BIOLIFE MEDICAL PVT LTD

D 31, SITE IV, KASNA, GREATER NOIDA 201 306, U. P., INDIA

FORM NO. BL-ST-002-01A EFFECTIVE DATE 10.11.2015 REVIEW DATE 09.11.2017

APPRAISAL FORM
1. NAME OF THE SUB- CONTRACTOR /VENDOR
ADDRESS OFFICE FACTORY

TELEPHONE/FAX
CONTACT PERSON

2. Status : MANUFACTURER
TRADER
OTHERS

3. ITEMS /SERVICES FOR ENLISTMENT

4. MAJOR CUSTOMERS

1.
2.
3.

5. MANUFACTURING FACILITY : YES/ NO

6. QUALITY ASSURANCE / QUALITY CONTROL FACILITIES : YES/ NO

7. WHERE THE COMPANY HAS ISO 9000CERTIFICATION : YES/NO

IF YES, ATTACH COPY OF CERTIFICATE

8. COMMERCIAL EXCISE REGULATION ACT

NOTE : USE EXTRA SHEET, IF REQUIRED

NAME :……………………………………………... DATE :………………………

( VENDOR/ SUB – CONTRACTOR )

REVIEW COMMENTS BY HEAD OF STORE

APPROVED FOR ENLISTMENT / PROVISIONALLY APPROVED /APPROVED FOR TRIAL / NOT APPROVED

SIGNATURE: ………………… DATE:………………………

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