Customer Enlistment Form
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                                         ´ÖãÓ²Ö‡Ô - 400 025
                      ™ê»Öß± Öê®Ö : (022) 66527521/22/60/61/62/70/71
                                                   ‡Ô-´Öê»Ö : tciso@bom2.vsnl.in

ÝÖÏÖÆüÛ  ÃÖæ“Öß ±úÖ´ÖÔ

CUSTOMER ENLISTMENT FORM
1.0

ÛúÓ¯Ö®Öß  ÛúÖ ®ÖÖ´Ö ‹¾ÖÓ Ã£ÖÖ¯Ö®ÖÖ Û ß ŸÖÖ¸üßÜÖ
Name of the Company and date of establishment :
ÃÖÖ¾ÖÔ•Ö×®ÖÛú
Public Limited :		 box1.jpg (995 bytes)
×®Ö•Öß
Private Limited :		 box1.jpg (995 bytes)
¯ÖÏÖê¯Ö¸üÖ‡™ü¸üß /ÃÖÖ—Öê¤üÖ¸üß
Proprietary/ Partnership :		 box1.jpg (995 bytes)    box1.jpg (995 bytes)
[ˆ¯ÖµÖãŒŸÖ ²ÖÖòŒÃÖ  ŒúÖê ( ) ד֮ÆüàŸÖ  Û ¸ëü …]
[ Tick ( ) the appropriate box) ]
2.0

¯ÖÓ•ÖßÛúéŸÖ ŒÖµÖÖÔ»ÖµÖ /´ÖãܵÖÖ»ÖµÖ ÛúÖ ¯ÖŸÖÖ
Address    of   the   Registered office / Head Office:

±úÖê®Ö/ Tel. :

±îúŒÃÖ/Fax :

™êü»ÖêŒÃÖ/Telex :

ÝÖÎÖÖ´Ö /Gram:
2.1 ÛúÖ¸üÜÖÖ®ÖÖ /‡ÛúÖ‡Ô ÛúÖ ¯ÖŸÖÖ
Address  of    the factory/ unit  :

±úÖê®Ö/ Tel. :

±îúŒÃÖ/Fax :

™êü»ÖêŒÃÖ/Telex :

ÝÖÎÖÖ´Ö /Gram:
3.0 ´ÖãÜµÖ ŒÖµÖÔ¯ÖÖ»ÖÛú ÛúÖ ®ÖÖ´Ö ú
Name  of  the Chief Executive

±úÖê®Ö/ Tel. :
3.1

¯Ö¤ü ÃÖ×ÆüŸÖ ¾µÖÛŒŸÖ ÛúÖ ®ÖÖ´Ö •ÖÖê ¾ÖÃ¡Ö ÃÖ×´Ö×ŸÖ ÃÖê ÃÖÓ¯ÖŒÔú Ûêú ×»Ö‹ ®ÖÖ´ÖÓÖŸÖ×Û ŸÖ ×Û µÖÖ ÝÖµÖÖ Æîü…
Name of the person with position nominated for liaison with Textiles Committee:

±úÖê®Ö/Tel. :
4.0 ¾µÖÖ¾ÖÃÖÖ×µÖÛú ×¾Ö¾Ö¸üÞÖ
Business Details :
4.1 ¾µÖÖ¾ÖÃÖÖ×µÖÛú ÝÖןÖ×¾Ö׬ֵÖÖë Ûêú ¯ÖÏÛúÖ¸ü Nature of Business Activity :
4.2 ÃÖÓµÖÓ¡ÖÖë Ûúß ÃÖÓܵÖÖ ˆ®ÖÛêú ãÖÖ®Ö ÃÖ×ÆüŸÖ
No. of plants with their location:
4.3 ¯ÖÖ¸üß (׿ְ™ü) Ûúß ÃÖÓܵÖÖ ˆ®ÖÛêú ÃÖ´ÖµÖ ÃÖ×ÆüŸÖ
No. of shifts with their timings:
5.0 ¯ÖÓ•ÖßÛú¸üÞÖ ÛúÖ ×¾Ö¾Ö¸üÞÖ :
Details of Registration
-ÛúÓ¯Ö®ÖßµÖÖë Ûêú ¸üוÖÙÒüÖ¸ü ÃÖê
With Registrar of companies :
-ˆªÖêÝÖÖë Ûêúú ×®Ö¤êü¿ÖÖ»ÖµÖ ÃÖê
With Directorate of Industries :
- ¾ÖÃ¡Ö ÃÖ×´Ö×ŸÖ ÃÖê
With Textiles Committee :
- ×®ÖµÖÖÔŸÖ ÃÖÓ¾Ö¬ÖÔ®Ö ¯Ö׸üÂÖ¤ü ÃÖê
With Export Promotion Council
- ´Ö¬µÖ´Ö ¯Öî´ÖÖ®ÖÖê ÛêúúˆªÖêêÝÖ ×®Ö¤êü¿ÖÖ»ÖµÖ ÃÖê
With Directorate of Small Scale Industries :
- ×Û ÃÖß †®µÖ  ÃÖÓÝÖšü®Ö
Any other organisation :
6.0 ˆŸ¯ÖÖ¤ü ¹ý¯Ö¸êüÜÖÖ  (†Ö¾Ö¿µÖÛú ÆüÖê ŸÖÖê †»ÖÝÖ ÃÖê ¯Ö®ÖÖ »ÖÝÖÖµÖë)
Product Profile :
( Please attach separate sheet if required )
6.1 ¯ÖÏ׌εÖÖ ´Öë ¿ÖÖ×´Ö»Ö ÝÖןÖ×¾Ö׬ֵÖÖÑ (°»ÖÖê-“ÖÖ™Ôü ¯ÖÏßÖãŸÖ Ûú¸ëü)
Activities involved in process :
( Flow Chart may be furnished )
6.2 ˆŸ¯ÖÖ¤ü®Ö  õÖ´ÖŸÖÖ
Production capacity :
7.0 »ÖÝÖÖµÖê ÝÖµÖê ÃÖÓµÖÓ¡Ö,´Ö¿Öָ߮üß †Öî¸ü ˆ¯ÖÛú¸üÞÖ , ¯ÖϵÖÖêÝÖ Ûúß •ÖÖ®Öê¾ÖÖ»Öß ÃÖÖ´ÖÝÖÏß †Öî¸ü ¯ÖÏ×ÛúµÖÖ ÛúÖ ÃÖÓõÖê¯Ö ´Öë ×¾Ö¾Ö¸üÞÖ  : (†Ö¾Ö¿µÖÛúú ÆüÖê ŸÖÖê †»ÖÝÖ ÃÖê ¯Ö®ÖÖ »ÖÝÖÖµÖê)
Brief on plant, machinery and equipment installed, materials used and process :
( Please attach separate sheet if required )
7.1 ˆ¯Ö»Ö²¬Ö ×®Ö¸üßõÖÞÖ ¾Ö ¯Ö¸üßõÖÞÖ ÃÖã×¾Ö¬ÖÖ‹Ñ
Inspection and test facilities available :
8.0 Ûú´ÖÔ“ÖÖ¸üß Ûúß ÛãÖןÖ
Staff Disposition :
8.1 ¯ÖϲÖÓ¬ÖÛúßµÖ
Managerial
8.2 ¯ÖµÖÔ¾ÖêõÖÛúßµÖ/ŸÖÛú®ÖßÛúß 
Supervisory/Technical :
8.3 Ûú´ÖÔ“ÖÖ¸üß/¯ÖÏ“ÖÖ»ÖÛú
Workers/Operatives :

8.3.1

 ¯ÖÏ׿Ö×õÖŸÖ/†¯ÖÏ׿Ö×õÖŸÖ
Skilled/Unskilled
8.3.2 ¯ÖæÞÖÔÛúÖ×»ÖÛú / †Ó¿ÖÛúÖ×»ÖÛúú
Full time / Part time :
8.3.3 ÝÖãÞÖ¾Ö¢ÖÖ ¯ÖÏÞÖÖ×»ÖµÖÖë †Öî¸ü /µÖÖ ÝÖãÞÖ¾Ö¢ÖÖ »ÖêÜÖÖ ¯Ö¸üßõÖÖ  ´Öë | ¯ÖÏ׿Ö×õÖŸÖ  ¾µÖÛŒŸÖµÖÖë Û ß ÃÖÓܵÖÖ :
No. of persons trained in Quality Systems and/or quality audit :
8.4 Ûúã»Ö Ûú´ÖÔ“ÖÖ¸üß ÃÖÓܵÖÖ :
Total Staff :
9.0 ¾ÖÖÙÂÖÛú ÛúÖ¸üÖê²ÖÖ¸ü ¸üÖ×¿Ö :
Annual turnover :
10.0 †Ö‡Ô‹ÃÖ†Öê 9000 Ûêúú †®ÖãÃÖ¸üÞÖ ´Öë ÝÖãÞÖ¾Ö¢ÖÖ ¯ÖÏÞÖÖ×»ÖµÖÖë ÛúÖê ÛúÖµÖÖÔ®¾ÖµÖ®Ö Ûêúú ×»Ö‹ ¿Öã¹ý Ûúß ÝÖµÖß ÛúÖµÖÔü¾ÖÖ‡Ô ÛúÖ ÃÖÓõÖê¯Ö ´Öë ×¾Ö¾Ö¸üÞÖ : (†Ö¾Ö¿µÖÛú ÆüÖê ŸÖÖê †»ÖÝÖ ÃÖê ¯Ö®ÖÖ »ÖÝÖÖµÖê)
Brief on action initiated towards implementation of Quality Systems in line with ISO-9000 :
( Please attach separate sheet if required )
11.0 †Ö‡Ô‹ÃÖ†Öê9000 ÝÖãÞÖ¾Ö¢ÖÖ ¯ÖÏÞÖÖ×»ÖµÖÖë  ÛúÖê †¯Ö®ÖÖ®Öê ÛúÖ ×®ÖÞÖÔµÖ »Öê®Öê ÛúÖ ÛúÖ¸üÞÖ ²ÖŸÖÖµÖë : (†Ö¾Ö¿µÖÛú ÆüÖê ŸÖÖê †»ÖÝÖ ÃÖê ¯Ö®ÖÖ »ÖÝÖÖµÖê) Please mention the reason for opting the ISO- 9000 Quality Systems:
( Please attach separate sheet if required )
ãÖÖ®Ö/Place :

¯ÖÏÖ׬ÖÛ éŸÖ ÆüßÖÖõÖ¸üÛúŸÖÖÔ
Authorised Signatory :
ŸÖÖ¸üßÜÖ / Date :

®ÖÖ´Ö/Name :
¯Ö¤ü®ÖÖ´Ö/Designation :

Ûêúú¾Ö»Ö ÛúÖµÖÖÔ»ÖµÖ ˆ¯ÖµÖÖêÝÖ Ûêúú×»Ö‹ /
1 ×¾ÖÛúÖÃÖ ÛúÖê›ü ÃÖÓ/
Development Code No. :
2 ¯ÖÖ™üá ÛúÖê›ü ÃÖÓ/
Party Code No. :
3 õÖê¡Ö ÛúÖê›/
Region Code :
4 ¾ÖÝÖÖáÛú¸üÞÖ/
Classified as :
5 ™üÖêÛú®Ö ÃÖÓ/
Token No. :
6 ÃÖ´ÖßõÖÖ Ûúß ŸÖÖ¸üßÜÖ/
Reviewed on :

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