SUPPLIER EVALUATION CUM REGISTRATION FORM

I II III PRODUCT FOR APPROVAL NAME OF THE SUPPLIER MANUFACTURING PLANT ADDRESS Sheet metal fabrication components Console Componenets (India) Pvt.Ltd. 88/89, New G.I.D.C, (52 Hector Expan Area), Behind Petrol Pump, Station Road, Umergam-396171 (Gujrat)

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TELEPHONE NO. FAX NO. EMAIL CONTACT PERSON & DESIGNATION YEAR OF ESTABLISHMENT

099-74096236/237,0260-2563428 0260-2563428 Console Umergaom@rediffmail.com Mr. P.K., Kulkarni Technical Director 2006 35/36, Lk Arcade,Marol Naka, Sir M.V. Road, Andheri (East), Mumbai-400059.

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OFFICE ADDRESS TELEPHONE NO. FAX NO. EMAIL CONTACT PERSON & DESIGNATION AREA OF WORKSHOP/FACTORY COVERED UNCOVERED NO. OF PERSONS EMPLOYED TECHNICAL NON TECHNICAL ADMINISTRATIVE BUSINESS HOURS & WEEKLY HOLIDAY EXCISE DETAILS SALES TAX NO. WORK CONTRACT TAX / PAN NO.

(022)32946173/28360843/28366520 28360939 llequip@eth.net, llhomumbai@gmail.com. Vishwesh Rajguru-Sr. Manager (Sales& Marketing) 21,500 Sq.ft 15,820 Sq. Ft. 5680 Sq.Ft. 28 Person 15 Person 3 Persons 10 PERSONS 8:30 Am to 6:30 Pm. (Monday) AACCC4754-CXM001-Registration No. CST# 24750502169 w.E.F. 31-05-2007 VAT#24250502169 W.EF-31-05-07 AACCC4754C

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1)APLAB LTD.-THANE / DIGHA, 2)ACCORD ELECTRONICS-VASAI. LIST OF YOUR REPUTED CUSTOMERS 3)INTEL INSTRUMENTS-SEEPZ FOR THE PRODUCTS TO BE SUPPLIED 4)SMART POWER SYSTEMS-USA (BALTI MORE). TO APL 5)GODREJ & BOYCES LTD-VIKROLI 6)RAYCHEM RPG LTD.- RABALE (THANE)

(ATTACH SHEETS WHEREVER NECESSARY) PURC-408-REV 1

QUALITY RECORD PURC 806

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SUPPLIER EVALUATION CUM REGISTRATION FORM

XIII LIST OF MACHINERY INSTALLED SR. NO. 1 2 3 4 5 6 7 8 9 10 MACHINE DESCRIPTION FINN POWER MAKE TP-2625 TURRET PUNCH CNS PRESS BREAK 3.1 METER NC PRESS BREAK 2.5 METRE 450HONG-KONG SHARING MACHINE ARGON WELDING MACHINE CO2 WELDING MACHINE POWER PRESS 30 TONES SHEET POLISHING MACHINE GRIND MASTER AIR COMPRESSOR RIVETING / TAPPING MACHINE S MAKE FINN POWER MADE IN FINNLAND EHT-GERMANY YSD-HONGKONG MODEL TP-2625 YEAR OF INSTALL ATION 2006 2006 2006 2007 2007 2006 2006 2006 2006 2006 QTY. ONE ONE ONE ONE ONE ONE ONE ONE ONE ONE

XIV LIST OF MEASURING INSTRUMENTS SR. NO. 1 2 3 4 5 6 7 INSTRUMENT DESCRIPTION MULTI METER CONTINUTY TESTER VERNIER CALLIPER MESSUREMENT TAPES TONG TESTER CLAMP ON METER BENCH GRINDER FEDO MAKE MECO MODEL CALIBRATION STATUS QTY.

YES THREE YES YES YES YES YES TWO THREE FOUR ONE ONE

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ANY OTHER USEFUL INFORMATION

We are info commercial kitchen manufacturing stainless steel since from 1977. we are one of top companies in India.

XVI SIGNATURE & DATE

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QUALITY RECORD PURC 806

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SUPPLIER EVALUATION CUM REGISTRATION FORM

FOR BOUGHT OUT ITEMS XVII XVIII XIX XX XXI VALID DEALERSHIP CERTIFICATE PRICE LIST PRODUCT CATALOGUE ISO 9000 CERTIFIED, IF YES CERTIFICATE COPY TEST CERTIFICATE FORMAT ENCLOSED / NOT ENCLOSED / NOT APPLICABLE ENCLOSED / NOT ENCLOSED / NOT APPLICABLE ENCLOSED / NOT ENCLOSED / NOT APPLICABLE ENCLOSED / NOT ENCLOSED / NOT APPLICABLE ENCLOSED / NOT ENCLOSED / NOT APPLICABLE

TO BE FILLED BY APL PERSONNEL

XXII

VISIT REPORT SUMMARY

XXIII

REMARKS / COMMENTS

XXIV

DECISION

APPROVED / PROVISIONALLY APPROVED / NOT APPROVED

INCHARGE - PURCHASE

INCHARGE - Q.A.

(ATTACH SHEETS WHEREVER NECESSARY) PURC-408-REV 1

QUALITY RECORD PURC 806

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