REGISTRATION FORM
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1. Company Profile
a. Company Name
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b. Website URL (if available)
c. E-mail(s) - separated by comma
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d. Headquarter Address
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e. Year of establishment
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Please Select
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2011
2012
2013
2014
2015
f. Specify if Company is Private/Public/Other
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Please Select
Private
Public
Other
2. Partner/Owner/Director details
Name of the Person
Position Held in the Company
Mobile Number
Phone Number
Fax Number
Email Address
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3. Financials Of the Company
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2012-13(INR)
2013-14(INR)
2014-15(INR)
Net Revenue
Cost Of Operations
Interest Payments
Net Profit
Value Of Current Assets
Yearly TurnOver Of the Group
a. Please attach Balance Sheet / Cash Flow Statement / Profit & Loss Statement if available
b. Are you Bank Approved?
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Yes
No
c. If Yes, Please provide name of the Bank(s) and Registration No.
d. Provide the limit of the bank guarantee you can provide to your customers (INR):
e. PAN Card No.
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f. Service Tax Registration No.
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4. Manpower Details
No. of employees
Management Staff
Drivers
Maintenance Staff
5. Vehicle Information
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No. of Self Owned
Planned Increase In Self Owned Vehicles (Next 12 months)
No. of Attached
Name of Key Vendors providing Attached Vehicles
16 MT
21 / 24 / 27 MT
Trailers (specify type of trailer)
9 MT
10 wheeler trucks (multi axle including Taurus)
32ft multi axle (closed body container)
6 MT
Other smaller types of trucks (< 6 MT)
a. Please provide list of owned vehicles along with registration numbers if available
6. Shipment Tracking Methods
Methods Used
Details of methods used to track shipments
Time taken to report position of vehicle using this method back to the client (in hours)
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7. Do you provide customers with management reports like 'on time delivery'?
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Electronically (e.g. Excel Sheet)
Paper
None
Other
8.a Clientele information
Name of the client
Industry of the client
Value of freight (Rs Cr. p.a.)
% of your total business
No. of Trucks per month
Product type
Multi-modal (Specify Mode)
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8.b References (Please Note: 3 references are mandatory)
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Client Name
Name of Point Of contact
Phone No.
Email Id.
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Please attach company presentation / brochure if available
Enter the text as seen in the enclosed box
*
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