Godrej & Boyce Mfg. Co.Ltd.

Pirojshanagar, Vikhroli, Mumbai 400 079

Manufacturer / Trader

Supplier Code

SUPPLIER REGISTRATION FORM

NAME OF THE COMPANY (IN FULL): Chowgule Construction Chemicals Pvt Ltd
ADDRESS: 4th Floor Bakhtawar, Nariman Point,

City: Mumbai
Pin Code: 400021
Telephone No. : 022-66202500

Fax No.: 022-66202570

E-mail Address: gupte.cct@chowgule.co.in

ADDRESS FOR CORRESPONDENCE: As above

City
Pin Code
Telephone No.

Fax No.

E-mail Address
CONTACT PERSON (SALES): Vijit Gupte and Rahul Ugale
CONTACT PERSON (ACCOUNTS): Prasanna Rao
FINANCIAL DATA
(Please refer and fill up the attached NEFT format)
___________________________________________________________________________
CST TIN NO. & DATE (Please attach Certificate copy): Attached
VAT TIN NO. & DATE (Please attach Certificate copy): Attached
EXCISE REG.NO.: AACCC4683LXM001
ECC NO.: AACCC4683LXM001
DIVISION: 02
RANGE: 01
CUSTOM HOUSE
INCOME-TAX PAN NO. (PAN CARD COPY MANDATORY): Attached
SERVICE TAX REGN.NO. & DATE (ATTACH CERTIFICATE COPY): Attached
MSMED REGN.NO. (IF REGD., ATTACH CERTIFICATE COPY)

(THIS SHEET IS TO BE FILLED BY VENDORS WHO WILL BE DOING JOBWORK

ON THE RAW MATERIAL / ITEMS SUPPLIED BY GODREJ & BOYCE MFG. CO.LTD.)
WORKS CONTRACT TAX REGISTRATION CERTIFICATE NO.:
INCOME TAX DEDUCTED AT SOURCE ACCOUNT NO. (TAN):
ESTABLISHMENTS ESIC NO.:
ESTABLISHMENTS EPF NO.:

DATED:
DATED:
DATED:

INDEMNITY CLAUSE FOR JOBWORK:

We agree to indemnify GODREJ & Boyce Mfg. Co. Ltd., having their Registered Office at
Pirojshanagar, Vikhroli, Mumbai 400 079 (hereinafter called the Company) and keep the
Company indemnified against all claims, demands, fines, penalties and damages arising from
any breach or non-compliance of any statutory duty or liability under the existing statute or
statutes which would come in force in future, in respect of our acts of commission or
omission committed during the period of the contract or after its termination but co-related to
the events happened during the period of the contract.
In the event of any non-compliance as described above by us, any claims, demands, fines,
penalties and damages which may devolve upon you, may be recovered from our pending
and/or future bills.
We further agree to indemnify GODREJ & Boyce Mfg. Co. Ltd. and keep the company
indemnified against all claims, damages & demands made on the company and all expenses
& losses that the Company may incur / suffer as a result of damage or loss caused to the
Companys material / equipment given to us against their future order(s) for jobwork/repairs,
by spoilage/mishandling, pilferage, improper use, wrong processing, transit loss/theft
,
negligent or unauthorized use & losses arising due to cycle time & limiting conditions of the
material or equipment or non supply & proper return to the company of the
material/equipment given to us against their future order(s) for jobwork/repairs in the same /
equivalent weight and as per the agreed scrap quantity norms fixed.
It is expressly understood & agreed between us that the property in the material supplied to us
by the company in its original or in its converted form, shall always belong to Godrej & no
person claiming against or through us, shall have any right, title, interest in respect of the
same or any part thereof. It is further agreed between us that in the event of your said material
being seized, either in its original form or in its converted form, in any action against us, we
will indemnify you for all losses in respect of the same.
This is without prejudice to your other rights and remedies under existing laws.
Signature of Authorised Person :
Name
:
Designation
Rubber Stamp of our concern
:
Date
:

PRODUCTS MANUFACTURED : ( OTHER THAN LABOUR WORK )

2

PRODUCT CATAGORIES
(INDICATE MATERIAL
OF THE PRODUCT)

CURRENT
CAP.PER
SHIFT

CAPACITY
UTILISATION
PER SHIFT

1.0 Waterproofing
products
2.0 Epoxy and
Polyurethane based
flooring and coating
products

NO. OF SHIFTS :

( ) ONE

MAJOR CUSTOMERS
FOR EACH PRODUCT
CATEGORY

ANNUAL
BUSINESS
(RS.)

Waterproofing :
Oberoi, Lodha, L&T,
Runwal, Pride,
Millenium, Xrbia,
Kalpataru, Clover
Realty, Kumar Builders,
Rohan Builders,
Paranjape Schemes,
Luknad Realty etc.
Flooring: Hirschvogel,
Vulkan Tech, Enpay
Transformers, Kirloskar
bros., Vinit Fabrics,
Putzmiester, Syngenta,
Lupin Labs., Cartini,
Nestor Pharma,
Glenmark, Shanti Iron,
Sonatape, Abbott. etc

350 Mio

) ONE AND HALF

( Y ) TWO

FOR OFFICE
USE ONLY

) THREE

(D) MAJOR SERVICES RENDERED / LABOUR WORK

MAJOR SERVICES /
LABOUR WORK

MAJOR CUSTOMERS
As ABOVE

( ) Sheet Metal press

NA

work & Fabrication

( ) Moulding (Plastics)

NA

( ) Machining

NA

( ) Heat Treatment

NA

NA

) Electroplating

( ) Testing & Chemical

Analysis / Servicing

NA

( ) Repairing / Rewinding

NA

( ) Others
Please specify

NA

ANNUAL
BUSINESS
(RS.)

FOR OFFICE
USE ONLY

ANNUAL SALES TURNOVER / TOTAL CAPITAL EMPLOYED (APPROX) FOR LAST 3 FINANCIAL
YEARS:
ANNUAL SALES TURNER (RS.)
CAPITAL EMPLOYED (RS.)

Year
2013-14

Including
Excluding
Taxes & Duties Taxes & Duties
246 Mio

2014-15

290 Mio

2015-16

350 Mio

Cash Credit Sanctioned (Rs.) :

Owners Funds

Borrowings

NA

NA

Cash credited Utilised (Rs.) :

Total

NAMES AND ADDRESS OF (1) OTHER MFG. UNITS (2) SISTER CONCERNS
(4) SUBSIDIARIES :

(3) ASSOCIATE CONCERNS

FOR OFFICE
USE ONLY

1) Chowgule ABP Coatings (I) Pvt Ltd.

Raia, Arlem,
Goa.

(II)

APPRAISAL DATA :

(1) MANAGEMENT :
Details of Directors / Partners / Proprietor / Concerned People :
NAME
DESIGNATION QUALIFICATIONS

DETAILS OF REVEVANT
WORK EXPERIENCE

NO. OF
YEARS

1.0 Mr. Ewart Lazarus

MD

BSC , MBA

Collaborations with WFP,

Kaubit & AB
Polymerchemie, Germany

20

2.0 Mr. Prasad Satavse

CEO

BE Civil, MBA

Worked with BASF &

Pidilite

15

(B) MANPOWER EMPLOYED :

MANAGERIAL

TECHNICAL/
ENGINEERING

COMMERCIAL

OFFICE
STAFF

WORKERS
SKILLED

32

16

15

27

46

SEMISKILLED

TOTAL
UNSKILLED
136

(E) DETAILS OF MACHINERY : Santioned load ___________ HP. Utilised Load ___________HP
DESCRIPTION

CAPABILITY W.R.T
DIMENSIONS, WEIGHT
ETC. OF JOB

MAKE

NOS.

MACHINE
SHIFT
RATES(RS.)

FOR OFFICE
USE ONLY

1.0

(F) QUALITY CONTROL EQUIPMENT:

Details of Gauges / Measuring Instruments / Testing Equipments:

Description
Range
Least
Make
Count
1.0 UTM
2.0 Mixer
3.0 Air Oven
4.0 Gel time tester
5.0 Viscometer
6.0 Hegmann Gauge
7.0 High speed
disperser
8.0 Flow table flow.
9.0 Shrinkage tester
10.0 Taber abrader
11.0 Sieve shaker
12.0

Nos.

For office
Use only

(G) ANY MAJOR PROBLEMS/ : None

LITIGATIONS
(H) FUTURE PLANS
(a) New Products
(b) New Machinery
(c) Additional Test
Facilities
(d) Any other information

:
: ready to use flooring systems, water borne polyurethane etc.
:
:
:

(e) Are you related to anyone in Godrej ? If Yes, please provide Name, Division/Plant
Number of the person concerned in Godrej. If No, Please mention likewise.
(THIS INFORMATION IS MANDATORY)

No relations in Godrej.

DECLARATION : I hereby declare that the information furnished in this form is correct to the best
of my knowledge. I undertake to inform you at the earliest of any change in the details mentioned in
this form.
Signature

Name

Designation

Rubber stamp of the concern :

FOR OFFICE USE ONLY :
GENERAL DATA
NATURE OF ITEM SUPPLIED

MATERIAL
(M)
CAPITAL ITEM (C)
TRADED PRODUCTS (T)

(Please tick in the relevant box)

Inspection Yes / No

Sub contractor - Yes / No

COUNTRY CODE
LINE OF BUSINESS CODE
AREA CODE

LANGUAGE CODE
CURRENCY CODE
FACTORING CO. CODE

TERMS OF PAYMENT CODE

FINANCIAL SUPPLIER GROUP CODE

TERMS OF DELIVERY CODE

FORWARDING AGENT CODE

LOCALIZED DATA
EXCISE CATEGORY CODE
SALES TAX STATE CODE
OCTROI CODE

SALES TAX APPLICABLE

Yes / No
SALES TAX CODE
TDS PERCENTAGE APPLICABLE

IMPORTS DATA
AGENT
PART SHIPMENT
PORT OF SHIPMENT

TERMS OF PAYMENT
TRANS SHIPMENT
CONSOLIDATOR CODE

Yes / No

ASSESSMENT FACTORS

Yes / No
E

Remarks

QUALITY FACILITIES
TECHNICAL COMPETENCE
FINANCIAL STABILITY
LOCATION ASPECTS
SYSTEMS & PROCEDURES
INDUSTRIAL RELATIONS
MANAGERIAL COMPETENCE
SPECIAL RATING
_________________________________________________________________________________________________
REMARKS / EVALUATION

ASSESED BY :
PURCHASER NAME
SALARY CODE
EXTN.

J)

Sr.Manager
Name:
Purchase/Marketing/Service

Briefly outline the following in your manufacturing unit:

1)

Major Processes ( Block Diagram)

List Hazardous Chemicals (if any)

2)

Employee safety and Health Protection

3) Disposal Method of Waste Generated (if any):

Godrej & Boyce Mfg. Co. Ltd.

(Established 1897)

Registered Office : Pirojshanagar, Vikhroli, Mumbai 400 079

6796 3280 (Direct), 6796 5656 / 6796 5959 (Ext. 3280)
Fax: 6796 1528
E-mail: rp@godrej.com
CORPORATE PROCUREMENT, PLANT 11, 2nd FLOOR

National Electronic Fund Transfer (NEFT)

MANDATE FORM
Payment to Vendors / Contractors by Direct Credit in their Bank Accounts
1) a) Vendors / Contractors name

: Chowgule Construction Chemicals Pvt Ltd

b) Vendor Code No.

c) E-mail ID :
2) Particulars of Bank account

:
: rao.cct@chowgule.co.in

Name of the Bank

: HDFC bank Ltd.

Name of the Branch

Address
State
Pin code
Telephone No.

:
:
:
:
:

9-Digit code number of the Bank and : 400240114

branch appearing on the MICR cheque
issued by the Bank

Maker Chamber III Branch, Nariman Point,

Mumbai 400021,
Maharashtra
400021
022-66573521

(Please attach a blank cancelled cheque or photocopy of a cheque for verification)

D

Enabled for NEFT

: (Yes)

(No)

(To be confirmed from your Bank branch)

E

11-Digit NEFT IFSC code number of the Bank branch: HDFC0001212

(To be obtained from your Bank branch )

: __ __ __ __ __ __ __ __ __ __ __

Type of the account (Current or

Cash Credit )

Current
(Code 11)
Cash Credit (Code 13)

Account number

: 12120310000243

(as appearing on the cheque book)

I/We hereby declare that the particulars given above are correct and complete. I/We request
and authorize you to effect Payment by NEFT to my/our above stated Bank account. I/We
confirm that I/we shall bear the charges, if any levied by my/our bank for the credit in our
above account through NEFT. If the transaction is delayed or lost because of incomplete or
incorrect information, we would not hold the company responsible.
__________________________________________
Date :
Authorised Signature of the Vendor / Contractor

Bank Certificate
We confirm that the details given above are correct as per our records.

Date :

.___________________________________.
9

Place :

Signature & Stamp of Authorised Bank Official

BELOW INFORMATIONS MANDATORY

FORMAT
Supplier Code :
Owner / Proprietor Name

1) __________________

( Whether belonging to
SC/ST/MBC/OBC/OPEN )

2) __________________
3) __________________
No. of employees as on today.
I.

Primary Employment :
SC

ST

MBC

OBC

OPEN

TOTAL

Managerial
Staff
Workmen
Total
SC
ST
MBC
OBC

Schedule Caste
Schedule Tribes
Minority Backward Classes
Other Backward Classes

Secondary Employment : (Sub-Contracted)

a)

SC

ST

MBC

OBC

OPEN

TOTAL

SC

ST

MBC

OBC

OPEN

TOTAL

No. of Sub-Contractors

b)

No. of Employees of
Sub-Contractor
Managerial
Staff
Workmen
Total