Lifeon + Register

Lifeonplus- Vendor Registration

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Organisational information

Name of the Firm/ Company to be Registered*

Country*

State*

District*

City*

Pincode*

Registered office address*

Conatct Person

Tel. Landline

Mobile Number*

Email Address*

Website Link(if available)

Details of work facilities

Address*

Conatct Person

Tel. Landline

Mobile Number*

Email Address*

Ownership information*

Please Specify*

Nature of Business *

Category of Business *

Year of Commencement of Business*

Attach Relevant Document(Year of Commencement of Business)* UPLOAD PDF, JPG, JPEG (Max: 1MB)

Registration Particulars (Copy of Relevant Documents to be Attached)

Permanent Account No. (PAN)*

GSTIN

Is Company in Micro/Small Enterprise (MSE) Category?*

Yes

Category as per MSME Act*

MSE Ownership (Tick as applicable)*

Women Entrepreneur

Are you registered on GEM Portal?*

Yes

Are you registered on TreDS Platform?*

Yes

Registered with any IREL (India) Ltd Unit*

Approved by Govt/PSU/Reputed Private Organisation?*

Yes

Whether Supplier/ Service provider is a Start-up Enterprise?*

Yes

ISO Certifications*

ISO 9001 Certified

ISO 14000 Certified

OHSAS 18000 Certified

Registration Particulars for Service Providers*

EPF/ ESIC

Contract Labour (R&A)

Electrical Contractor License

Whether the company is under litigation/ arbitration cases during the last 5 years?*

Yes

Whether the Company has been delisted/ debarred from business with any similar company in India, and the reasons thereof?*

Yes

Please provide the reason:

Upload Relevant Documents * You can upload multiple docs(PDF, JPG, JPEG only)-Max size: 1MB each

Technical Competency

Details of Supplies/Works of Similar Nature Executed during Last Three Years (Preceding the Current Calendar Year) UPLOAD PDF, JPG, JPEG (Max: 1MB)

Manpower Details UPLOAD PDF, JPG, JPEG (Max: 1MB)

Quality Control/Inspection Facilities UPLOAD PDF, JPG, JPEG (Max: 1MB)

List of Major Customers with Contact Address UPLOAD PDF, JPG, JPEG (Max: 1MB)

Readiness for Participation in E-Tendering/Procurement*

YES

Declaration

I / We declare and confirm that all information and attachments submitted in this application are true and correct. I / We are aware that any false information provided herein will result in the rejection of my / our application and cancellation of any registration granted.*

Place*

Date*