Supplier Registration Form
Institute of Infrastructure, Technology, Research and Management (IITRAM) invites the manufacturers/dealers/distributors/vendors/suppliers to submit the duly filled supplier's registration form for the items/goods/products/instruments/equipment. The supplier should meet and submit all the necessary proof to register the firm in IITRAM, if any dispute arises regarding registration any of the provisions the decision of the Registrar /Director General / Competent Authority of the IITRAM shall be final and binding to all.
Name of the Company
Office Detail
Registered Office Address
Office Contact Number ( Mobile )
( Landline )
Fax Number
Email Address
Correspondence Detail
Correspondence Address
Correspondence Contact Number ( Mobile )
( Landline )
Fax Number
Email Address
Authorized Person Detail
Authorized Person Name
(1)
(2)
Designation
(1)
(2)
Address
(1)
(2)
Contact Number (Mobile)
(1)
(2)
Contact Number (Landline)
(1)
(2)
Fax Number
(1)
(2)
Email ID
(1)
(2)
Is The Firm
Is the firm-
Government / Public Sector Undertaking
Proprietary Firm
Partnership Firm (if yes, give partnership deed detail in comments)
Limited company or Limited Corporation
Member of a group of companies
(if yes, give name and address, and description of the other companies in comments)
Subsidiary of a large corporation
(if yes, give the name and address of the parent organization in comments)
If the company is subsidiary, state what involvement.
(if any, will the parent company have in the project)
Other
Comments
Firm Registration / Excise Registration / Sales Tax / PAN / Service Tax Number
Firm Registration Number
Excise Registration Number
Sales Tax Number / TIN
Permanent Account Number (PAN)
Service Tax Number
Blacklisted
Is the firm / company / organization blacklisted in central government / semi government / state government / Government under taking organization / institute
No
Yes
If Yes, Provide the detail
Supplier Details
Type
Manufacturer
Supplier
Supplier of
Civil Items
Electrical Items
Mechanical Items
Computer Items
Physics Items
Chemistry Items
Environmental Items
Other Items
List of Items
Undertaking
I,
here by declare that the Firm/ Company/ Agency/ Organization/ Partnership firm/ Proprietary firm titled as
has not been blacklisted or banned or debarred at any stage from inception till this date by any of the NITs/ IITs/ IIITs/ Central University/ IISERs/ CSIR labs or Central/ State Government body/ PSUs/ Autonomous Institute or any Other Government organization.
I Agree, Continue Registration