DOC NO. QUALITY MANAGEMENT (**Mandatory Data - to be filled in and supporting documents enclosed ) S.NO . 1 FIELD [SCA] LARSEN & TOUBRO LIMITED SCM REGISTRATION - APPLICATION FORM DESCRIPTION Name of the Organization** Application Sl. No. Date of Application: SIZE ( letters ) INPUT 100 (Please do not start with M/s, Dr , Mr, etc... ) 2 Regd. Office Address** 150 3 Contact Person Telephone Number Zip/ Pincode** E-Mail** Valid PAN Number / GIR No. ** Give number if applicable Applied For N.A. (Not Applicable) IT clearance certificate ** CST (if available) LST (if available) Excise Registration ( if available) Excise Control Code (if available) SSI (if available) SSI Validity Period From ( if SSI available) SSI Validity Period Up to ( if SSI available) 50 Service Tax Registration No. Organization type ** (Partnership, Private, Proprietary, PSU, 50 4 5 6 7 8 9 10 11 12 13 14 15 16 17 25 15 25 10 (Enclose if available) ** ------------15 (Enclose if available) ** (Enclose) (Enclose) (Enclose) (Enclose) (Enclose) (Enclose) (Enclose) (Enclose) (Enclose)** Public, Govt., Associate, Foreign Company, Joint Venture, Subsidiary, OTHERS) 18 19 20 21 22 23 24 Payment in favour of** Bank Name** Bank Address** 50 MICR / Bank Branch Code** Account No. ** Preferred Login Name** Regional office of ECC where you will submit the hard copies of your application for registration ** 9 (Head Office to be registered first. Branch Offices to be entered under Branch Details.) 50 50 15 15 HQ-Chennai Ahmedabad Bangalore Chennai Hyderabad Kolkata Pithampur Pondy Delhi Mumbai Kanchipuram DOC NO. QUALITY MANAGEMENT [SCA] LARSEN & TOUBRO LIMITED SCM REGISTRATION - APPLICATION FORM (**Mandatory Data - to be filled in and supporting documents enclosed ) Sub-contractor Category Labour contractors (Labour supply) Labour contractors (PRW) Sub-contractor with labour, materials and / or equipment Sub-Contractor for P&M maintenance Sub-Contractor for Hiring out equipment Sub-Contractor for transport of materials, P&M and Personnel P.F. Registration Number 25 Workmen's Compensation Policy No. Bank solvency Banker’s Credit Limit Reference No. of application document hard copy Registration with any other body ISO Certification (if available) Quality Assurance/Quality Plan of the organization _________________________________________________ 25 Application Sl. No. Date of Application: (Enclose if available) (Enclose if available) Enclose if available Enclose if available Enclose , if available (Enclose) (Enclose if available) (Enclose if available) Safety procedure manual/Plans of the organization BUSINESS AREA (As per Business Codes attached) DISCIPLINE (As Per Discipline Code attached) SKILL GROUP (As Per Skill Group Code attached) SUB SKILL (As Per Sub Skill Code attached) ANNUAL TURNOVER OF PAST FIVE (5) YEARS (Attach copy of annual reports / Certificates of turnover) S.No Financial Year Ending Turnover (Rs. In Lakhs) Remarks) 1 2 3 4 5 DOC NO. QUALITY MANAGEMENT LARSEN & TOUBRO LIMITED SCM REGISTRATION - APPLICATION FORM (**Mandatory Data - to be filled in and supporting documents enclosed ) [SCA] Application Sl. No. Date of Application: PREVIOUS EXPERIENCE IN INDIA/ OVERSEAS OF PAST FIVE (5) YEARS (Attach copy of WO and Completion Certificates / Final Certified copy of Invoice Sl. Project/ Coun State, if in Client/ Disc Group Sub WO Duration Job Code if No. Job try India Lead iplin skill skill Value of Job in ECC work Site (50) Contrac e (Rs. months (15) (50) tor(50) Lakhs) 1 2 3 4 5 6 7 8 DOC NO. QUALITY MANAGEMENT (**Mandatory Data - to be filled in and supporting documents enclosed ) JOBS IN HAND (Attach copy of WO) Sl. Project/ Coun State, if in No. Job try India Site (50) (50) 1 2 3 4 5 6 7 8 [SCA] LARSEN & TOUBRO LIMITED SCM REGISTRATION - APPLICATION FORM Client/ Lead Contrac tor(50) Disc iplin e Group skill Sub skill Application Sl. No. Date of Application: WO Value (Rs. Lakhs) Duration of Job in months Job Code if ECC work (15) DOC NO. QUALITY MANAGEMENT (**Mandatory Data - to be filled in and supporting documents enclosed ) LABOUR MOBILISATION CAPACITY Sl. No Workmen category 1 Highly Skilled 2 Skilled 3 Semi Skilled 4 Unskilled Peak Mobilization Capacity numbers EQUIPMENT OWNED AS ON DATE Sl.No Equipment ( Category / Class ) 1 2 3 4 5 6 [SCA] LARSEN & TOUBRO LIMITED SCM REGISTRATION - APPLICATION FORM Source country (50) Capacity / Make (50) Application Sl. No. Date of Application: Source State Nos. Owned DOC NO. QUALITY MANAGEMENT (**Mandatory Data - to be filled in and supporting documents enclosed ) DETAILS OF KEY PERSONNEL ON ROLL Sl.No Name(s)of the person(50) Position 1 Owner/ Proprietor 2 Partner(s) 3 Director(s) 4 Chief Executive Sl.No Positions < 5 Years of experience 1 2 3 [SCA] LARSEN & TOUBRO LIMITED SCM REGISTRATION - APPLICATION FORM Application Sl. No. Date of Application: Qualification(50) Experience (Years) Number of persons 5 to 10 years > 10 years of experience experience Total no. of persons Engineering Managers (with Engineering Graduation & above) Engineers (with Engineering Diploma) Other technical staff (ITI or other certifications) Any court cases / Arbitration cases pending (If yes, please furnish details in Hard copies) Any incidence of suspension / abandonment of work (in last 5 years) (If yes, please furnish details in Hard copies) YES / NO YES / NO Are you or any of your Partners / Directors already registered with us in other individual name / organisation name YES / NO (If yes, please furnish details in Hard copies) Any other relevant data (Furnish in Hard Copy) REFERRED BY (If any) (Name, Designation, Address, Telephone No.) (If yes, please furnish details) YES / NO DECLARATION We hereby declare that the above mentioned statements are true and in case of any false statements and / or misrepresentation on our behalf, our registration will be liable to be withdrawn by Larsen & Toubro Ltd – ECC Division. We also accept that the registration is not a promise, in any form, by Larsen & Toubro Limited - ECC Division for award of any job. We also agree to submit this form duly filled in, sealed and signed in hard copy with all enclosures as aforesaid to the Section Head, Resource Department at the Regional Office of ECC Division as indicated above. This Portal is governed by the Terms & Conditions laid in the IT Act, 2000 & the Copyright Act,1957, The Indian Contract Act, 1872 and/or other applicable laws of India and users are automatically agreeing to abide by all Terms & Conditions of the act. Any unauthorized usage of this portal is a legal offence. Date Authorized Signature & Name of Sub-Contractor with Seal CODIFICATION There are four (4) codes of work through which the sub-contractors can be filtered - BUSINESS AREA CODE - DISCIPLINE CODE - GROUP SKILLS CODE - SUB SKILL CODE BUSINESS AREAS - Institutional & Commercial buildings - System housing & Industrial structures - Nuclear power projects - Hydro power projects - Ports & Harbours - HighwaysAirports - Power plants - Thermal & others - Hydrocarbon projects - Oil, gas & product pipelines - Mineral & Metal projects - Bulk material handling - Water supply & effluent treatment - Electrical, Instrumentation & Communication - Transmission lines - Railway projects - Developmental projects (BOT, BOOT, BOLT, BOOST, BOO…) - Bridges - Building Products - Property Development DISCIPLINES - Civil - Mechanical - Electrical & Instrumentation - Integrated (any combination of the above) - Plant & Machinary - Transport of Materials, P&M, Personnel CIVIL Ground Engineering - Survey - Soil Investigation - Site Leveling - Excavation & shoring, Blasting - Anti Termite Treatment - Waterproofing work - Piling work - Diaphragm wall - Drilling/Grouting/Anchoring - Well sinking - Caissons - Dewatering - Ground Improvement - Tunneling - Dams, dykes, reservoirs and canals - Dredging (group skill) Sub skills Concrete, formwork & reinforcement works - Formwork - Reinforcement, embedment & inserts - Concreting - Pre-stressing work - Pre-casting work - Guniting Masonry/ Plastering & Finishes - Brickwork - Flooring - Plaster, Building Finishes &Painting - False ceiling/ False flooring/Partitions - Stone cladding Doors, Windows & Roofing - Steel Doors & Windows - Aluminum Doors & Windows - Wooden Doors & Windows - Doors & Windows (Other than Steel/Aluminum/Wooden) - Glazing work - Woodwork/Interiors - Glass wall work - Ironmonger - Stainless steel work - Structural Glazing/Al. cladding - Poly-carbonate roof sheeting - Space Frames Roads, runways, railways & marine works - Runways - Marine works - Railway construction - Road works - Mechanized Mining (with blasting license) - Crushing of aggregates with crushers - Asphalt paving - Bases & Sub-bases - Earthwork in embankment - Cross-drainage works - Bridges and Flyovers - Rehabilitation of Bridges - Maintenance of Roads Area development - Horticulture/Landscaping - Miscellaneous area improvement works - Swimming pools - Sports tracks - Tennis/ badminton court - Golf course - Demolition - Restoration work Water supply, plumbing & drainage work Testing for civil works Operation & maintenance MECHANICAL Structural work - Shop fabrication - Site fabrication - Erection & cladding work - Special fabrication work(fabricated technological structure / equipment etc ) - Sand Blasting, painting and galvanizing - Chemical cleaning Building equipment & automation - Kitchen Equipment - Laundry Equipment - Building Automation - Automatic Fire Detection System - Surveillance & security systems - Building Electrical - Lifts / Escalators / Travelletors - Telephone/ Intercom network - Public Address system Equipment & piping - Equipment Erection (stationery & rotary) - Refractory work - Piping fabrication & installation - Cathodic protection - Insulation - Wrapping & coating - Non-Destructive Testing - Post weld Heat Treatment - Re-vamping work Gas piping & equipment - Industrial/ Medical Gases and LPG piping - Medical/ Laboratory Equipment HVAC & related works Fire Fighting & Fire Protection Testing & commissioning O&M of mechanical works ELECTRICAL & INSTRUMENTATION Power distribution - Erection & Commissioning of electrical equipment (Static & Rotary) - DP structures & transformers - Power control Centers & Distribution boards - Power wiring , Underground cabling & Termination - Lighting Power transmission - tower erection and stringing of conductor & earth wire/ OPGW Railway electrification works Instrumentation including Programmable Logic Controllers (PLC) & Distributed Control System (DCS) Telecommunication system - OFC laying/ OPGW stringing Testing & commissioning O&M of electrical works PLANT & MACHINARY Plant & machinery - Hiring - Concreting Eqpt-Major - Concreting Eqpt-Minor - Conveyance Vehicles - Cranes - Earth Moving Eqpt - Haulage Vehicles - Heavy Cranes - Material Handling Eqpt - Minor Eqpt - Office Eqpt - Piling Eqpt-Major - Piling Eqpt-Minor - Pipe Laying Eqpt - Power Generators - Quarry Eqpt - Road Making Eqpt - Slip Form / Prestressing E - Testing & Survey Eqpt - Tower Cranes - Transmission Line Eqpt - Tunneling Eqpt - Utility Eqpt - Welding Eqpt - Workshop Machinery PLANT & MACHINARY – Maintenance, Repair & Overhaul Plant & machinery – Maintenance, Repair & Overhaul - Concreting Eqpt-Major - Concreting Eqpt-Minor - Conveyance Vehicles - Cranes - Earth Moving Eqpt - Haulage Vehicles - Heavy Cranes - Material Handling Eqpt - Minor Eqpt - Office Eqpt - Piling Eqpt-Major - Piling Eqpt-Minor - Pipe Laying Eqpt - Power Generators - Quarry Eqpt - Road Making Eqpt - Slip Form / Prestressing E - Testing & Survey Eqpt - Tower Cranes - Transmission Line Eqpt - Tunneling Eqpt - Utility Eqpt - Welding Eqpt - Workshop Machinery TRANSPORT OF MATERIALS / P&M / PERSONNEL Transport of P&M Transport of Construction Materials Transport of Personnel LIST OF EQUIPMENT Concreting Eqpt-Major Batching Plants Cement Pumps Concrete Placers Concrete Pump Mini Batching Plants Transit Mixers Concreting Eqpt-Minor Block-Making Concrete Flooring & Polishing Mach Concrete Loader Concrete Mixers Concrete Placers Concrete Vibrators Mini Shotcrete machine Tile Saw Weigh Batchers Conveyance Vehicles Ambulance Bus Cars Jeep Motor Cycles Cranes - Crawler Mtd. Cranes Cranes - Tyre Mtd. Hydraulic Cranes Mechanical Cranes Earth Moving Eqpt Backhoe Loader Dozers Excavators Rock Breakers Wheel Loaders Haulage Vehicles Explosive Van Front End Dumpers Tippers Tractors Trucks & Trailers Heavy Cranes Heavy Cranes Material Handling Eqpt Barge EOT / JIB Cranes EOT Cranes Fork Lifts Gantry Cranes Grab Heavy Lifts Hoist & Winches Minor Eqpt Air-Heaters Auger Boat Colcrete Mixer Diesel Pump Fab-Mould/Mach Foam Generators Grinders Lighting Masts Mini Compactors Oil Filter Power Transformers Pumps Rock Splitter Soil Displacement Hammers Stone Polishing Machine Strand Pusher Airconditioning Passenger Lifts Piling Eqpt-Major Diaphragm Walling Eqpt Pile extractor Piling Hammers Piling Rigs Piling Eqpt-Minor Piling Winches Pipe laying Eqpt Bevelling Machine Horizontal Drilling Pay-Welder Pipe Layer Power Generators PG Quarry Eqpt Bar Sizers Blast Hole Drill Conveyors Crushers De-Dusting Unit Feeders Impactors Vibratory Screens Wagon Drill Road Making Eqpt Asphalt Plants Bitumen Sprayers Emulsion Plant Kerb Casters Motor Graders Pavers Pneumatic Rollers Road Rollers Soil Stabilisation Vibratory Rollers Slip Form / Prestressing E Prestressing Slip Form Testing & Survey Eqpt Civil Testing Eqpt Survey Instruments Tower Cranes Tower Cranes Transmission Line Eqpt Bycycle Tensioner TL Compressor TL Puller Trencher Tunneling Eqpt Boltec Boomer Grouting M/c Locomotive Rock Shovel Shotcrete Tunnel Dumpers Wagners Utility Eqpt Air Compressors Boilers Chilling Plant Core Drill Ice Plant Weighing Eqpt Welding Eqpt Welding - Special Welding Generators Welding Rectifiers Welding Transformers Workshop Machinery Bar Bending Bar Cutting Blade Sharpener Chamfering Circular Saw Circular Saw/Planers Concrete Saw Drilling Eqpt Flame Shape Cutting Machine Grinding Hydraulic Press Lathe Lifting Jacks/Track Press Pipe Cutting Machine Pipe Cutting/Threading Machine Planers Plasma/Plastic Cutting Machine Plate Bending Power hacksaw Ramp Sander Machine Saw/Cutter Shapers Torque Wrenches Tube Bending Machine Tyre Changer Washer Wheel Aligner Wire Straightener DOC NO. QUALITY MANAGEMENT LARSEN & TOUBRO LIMITED SCM REGISTRATION - APPLICATION FORM (**Mandatory Data - to be filled in and supporting documents enclosed ) [SCA] Application Sl. No. Date of Application: BRANCH DETAILS S.NO. FIELD DESCRIPTION SIZE (LETTERS) 1 1) Mandatory Data Address * 150 2 3 City * State 25 25 4 Country Zip Code * E-mail * 25 25 9 Preferred Login Name * Valid PAN Number / GIR No. ** Give number if applicable Applied For N.A. (Not Applicable) CST ( If registered ) 10 LST ( If registered ) 50 11 SSI ( If registered ) 50 12 SSI validity from period DATE 13 SSI validity upto period DATE 14 Service Tax Registration No. 50 15 Payment in favour of * 50 16 Bank Name * Bank Address * 50 17 18 MICR / Bank branch Code * 9 19 Account Number * Regional office of ECC where you will submit the hard copies of your application for registration* (HQ-Chennai, Ahmedabad, Bangalore, Chennai, Delhi, Hyderabad, Kolkata, Mumbai, Pithampur, Pondy, Kanchipuram, Overseas ) 2)General Data 50 21 Contact Person 1 50 22 Designation 25 23 Contact Person 2 50 24 Designation 25 25 E-Mail 2 50 26 Phone 8 27 Fax 8 28 Excise Registration ( If avaliable ) Excise Control Code ( If avaliable ) 50 5 6 7 8 20 29 Date INPUT 6 50 10 (Enclose if available) ** ------------- 50 50 50 Authorized Signature & Name of Sub-contractor with Seal