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1 ( On Firm s Letterhead) BIO-DATA FOR EMPANELMENT AS STOCK AUDITORS No. Date : State Bank of India, CCO Department, New Delhi LHO. We hereby apply for empanelment as STOCK AUDITORS and furnish hereunder the requisite Bio-Data/ information/ documents. 1 Name of the Firm/Company 2 Constitution 3. Date Established 3 Registered/ Communication Address of the Firm/ Company 4(i) (ii) (iii) Contact Phone with STD Code Mobile No. Address 5 PAN No/ TIN No. 6 Nature of Present Activity of the Firm/ Company & since when 7. Revenue & Net Profit during the last 3 years
2 8 (i) Names, Educational/Professional Qualification (ii) Income,Phone No. & Addresses of Prop/Partners/Directors 9 Particulars of Registration/ Affiliation with the Institute of CA/Architects/Valuers/Engineers,IT/ Wealth Tax Authorities (CBDT), RBI,any other Organization, as CA/Architect/Valuer/Auditor/Stock Auditor/NBFC/Auctioneer/Mgt Consultants. 10 Details of Present Set-up/ Infrastructure Available to deal with Stock Audit work. 11 Particulars of empanelment with other Banks/ Financial institutions 12 Past Experience in Audit/Stock Audit (with names of clients,nature of tasks handled and results achieved). 13 Furnish details if the firm has been depanelled by any Bank/Organization in the past. Note : Please attach self-attested photographs and photocopies of proofs relating to : a) graphs of the Prop/ All Partners/ All directors. b) Identity & addresses of the Prop/Partners/Directors and the firm. c) Partnership deed/ memo & articles of association of Company d) Qualifications & experience of the Prop/ Partners/ Directors e) PAN/ TIN Card f) I.T. Returns (last 3 years) g) Empanelment with other Banks/ Institutions.
3 h) Registration/ Affiliation with the Institute of CA/Engineers, IT/Wealth Tax Authorities (CBDT),RBI,any other Organization, as CA/Engineers/Auditor/Stock Auditor/NBFC. We solemnly declare that the information furnished above is complete and entirely true, and nothing has been concealed. We affirm that terms & conditions of State Bank of India relating to empanelment of STOCK AUDITORS are acceptable to us. For & On Behalf of Firm : (Signatures) (Signatures) (Signatures) Name & Designation Name & Designation Name & Designation (Signatures) (Signatures) (Signatures) Name & Designation Name & Designation Name & Designation (All Partners/ Directors to subscribe their Signatures.) Encls :
4 TERMS & CONDITIONS A PURPOSE: 1. State Bank of India, Delhi Circle is maintaining a panel of Valuers in which the names of firms found suitable are included. This Panel serves the general purpose of suggesting the name(s) of suitable firms/ persons to intending branches for their selection of Valuers. 2. It should how ever, be noted that the reports prepared by Valuers may not be considered binding on the Bank for any decision making or otherwise. 3. The Bank can depanel any name at its sole discretion even before the next renewal without assigning any reason or intimation to the Valuer. 4. Payment of charges / fee structure may differ for different assignments and shall be advised at the time of allocation of work. The Bank also reserves the right to change the payment structure from time to time without intimation. B. INSTRUCTIONS: 1. The names and addresses of the clients and particulars of assignments completed / undertaken for them should be clearly mentioned. This will be treated by the bank as confidential. 2. The Bank desires that the Valuers on its panel should not use name of the Bank on their stationery / letter heads or use the Bank s name for obtaining new assignments. Contravention of its condition might lead to the firm s name being delisted from the panel. 3. The consultant firm should treat all information that it may derive from the Bank or its client while on an assignment as strictly confidential and should not on any account divulge such information to outsiders. 4. The decision of the Bank to place a firm on its panel will be final and no correspondence will be entertained where the Bank decided not to choose a name for the panel. C ENCLOSURES:: Self attested photocopies of the following: 1. Address proof 2. Permanent Account Number (PAN). 3. Latest Income tax Returns. 4. Institution of Valuers membership Certificate. 5. Approval letter from CBDT Revenue Authorities.
5 6. Proof of work experience (Signatures of Applicants)
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