RESERVE BANK OF INDIA HUMAN RESOURCE MANAGEMENT DEPARTMENT BAKERY JUNCTION, THIRUVANANTHAPURAM-695 033 Application format for empanelment for suppliers/printers Panel year 2018-2021 Applying for (tick appropriate): 1. Office Stationery including Rubber Stamps Suppliers 2. Printers of Forms, Registers, Envelopes etc. (Note: Please make separate applications on your official letterhead or plain paper with seal/sign on; all pages along with all necessary documents. If you are applying for more than one category, please duplicate or triplicate your application with all necessary documents, and tick only ONE category in each of them.) 1. Registered Name of Firm (in BOLD) 2. Type of Firm (Individual, proprietorship, partnership etc.) 3. Name and Address of the Owner/Proprietor/Partner/Director (attach any approved Govt. ID proof like PAN, Voter ID, Aadhar etc. for the names mentioned.) 4. 4. Registration details (attach Xerox copy of certificate that should clearly mention Registration Authority, Number, Date and validity, write NOT APPLICABLE in case of Sole Proprietorship): 5. GST Registration Certificate: (MANDATORY for even Sole Proprietorship):- 6. Registered Office Postal Address (Including Phone No./Mobile, Fax, Email etc.) 7. Complete Office postal Address (Including Phone No./Mobile, Fax, Email etc.) through which work for RBI Thiruvananthapuram will be handled. 8. Total Experience in undertaking; similar supplies to other firms (mention only relevant experience in years/months):- 9. Turnover during the last 3 years. (with document evidence):- 10. Whether financially sound to undertake supplies to RBI, Thiruvananthapuram (attach Banker s Certificate in format as per Annex 1) 11. Whether supplying to any of the government/semi government/undertaking/s or any other major institution (If yes, please furnish complete name and address
of the institution/s with Contact Person Name and his/her contact details like address, phone/mobile email etc.) 12. Any pending court case/s against the firm (pertaining to any of the orders executed, give necessary details):- Declaration: The above content is true and best of my knowledge. Signature of the Authorised Person NAME Designation Date Seal of the firm Enclosures:- MANDATORY DOCUMENTS REQUIRED your Application: 1. Copy of the certificate of incorporation (in case of companies registered under the Companies Act, 1956)/Registration Certificate (in case of partnership firms and proprietory concerns) 2. Copy of Memorandum and Articles of Association (in case of companies registered under the Companies Act, 1956)/Partnership Deed (in case of partnership firms) 3. Income Tax Clearance Certificate (MANDATORY even in case of Sole Proprietorship) 4. Documentary Evidence (Like supply / Purchase Orders /Delivery Challans) for supply made to organisations to support your experience details. 5. GST registration certificate copy. (If the space is insufficient for furnishing full details, such information may be supplemented on a separate sheet of paper duly signed.)
RESERVE BANK OF INDIA HUMAN RESOURCE MANAGEMENT DEPARTMENT BAKERY JUNCTION, THIRUVANANTHAPURAM-695 033 Terms and conditions for empanelment for suppliers/printers Panel year 2018-2021 1. Intending application will have to satisfy the bank with documentary evidence to support their claim for possessing required eligibility. In event of their failure to do so, the Bank reserves the right to refuse to consider their application. 2. The Suppliers/Printers should have complete information on the delivery persons engaged by them and ensure that only persons having a clean police record are deployed for RBI duty.) 3. The Suppliers/Printers shall be responsible for and make good any loss or damage, caused by any act or default, on their part or on the part of their employees/agents to the Bank s property. 4. Bills for supplies made shall have to be submitted on a fortnightly basis and subject to the correctness of the bill, payment will be generally made within a week s time. 5. The arrangements with the suppliers/printers shall stand terminated in the case of their insolvency or them entering into any arrangement/compensation with their creditors. 6. The Suppliers/Printers shall be responsible for, and made good any loss or damage, caused by any act or default, on their part on the part of their employees/agents to the Bank s property. 7. The Bank reserves the right to avail of the services of one or more Suppliers/Printers for the same item of supply. 8. In the event of Poor/Deficient service, the Bank reserves the right to terminate forthwith the arrangement with the Supplier/Printers. 9. The Application Form (in prescribed format) shall be signed by a person, behalf of the organisation, who is duly authorised to do so.
10. If the space in the application form is insufficient for furnishing full details, such information may be supplemented on a separate sheet of paper, on behalf of the organisation, who is duly authorised to do so. 11. Timeliness should be maintained, in terms of delivery of Stationery/Printing/computer consumables. If found late/delay in delivery, the Bank reserve the right to terminate them from empanelled list. 12. Application containing false or inadequate information is liable for rejection. 13. The Bank reserves the right to accept any or reject any or all the application without assigning any reason. The above terms and conditions are considered during selection of empanelment. Signature of the Authorised Person NAME - Designation - Date - Seal of the firm -
The Regional Director Reserve Bank of India Thiruvananthapuram. Banker s Certificate Banker s Certificate from a Scheduled Bank Annex I This is to certify that to the best of our knowledge and information M/s./Shri/Smt having the noted address.a customer of our bank are/is respectable and can be treated as good for any engagement upto a limit of Rs.. The details of the account maintained by him/her/them are: Name of the Account Holder: Account Type Account Number: Bank Name: Branch Address: MICR Code: IFSC Code: The certificate is issued without any guarantee or responsibility on the Bank of any of the officers. For the bank (Signature with Seal) Date: Name: Designation Note: 1. Banker s Certificate should be on the letterhead of the bank, sealed in cover and addressed the empanelment authority, in this case, Regional Director, Reserve Bank of India, Thiruvananthapuram. 2. In case of partnership form, certificate in include names of all partners as recorded with the Bank.