scm registration - application form

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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
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