Gujarat Gas Company Ltd. - Contractor Registration

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Contractor Registration - Form

Field mark with [ * ] are mandatory

Service & Company Details

Service for which registration is sought *
Company Name/Firm *
Type of the Company / organization *	ProprietaryPvt.Ltd. PartnershipAuthorized Service Provider
Contact Person's Name *
Contact Person's Phone No *
Contact Person's E-mail *
Year of Establishment *
Sister Concern/Other Group of Company *	YesNo

Address & Financial Details

Registered Office
Postal Address *
Phone No. *
Fax
E-mail *
Works/Location
Postal Address
Phone No.
Fax
E-mail
Turn Over Last 3 Years
Expected Turn Over For Current Year
Last Two Years Income Tax Return Details

Bank and Other Details

Bank Name
Bank Account No.
Account Holder Name
PAN No. *
PF No. *
ESI No. *
Labour License No. *
Workman Compensation Policy
Service Tax No. *

Man Power Details

Total Strength
Skill Manpower
Semiskilled Manpower
Unskilled Manpower

Details of key personnel

Name	Designation	Qualification	Experience(Years)

Customers/Approval/Certifications

Major Customers/Clients
Top Five Customer(s) Details

Other Service Details

Type Of Services	Application

Contractor Declaration

I declare that I am in no way related to /have any business relationships with any Employee of GGCL or with an existing Vendor of GGCL.

Note
Please ensure that above declaration is true in all respect. In the event of it being found to be false in any manner, GGCL reserves the right for termination of any contract entered in with the Vendor OR black listing from the Vendor list without any Notice.


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