PROFORMA OF THE APPLICATION FORM FOR

REGISTRATION AS SUPPLIER OF THE NCCF

 (To be filled up on Company’s letter head)

1.

Name of Manufacturer

2.

Factory's address & telephone no.

3.

Office address & telephone no.

4.

Sales Tax Registration No.

(A) CST

(B) LST

5.

Brand & names of goods offered

6.

Names of states where products are offered for sale

7.

Price:

(A) Company Issue Price.

(B) Wholesale price.

(C) Suggested maximum retail prices (inclusive of taxes). (Please enclose price list).

8.

Terms & Conditions offered:

(A) Validity period of prices:

(B) Delivery period:

9.

Terms of payment :

(A) Credit period

(B) Consignment basis

(C) Sales and return basis

10.

Name & Address of the Bankers

11.

Permanent Income Tax No.

 12.      DECLARATION:

  1. We agree to replace the slow moving items supplied by us with the fast moving items or to take back the unsold stocks.

  2. We undertake to give rebate on the unsold stocks in the event of reduction of prices.

  3. We shall be fully responsible for the quality of the stocks supplied by us and would  ensure guarantee/PFA warranty. We will comply with the package commodities Act, 1977 and the PFA Rules.

  4. We certify that the prices quoted by us are the lowest and the terms and conditions offered to you are the best in the trade. We undertake not to make any upward revision of the prices without the specific consent and prior notice to the NCCF. In case of reduction in the rates and introduction of any incentive scheme, we undertake to inform the same to the NCCF first.

  5. We will attend to the customer's complaint, if any, promptly  as and when required.

  6. We certify that we have never been black-listed by any Govt. agency.

  7. It is certified that none of our Proprietors, Directors and their relatives are connected with the Management of the NCCF.

  8. We agree to deposit security ammount of Rs.25,000/- with the NCCF if we are registered as a supplier to the NCCF.

 

SIGNATURE ______________________

DESIGNATION ____________________

Dated: _______________________