10
and complete list of Plant and Machinery are required.

17

jk"Vh; y?kq m|ksx fuxe fyfeVsM

The National Small Industries Corporation Ltd.
(Hkkjr

ljdkj dk mie@A Government of India Enterprise)

^^,u ,l vkbZ lh Hkou** vks[kyk vkS|ksfxd {ks=k] ubZ fnYyh&110020
NSIC Bhawan Okhla Industrial Estate, New Delhi-110020

dkjiksjsV dk;kZy;
jk"Vh; y?kq m|ksx fuxe fyfeVsM
Hkkjr ljdkj dk m|e] ,u-,l-vkbZ-lh- Hkou]
vks[kyk vkS|ksfxd {ks=k] ubZ fnYyh&110020
nwjHkk"k la- % ++91-11-26926275, 26910910
QSDl % ++91-11-26920907

jk"Vh; y?kq m|ksx fuxe fyfeVsM

vkS|ksfxd {ks=k] uSuh] Mkd?kj&m|ksx uxj] uSuh bykgkckn] mkj izn's k
nwjHkk"k la- % ++91-532-2697218, 2697214

CORPORATE OFFICE :

Tel. : ++91-532-2697218, 2697214

Allahabad
Industrial Estate, Naini, P.O. Udyog Nagar,
Allahabad (U.P.)

Tel. : ++91-11-26926275, 26910910

jk"Vh; y?kq m|ksx fuxe fyfeVsM

ch&1] ch&5] vkS|ksfxd {ks=k] cktiqj jksM] dk'khiqj]
m|e flag uxj] mkjkapy
nwjHkk"k la- % ++91-5947-2272453

Fax : ++91-11-26920907

Kashipur

The National Small Industries Corp. Limited

(A Govt. of India Enterprises)
NSIC Bhawan, Okhla Industrial Estate, New Delhi-110020

vkapfyd dk;kZy; mkj&1 mkj izns'k vkSj mkjkapy

jk"Vh; y?kq m|ksx fuxe fyfeVsM
Hkkjr ljdkj dk m|e
,&23] baLVhV~;w'kuy ,fj;k] Qsl&III] lsDVj&62] uks,Mk&201301
nwjHkk"k la- % ++91-95120-2554339
QSDl % ++91-95120-2403051

B-1, B-5, Indl. Area, Bazpur Road, Kashipur,

(Udham Singh Nagar), Uttaranchal
Tel. : ++91-5947-2272453

vkapfyd dk;kZy; mkj&2 % gfj;k.kk] fnYyh] jktLFkku]

fgekpy izns'k] iatkc vkSj tEew ,aM d'ehj
ZONAL OFFICE NORTH-II : (HARYANA, DELHI, RAJASTHAN,

ZONAL OFFICE NORTH-I : (U.P. & UTTARANCHAL)

HIMACHAL PRADESH, PUNJAB AND J & K)

jk"Vh; y?kq m|ksx fuxe fyfeVsM

,u ,l vkbZ lh rduhdh lsok dsUnz dSEil]
vks[kyk vkS|ksfxd {ks=k] Qsl&III] ubZ fnYyh&110020
nwjHkk"k la- % ++91-11-26382567-69
QSDl % ++91-11-26826682

National Small Industries Corporation Limited

(A Govt. of India Enterprises)
A-23, Institutional Area, Phase-III, Sector 62, Noida-201301
Tel. : ++91-95120-2554339
Fax : ++91-95120-2403051

'kk[kk dk;kZy; jk"Vh; y?kq m|ksx fuxe fyfeVsM

118&ch] 'kkWfiax dkEiySDl] lsDVj&18]
uks,Mk&201301] mkj izn's k
nwjHkk"k la- % ++91-95120-2513991
QSDl % ++91-95120-2510871

New Delhi
NTSC Complex, Okhla Indl. Estate, Phase-III, New Delhi-110020
Tel. : ++91-11-26382567-69
Fax : ++91-11-26826682

'kk[kk dk;kZy;

III, 118-B, Shopping Complex,

BRANCH OFFICE :

jk"Vh; y?kq m|ksx fuxe fyfeVsM

'kk[kk dk;kZy; fnYyh] ,u-,l-vkbZ-lh- VsDuhdy lfoZl lsUVj]
vks[kyk b.MfLV;y ,LVsV] Qsl&III] ubZ fnYyh&110020
nwjHkk"k la- % ++91-11-26382567/68/69
QSDl % ++91-11-26826682

Sector-18, Noida-201301, Uttar Pradesh

Tel. : ++91-95120-2513991
Fax : ++91-95120-2510871

'kk[kk dk;kZy;
jk"Vh; y?kq m|ksx fuxe fyfeVsM
112@1] csuk>kcj jksM] nwljh eafty] dkuiqj&208002] mkj izn's k
nwjHkk"k la- % ++91-512-2556376, 2294169
QSDl % ++91-512-294169

New Delhi
Zonal Office Delhi, NSIC Technical Service Centre,
Okhla Indl. Estate, Phase-III, New Delhi-110020

BRANCH OFFICES : Kanpur

Tel. : ++91-11-26382567-69

112/1 (2nd Floor), Benajhabar Road, Kanpur-208002 (U.P.)

Fax : ++91-11-26826682

jk"Vh; y?kq m|ksx fuxe fyfeVsM

510@744] cM+[ky ysd] ,DlVsa'ku cM+[ky ysd] esu jksM]
Qjhnkckn] gfj;k.kk
nwjHkk"k la- % ++91-129-3952053
QSDl % ++91-129-2461974

Tel. : ++91-512-2556376, 2294169

Fax : ++91-512-294169

jk"Vh; y?kq m|ksx fuxe fyfeVsM

,&1] vkS|ksfxd {ks=k] vyhx<+&201001] mkj izn's k
nwjHkk"k la- % ++91-571-2408910
QSDl % ++91-571-2403552

Faridabad

Aligarh

510/744, Bathkhal Lake, Bathkhal Lake Extn., Main Road,

A-1, Industrial Estate, Aligarh-201001, Uttar Pradesh

Faridabad, Haryana

Tel. : ++91-571-2408910

Tel. : ++91-129-3952053

Fax : ++91-571-2403552

Fax : ++91-129-2461974

18

jk"Vh; y?kq m|ksx fuxe fyfeVsM

xq# xksfoUn flag Vkoj] fu;j <ksyos ky pkSd ds ikl] th-Vh- jksM]
yqfk;kuk&141003] iatkc
nwjHkk"k la- % ++91-161-2546523
QSDl % ++91-161-2531946

jk"Vh; y?kq m|ksx fuxe fyfeVsM

'kkgh Hkou] pkSFkh eafty] izn'kZuh jksM] iVuk&800001 fcgkj
nwjHkk"k la- % ++91-0612-2231194
QSDl % ++91-0612-2220217

Ludhiana

Shahi Bhawan, 4th Floor, Exhibition Road, Patna-800001 (Bihar)

Guru Govind Singh Tower, Near Dholewal Chowk,

Tel. : ++91-0612-2231194

G.T. Road, Ludhiana-141003, Punjab

Fax : ++91-0612-2220217

Patna

jk"Vh; y?kq m|ksx fuxe fyfeVsM

fyad jksM] v:uksn; ekfdZV] dVd&753012] mM+hlk
nwjHkk"k la- % ++91-671-2312083
QSDl % ++91-671-2312875

Tel. : ++91-161-2546523
Fax : ++91-161-2531946

jk"Vh; y?kq m|ksx fuxe fyfeVsM

,l-lh-vks- 378] nwljh eafty]
lsDVj 32&Mh] p.Mhx<+
nwjHkk"k la- % ++91-0172-2620537, 2620538, 2620539

Cuttack
Link Road, Arunodeoy Market, Cuttack-753012, Orissa
Tel. : ++91-671-2312083

Chandigarh

Fax : ++91-671-2312875

SCO 378, Second Floor, Sector 32-D

jk"Vh; y?kq m|ksx fuxe fyfeVsM

Mh ,l esa'ku] fu;j LVsM tw] vkj-th- c:vk jksM] xqokgkVh&781021
nwjHkk"k la- % ++91-361-2202251
QSDl % ++91-361-2202480

Chandigarh
Tel. : ++91-0172-2620537, 2620538, 2620539

jk"Vh; y?kq m|ksx fuxe fyfeVsM

380] 'kkL=kh uxj] tEew&180004 tEew ,aM d'ehj
nwjHkk"k la- % ++91-191-2435570
QSDl % ++91-191-2454122

Guwahati
DS Mansion, Near State Zoo, Guwahati-781021, Assam
Tel. : ++91-361-2202251

Jammu

Fax : ++91-361-2202480

380, Shastri Nagar, Jammu-180004 J & K

jk"Vh; y?kq m|ksx fuxe fyfeVsM

Mh vkbZ lh ifjlj] bEQky&795001
nwjHkk"k la- % ++91-385-2310270

Tel. : ++91-191-2435570
Fax : ++91-191-2454122

jk"Vh; y?kq m|ksx fuxe fyfeVsM

,u@,Q@0@2] usg: Iysl] VkWd jksM] t;iqj&302015 jktLFkku
nwjHkk"k la- % ++91-141-2742372, 2742991
QSDl % ++91-141-2741277

Imphal
DIC Premises, Lamphpat, Imphal-795001
Tel. : ++91-385-2310270

Jaipur

vkapfyd dk;kZy; if'pe egkjk"V vkSj xksok] xqtjkr]

e; izns'k] Nkhlx<+

N/F/O/2, Nehru Place, Tonk Road, Jaipur-302015, Rajasthan

ZONAL OFFICE : (MADHYA PRADESH, CHHATISGARH,

Tel. : ++91-141-2742372, 2742991

MAHARASHTRA, GUJRAT, GOA)

'kk[kk dk;kZy;

Fax : ++91-141-2741277

vkapfyd dk;kZy; iwoZ osLV caxky] >kj[k.M ,aM vklke]

ukxkySaM] es?kky;] ef.kiqj] f=kpqj vkSj flfDde

BRANCH OFFICE :

jk"Vh; y?kq m|ksx fuxe fyfeVsM

izfs LVt psEcj] rhljk ry] dY;k.k LVhV] efLtn bZLV] eqEcbZ&400009
nwjHkk"k la- % ++91-22-23738275, 23722444
QSDl % ++91-22-23741989

ZONAL OFFICE EAST : (WEST BENGAL, BIHAR, ASSAM,

NAGALAND, MEGHYALAYA, MANIPUR, MIZORAM,TRIPURA,
JHARKHAND, SIKKIM AND ORISSA)

jk"Vh; y?kq m|ksx fuxe fyfeVsM

20&ch] vCnqy gehn LVhV] lkroha eafty] dksydkrk&700069
nwjHkk"k la- % ++91-33-22480015, 22488288, 22435493
QSDl % ++91-33-22487359

Mumbai

Kolkata

jk"Vh; y?kq m|ksx fuxe fyfeVsM

110] ekyoh; uxj] Hkksiky&462003] e; izn's k
nwjHkk"k la- % ++91-755-22768960
QSDl % ++91-755-22578353

Prestige Chamber, 3rd Floor, Kalyan Street, Masjid (East),

Mumbai-400009, Maharashtra
Tel. : ++91-22-23738275, 23722444
Fax : ++91-22-23741989

20-B, Abdul Hamid Street, (7th Floor),

Kolkata-700069, West Bengal
Tel. : ++91-33-22480015, 22488288, 22435493
Fax : ++91-33-22487359

Bhopal

'k[kk dk;kZy; @ Zonal Office

jk"Vh; y?kq m|ksx fuxe fyfeVsM
fodkl Hkou dkEiySDl] vkfnR;iqj] te'ksniqj] >kj[k.M
nwjHkk"k la- % ++91-657-2229215
QSDl % ++91-657-2229215

110, Malviya Nagar, Bhopal-462003, Madhya Pradesh

Tel. : ++91-755-22768960
Fax : ++91-755-22578353

Vikas Bhawan Complex, Adityapur, Jamshedpur, Jharkhand

jk"Vh; y?kq m|ksx fuxe fyfeVsM

10] iksyks xzkmUM] vkS|ksfxd {ks=k] bUnkSj&452003] e; izn's k
nwjHkk"k la- % ++91-731-2422248
QSDl % ++91-731-2421566

Tel. : ++91-657-2229215

Indore

Fax : ++91-657-2229215

10, Pologround, Industrial Estate, Indore-452003, M.P.

Jamshedpur

Tel. : ++91-731-2422248
Fax : ++91-731-2421566

19

Panaji

jk"Vh; y?kq m|ksx fuxe fyfeVsM

vkbZ ,l vkbZ lh vks ,l fcfYMax la[;k 6 vkSj 7] b.MLVh;y Vkmu]
osLV vkWQ pksM jksM] caxykSj&560044
nwjHkk"k la- % ++91-80-23306814/23307790
QSDl % ++91-80-23307791

Om Dutta Sadan, Opp. Hotel Nova Goa, Panaji, Goa

Bangalore

Tel. : ++91-832-2220540

ISICOS Building No. 6 & 7, Industrial Town, West of Chord Road,

Fax : ++91-832-2223065

Rajajinagar, Banglore-560044

jk"Vh; y?kq m|ksx fuxe fyfeVsM

,u Mh Vh , dkWEiySDl] CykWd ua-&9] nwljh eafty] fyczVh flusek
ds lkeus] jsthMsUlh jksM] lnj] ukxiqj&440001] egkjk"V
nwjHkk"k la- % ++91-0712-2528014
QSDl % ++91-0712-2552023

Tel. : ++91-80-23306814/23307790

jk"Vh; y?kq m|ksx fuxe fyfeVsM

vkse nkk] lnu gksVy ds lkeus] uksok] xksok i.kth] xksok
nwjHkk"k la- % ++91-832-2220540
QSDl % ++91-832-2223065

Fax : ++91-80-23307791

jk"Vh; y?kq m|ksx fuxe fyfeVsM

lh&20] vkS|ksfxd jksM] iz'kklfud Hkou] FkV~Vk pkoM+h]
ikf.Mpsjh&605009
nwjHkk"k la- % ++91-413-2252940
QSDl % ++91-413-2252970

Nagpur
NDTA Complex, Block-9, 2nd Floor, Opp. Liberty Cinema,

Pondichery

Residency Road, Sadar, Nagpur-440001

C-20, Industrial Estate, Administrative Bhawan, Thatta Chawri,

Tel. : ++91-0712-2528014

Pondichery-605009

Fax : ++91-0712-2552023

Tel. : ++91-413-2252940

jk"Vh; y?kq m|ksx fuxe fyfeVsM

202] le:) fcfYMax iqjkuh xqtjkr gkbZ dksVZ ds lkeus] vgenkckn
nwjHkk"k la- % ++91-79-27543228, 27544893
QSDl % ++91-79-27540159

Fax : ++91-413-2252970

Regional General Manager, 202, Samruddh Building,

jk"Vh; y?kq m|ksx fuxe fyfeVsM

ubZ la[;k&14] gosZ uxj] QLV LVhV]
vkjklnh&vjkiyS;ke jksM] enqjbZ&625016
nwjHkk"k la- % ++91-0452-2609992
QSDl % ++91-0452-2604322

Opp. Gujarat High Court, Ahmedabad-380014, Gujarat

Madurai

Tel. : ++91-79-27543228, 27544893

New No. 14, Harvey Nagar, 1st Street, Arasaradi - Arapalayam

Fax : ++91-79-27540159

Road, Madurai-625016, T.N.

Ahmedabad

vkapfyd dk;kZy; nf{k.k&1 rfeyukMq] dsjy vkSj

ikf.Mpsjh vkSj dukZVd

Tel. : ++91-0452-2609992
Fax : ++91-0452-2604322

jk"Vh; y?kq m|ksx fuxe fyfeVsM

,l&67] th lh Mh , dkEiySDl] esfju Mkbo] 'kkudwaxu jksM]
bjukdwye] dksph] dksphu&682031] dsjy
nwjHkk"k la- % ++91-484-2381850/2368149
QSDl % ++91-484-2380155

REGIONAL OFFICE, SOUTH-I : (TAMIL NADU, KERALA,

KARNATAKA AND PONDICHERRY)

'k[kk dk;kZy; @ Zonal Office

jk"Vh; y?kq m|ksx fuxe fyfeVsM
615] vUuk lykbZ] pSUubZ&600006
nwjHkk"k la- % ++91-44-28294541
QSDl % ++91-44-28295791

Cochin
S-67, GCDA Complex, Marine Drive, Shanmughan Road,
Erenakulam, Kochi, Cochin-682031, Kerala

Chennai

Tel. : ++91-484-2381850/2368149

615, Anna Salai, Chennai-600006, Tamil Nadu

Fax : ++91-484-2380155

Tel. : ++91-44-28294541

vkapfyd dk;kZy; nf{k.k&2 vkUkz izns'k

Fax : ++91-44-28295791

REGIONAL OFFICE, SOUTH-II (ANDHRA PRADESH)

jk"Vh; y?kq m|ksx fuxe fyfeVsM

1055@10] xksFke lsUVj] vouk'kh jksM] dks;Ecrwj&614018
nwjHkk"k la- % ++91-422-2217757
QSDl % ++91-422-2217764

jk"Vh; y?kq m|ksx fuxe fyfeVsM

203] Jh nkklkabZ dkEiySDl] vkj Vh lh ^^,Dl** jksM]
eq'khjkckn] gSnjkckn&500020
nwjHkk"k la- % ++91-40-27615761
QSDl % ++91-40-27617777

Coimbatore
1055/10, Gowtham Centre, Avanashi Road, Coimbatore-614018

203, Sri Dattasai Complex, RTC X Road, Musheerabad,

Tel. : ++91-422-2217757

Hyderabad-500020

Fax : ++91-422-2217764

Tel. : ++91-40-27615761
Fax : ++91-40-27617777

20