SMALL INDUSTRIES SERVICE INSTITUTE
GOVERNMENT OF INDIA
MINISTRY OF SSI
VIKASH SADAN, COLLEGE SQUARE
CUTTACK-753003

SUB-CONTRACTING EXCHANGE REGISTRATION FORM

  1. Name & Address of the Unit :

  2. Tel NoFAX No

  3. Year of Establishment:

  4. Connection: [Power load (HP), GENSET (HP):]

  5. Nature of the Company: [Prop/Partnership/Pvt. Ltd.]:

  6. Name of Proprietor/Partner/Director:

  7. Qualification & total experience of the owner:

  8. *List of equipment/machinery & measuring instrument:

    9. SL Description Make Capacity Accuracy
             
             
             
             
             
             
             
             
             
             
             

  9. Financial Status:

  10. Mode of designing: [Manual/ CAD]

  11. No. of working shifts

  12. Employees

    13. SL Skilled Unskilled Quality Control
           
           
           

  13. Nature of Activity: [Jobbing/Manufacturing]

  14. Items manufactured with specification:

  15. List of valued Customers:

  16. *Registration with Government Agencies: [DIC/NSIC/Excise/Others]

  17. Alternative arrangement in case of machinery/power failutre

  18. Total Exports

    19.   Exports Quantity Amount
    Direct      
    Indirect      
    Countries where exported      

  19. *Any Quality Standard obtained/being used:

    20. ISI Mark
    ISO-9001
    Any Other

  20. *Details of spare capacity available:

  21. Any entrepreneurship award received:

  22. Any other information:

(Signature of the Proprietor)

N.B.

* marked information are very important, attach separate sheet where ever required.

Filled in registration form should be submitted at SISI, Cuttack by enclosing Rs.100/- in cash or in the form of Demand Draft payable to Director, SISI, Cuttack.