GM (DSM) BESCOM APPLICATION FORM FOR EMPANELMENT OF GRID-TIED INVERTER MANUFACTURERS COMPANY DETAILS 1 Name of the Company 2 Brand Name of the Product Address of the Company with Telephone/ Fax 3 No., Email id Name of the authorized representative at the 4 company with address, contact no. and email id 2011-12 2012-13 2013-14 5 Turnover of the company for past 3 years duly certified by auditor Excise, CST/VAT Registration numbers of the 6 company Rating Agency 7 Grading of the Company by Rating Agencies PRODUCT DETAILS Place Country Name of the place & country of 7 manufacturing unit Product range(capacity wise) offered for 8 empanelment (Shall be supported by test certificates as stated in Annexture-I) SERVICE DETAILS Service centers maintained in Bangalore, Mysore, Mangalore, Hubli, Gulbarga in 9 Karnataka state with address of the service centers maintained with the name of the contact person, Mobile No. & E-Mail id. Vendor fees Paid Details Amount Paid 11 DD No. & Date Name of the Bank & Branch Name & Signature of Authorized person
GM (DSM) BESCOM APPLICATION FORM FOR EMPANELMENT OF GRID-TIED INVERTER MANUFACTURERS COMPANY DETAILS 1 Name of the Company 2 Brand Name of the Product 3 Address of the Company with Telephone/ Fax No., Email id 4 Name of the authorized representative at the company with address, contact no. and email id 5 Turnover of the company for past 3 years duly certified by auditor 2011-12 2012-13 2013-14 6 Excise, CST/VAT Registration numbers of the company 7 Grading of the Company by Rating Agencies Rating Agency PRODUCT DETAILS 7 Name of the place & country of manufacturing unit Place Country 8 Product range(capacity wise) offered for empanelment (Shall be supported by test certificates as stated in Annexture-I) SERVICE DETAILS 9 Service centers maintained in Bangalore, Mysore, Mangalore, Hubli, Gulbarga in Karnataka state with address of the service centers maintained with the name of the contact person, Mobile No. & E-Mail id. 11 Vendor fees Paid Details Amount Paid DD No. & Date Name of the Bank & Branch Name & Signature of Authorized person
updated-EOI-inverters-17.4.2015.docx