Corporate Procurement Saudi Arabian Amiantit Co. Rea, Dammam. 32234 P.0.Box 3361 SS Tel: 013 847 1500 - 1245 JAMIANTIT Fax: 920004070 Vendor Profile Vendor's profile is a key requirement in Saudi Arabian Amiantit Co. vendor registration process. Information provided will assist in evaluating the capability of your organization to supply goods and services according to Amiantit Corporate Procurement standards. Below information will be recorded as (active) in our database. Therefore, whenever there are changes, it is important that you advise us immediately by contacting Amiantit CP department to update your information, Hard copies should be sent to Corporate Procurement department within 10 days of sending complete soft copies Please provide the below copy of valid documents and fill the boxes with required information’s to avoid any delay in registration and eventual approval as a vendor in Amiantit. [Company Profile (Material/Ser [Commercial Registration Certificate *: File Attached lidentification Letter from the Banker mentioning (Full Bank Info) *: File Attached (Cancelled Bank Cheque) Value Added Tax Certificate (KSA & GCC Suppliers Only) * : File Attached (GST) [Zakat Certificate (KSA Suppliers Only) *: NOT REQUIRED insurance Policy (International Suppliers Only) =: NOT REQUIRED [Saudization Certificate (KSA Suppliers Only) *: NOT REQUIRED Certificate * : NOT REQUIRED [Chamber of Commerce Members! Following boxes must be electronically filled (Hand written format will be disqualified) Section 1. Vendor's Main Information * (Complete Details) Full company name (As shown on your offical commercial Vizebh Compositech Private Limited, Vadodara, Gujarat, India registration) Commercial Registration Number | U25200G12013PTC077367 _| Dateofissue | 01.07.2017 Value Added Tax Number 2AAAECVEI6SCIZH Date of expiry Block No.~61/A, 62, 63, | Kurali~Ganpatpura Road, ae ___| At &Po.:Kurali, Karjan, Details Tel No. | 8980803822 Fax No. City Karjan, Vadodara =| Street [country india uRI/Website_| www.vctech.co.in Sales Person Contact Information (or RFQ & PO) Name Pradeep Kumar Mahalil Director TelNo. | +91 8980803822 __ Fax No. Email pradeep@uctech.co Mobile No. | +91 8980803822 ‘Sales Manager Contact Information Name Pradeep Kumar Mahalik TelNo. | +918980803822_ Fax No. 5 —_————_— Vendor Registration Form v2 —————Corporate Procurement Saudi Arabian Amiantit Co. a) Dammam. 32234 P.O.Box 3361 LA Tel: 013 847 1500 - 1245 JAMIANTIT Fax: 920004070 Emi radeep@vctech.co, Mobile No. +91 8980803822 Uist of Products/Services: | Uist of Branches: "Composites Raw Material and finished products. Vadodara, Gujarat, India Section 2. Vendor Certifications (Copy of Valid Certificates) [ Date of Certification Quality Management System (ISO 9001) O.Yes Ne 22 June 2017 Environment Management system 0.Yes O-Ne 22 June 2017 h and Safety Management system (ISO 14001) 0.Yes O-No 22.June 2017 _ Other Quality Management System: (Please attach) 0.Yes_0.No NO Do you have a Quality Manager? [0.Yes O-Ne Yes Do you have a complaint Procedure? O.Yes_O-Ne Yes ej Do you inspect your goods/ services before dispatch? “O.Yes_G-He | Yes Purchase only from source of known Quality capability? ©.Yes O-Ne | As Per'SO 9001 Conducts internal Quality Audits? O.Yes O-Ne ‘As Per ISO 9001, Section 3. Vendor's Past Experience Information * (Complete Detalls) ‘Names of at least 3 Companies you have worked with during last 1 year, supplying similar goods or services Name of company Product / Service oe Contact details for — = ° Reference Raychem RPG Private Limited | compostesrinshed Products | 2151805186 Dt : 30.01.2019 | Ki'an Vaniva ~ = “ ° +491.8238004536 Paharpur Cooling Towers Limited | conpostesrnsnesPriues | 18HPOO342 Dt: 20.03.2018 | AUP-GUnIN ; ; Ramu Laxmanan FLSmidth Private Limited Composites iashed Prodves | FLS/8/74085 Dt: 29.06.2017 | +919500066894 | Section 4, Bank Account Details * (Complete Details) (For Payments) Bank Name ISB Sahakari Bank Limited Branch | 8°C Road Branch “ 7 Vadodara, Gujarat __| Bank Account Number (099120300000005, PO Box | IBAN Number City | Vadodara Swift Code TUSKINGB, _ Country | india _ Mode Of Payment Term Currency INR - - — _ —__— —— Vendor Registration Form v2 ——Corporate Procurement Saudi Arabian Amiantit Co. Dammam, 32234 P.O.Box 3361 Cs A Tel: 013 847 1500 - 1245 JANMIANTIT Pax: 920004070 {Please don't hesitate to attach any other relevant information about your organization) Section 6. Declaration * (Complete Details) |, the undersigned, declare all the information provided above along with the attachments are true and will be responsible to update Saudi Arabian Amiantit Co. regarding future changes, | acknowledge and understand that the above request is only for registration at Saudi Arabian Amiantit Co. to be a potential vendor in future. ‘The registration does not guarantee or ensure that vendor will have an opportunity to quote and/or receive an award of business Name (Owner/ Authorized Person Only) Pradeep Kumar Mahalik ition ES Director Signature oF Date a 7 - 24 May 2019 Chamber Of Commerce Attestation (Mandatory) ‘Section 8, To be filled by Amiantit Corporate Procurement Department only: ‘New Registration Tnformation Update ‘Evaluation O oO E Oo Purchaser Name. Registration Purpose Plant (Business Unit) Material Group Reviewer Signature: | Corporate Procurement Manager Signature: —— Vendor Registration Form v2 -