Part A1: General presentation of the company

1. Relevant Data:

1. a. Corporate name:
2. b. Regd. Address (In Full):
3. c. Telephone:
4.     Telefax:
5.     E-mail:
6. d. Persons to be contacted:
7.     Name:
8.     Designation:
9.     Telephone / Mobile No:
10.     E-mail:
11. e. Responsible persons in the company:

Designation	Name	Phone No	Email
General Manager
Sales Manager
QA Manager
Production Manager
Finance Manager

12. f. Full list of establishments (Head office, subsidiaries, works, factories of group): :

2. Legal status / financial information / foundation of the company:

1. a. Legal Status: Government / Public Ltd. Co / Pvt. Ltd Co / Partnership / proprietorship.
2. b. Capital:
3. c. Net Worth:
4. d. Shareholding pattern in case of company?

Name	Share Holders %

5. e. Year of incorporation of the company?
6. f. Name of parent company if any:
7. g. Do you have any technical collaboration?
8. If yes, give details:
9. f. Is KSB MIL already a customer of your company?
10. YES / No

1. i. Financial statement results of the last 3 years:

2. Year	2021-2022	2021-2023	2023-2024	Fore cast
   Turnover In Rupees (Mio)
   Profit After Tax
   % of exports
   Addition to P&M

3. j. Factory Registration: (Attach copies of certificates)
4. - Factory Act: Regn No:
5. - Tax Details (Attach copies of GST certificate and PAN card)
6. GST

   Regn No

   PAN No:

   GST jurisdiction Address:

   MSMED

   Regn No

   MSMED Category:

   IEC
7. - Bank Details: (Attach EFT Form Endorsed by Bank)
8. Name of Bank :

   Branch :

   Account No :

   Type :

   Address :

   MICR No :

   IFSC Code :

3. Number of employees / surface area of works:

1. a. Total No. of employees of the company in the last 3 years:

Year	2021-2022	2021-2023	2023-2024	Fore cast
Administration / Sales
Engineering/Design
Production
Quality assurance / Inspection

2. b. Total surface area of the works in m²
3. Total:

   Production:

   Offices:

4. Approvals / Qualification / Reference of the company:

(Attach Certificate copy)

1. a.

	Yes / No	Valid until:	By:
ISO 9001:
ISO 14001:
ISO 45001:
PED:
IBR:
ASME:
Other

2. b. Third party / product approval (Like NPC, TUV, LLOYDS, EIL etc.)

5. Activities / Production:

(Indicate for each, the percentage in comparison with your turnover. For example: Forgings, castings, machining, assembly, painting etc.)

Activity/Production	%

6. Plant Capacity:

Current utilization of Capacity (%):

7. Type of parts / products you are specialized in:

8. List of major customers (10 nos):

SL No	Customer Name	Annual Sales Rs
1
2
3
4
5
6
7
8
9
10

Do you have business relation with any KSB group companies?

If so, give details:

1. Name:
2. Designation:
3. Signature:
4. Date: