RECEIPT NO.: INDIAN RAILWAY CATERING AND TOURISM CORPORATION LTD. (A Govt. of India Enterprise) 11th FLOOR, B-148, Statesman House BUILDING Barakhamba Road NEW DELHI 110 001 Tel:-011-23311263-64 www.irctc.com NEW SUPPLIER REGISTRATION FORM (SRF) PAD ITEMS (Revised 2018) (Cost Rs. 1125/- non refundable, Free to MSEs registered with NSIC) M/s
INSTRUCTIONS 1. This Form may be obtained, by hand on payment of Rs 1125/-. If this form is downloaded from www.irctc.com, it must be sent to this office with a Demand Draft of Rs 1125/-, apart from the EMD. All Demand Drafts are to be in the favour of Indian Railway Catering and Tourism Corporation Ltd. Payable at New Delhi. 2. In the space given on the top of the form, indicate the brand and product for which empanelment is sought. Each form is valid for one product (as mentioned in SRF) only. 3. Application not accompanied with Earnest Money Deposit (EMD) will summarily be rejected. 4. This form is available free and EMD is waived, for MSE Units registered with NSIC. 5. Information desired in all fields are essential, applicants must comply with the corresponding query. If the space provided is not sufficient the applicant may attach extra sheet(s). Applicants should fill all fields, if the field is not applicable write Not Applicable. 6. All the details must be given along with required supporting documents. All supporting documents must be self attested. However Affidavit must be self attested. 7. Please enclose attested English translation, by authorized translator, of all documents in regional language. 8. IRCTC reserves the right to reject any application at any point of time without assigning any reason. 9. IRCTC s decision on empanelment of applicants shall be final and binding. 10. The empanelment will normally be valid for one year with provision of further extension every year depending on the performance of the registered firm. 11. The EMD of the short listed suppliers will be treated as Standing Earnest Money Deposit (SEMD) and will remain with IRCTC till the validity of the empanelment. SEMD amount is refundable without interest. 12. Firms registered in each segment in Category A will only be nominated to Category A Special based on their performance in Zones. Only Category A Special items may be served in Premium Trains i.e. Rajdhanis, Shatabdis & Durontos. 13. Firms would be categorized in Category A or Category B according to their turnover. MSE firms registered with NSIC are exempted from turnover eligibility criteria. 14. IRCTC reserves right to inspect the production facilities, as and when it deems necessary. 15. Submission of application for empanelment under relevant segments is open throughout the year. ----------------- IRCTC- SRF (PAD) Revised 2018 2 of 14
Application Form for Brand(s) of (product) for bringing them on shortlisted/ approved list for Category (A or B). (Note: Please refer to the Eligibility Criteria on page no. 9-10) Earnest Money Deposit- Refundable (in favor of Indian Railway Catering and Tourism Corporation Ltd. payable at New Delhi, drawn from a scheduled bank) (For details refer to Annexures for details) D.D.No. Bank Amount Date Sr. No. 1 Particulars Name of Brand(s) (Enclose copy of registration certificate of the brand. Additional representation will not be considered for empanelment) Details Encl No. 2 Name of Product(s) Office: 3 Name and full address of the Manufacturer of the brand With telephone & Fax Number (Use extra sheet if required) Plant/ Factory 4 Status of applicant - Proprietorship/ Partnership / Private Company / Public Limited Company/ Cooperative/SSI. (Copy of the Incorporation Certificate, Partnership deed, Memorandum of articles & Articles of Association etc. to be enclosed.) IRCTC- SRF (PAD) Revised 2018 3 of 14
Sr. No. Particulars Details Encl No. 5 Applicant s Turn Over per Annum, for the last two completed financial years- As per Annexure-1 (Enclose audited report with Balance sheet & P&L Account, duly audited by a CA or enclose a published report) Financial year I (2016-2017) Financial year II (2017-2018) 6 Applicant s Turn Over per Annum from sale of the brand(s) of specific item for which Short-listing is sought, for the last two completed financial years as specified in Annexure-1 (Enclose a certificate from a Chartered Accountant, specifying turnover from brand(s) in format as per Annexure -II) Financial year I (2016-2017) Financial year II (2017-2018) 7 Valid license issued by Competent Authority Health License/FSSAI etc. (Enclose attested copy of the license) 8 Test report from a Govt. approved / NABL Accredited Laboratory, not older than 3 months old, certifying that the product confirms to specifications and standards as per FSSAI norms. (Copy of Test reports as per FSSAI parameters, for all brands and variety to be submitted). 9 Details of national/ regional distribution network (List of Locations where distribution network available)as per Annexure III Documents to be submitted by MSE Units registered with NSIC 10 i) Certificates issued by NSIC for registration as MSE Unit, to manufacture the F & B item. (Enclose attested copy of registration). ii) Copy of Udyog Aadhar Memorandum(UAM) ii) If NSIC registered, then also state whether belong to SC/ST category. Yes/No IRCTC- SRF (PAD) Revised 2018 4 of 14
Sr. No. Particulars Details Encl No. 11 Details of the testing facilities available in the factory/ plant.(please specify in-house/outsourced facilities as per Annexure-IV.) 12 Permanent Account Number (PAN) (Enclose attested copy of the certificate) 13 GSTIN registration nos. (Enclose copy of the Registration certificate) 14 Affidavit of the applicant that the party has not been banned/ black listed by IRCTC or Zonal Railways or Ministry of Railways. (To be submitted in original on Rs. 100/- non judicial stamp paper, duly notarized as per Annexure- V.) Specification of the product(s) (Attach extra sheet if required) Sr. Flavor Color Weight Unit packing size Packing size for supply Other information 15 16 Details of Supplies made during the last Two Years (Exempted to one year for MSE firms registered with NSIC). (Enclose self attested latest minimum of 2 copies of purchase orders/invoice for each year) VERIFICATION 1. I/We solemnly declare that to the best of my/our knowledge and belief, the information given in this application form and the annexures and statements accompanying it are correct, complete and truly stated and also that we shall be found by the acts of my/our duly constituted attorney. 2. I/We understand that, in case the brand is not empanelled due to some reasons. However the EMD amount deposited shall be returned to the party without any interest. IRCTC- SRF (PAD) Revised 2018 5 of 14
3. It is certified that this is not a tender form but a review for empanelment of brands of items for bringing them on approved list for further process of calling tenders/quotation for procurement/ supply. The following person(s) may be contacted for any information or clarifications relating to this Registration Form: Name: Designation: Telephone: Mobile: Dated: (Signature of the Applicant) SEAL Address: IRCTC- SRF (PAD) Revised 2018 6 of 14
Annexure I Eligibility Criteria of PAD Items for Category A and Category B i. The firm should have requisite turnover, as given below, from sale of Food & Beverage items and from the sale of brand of specific item for which Short-listing is sought, for the last two completed financial years: No. Segment Catg. Turn Over per annum from Sale of F & B Items Turnover from the sale of the Brand of specific item EMD to be submitted as per application 1 Ice Cream Frozen Dessert A B Rs. 20.00 Crore Rs. 05.00 Crore Rs. 05.00 Crore Rs. 01.25 Crore Rs. 05.00 Lakh Rs. 1.25 Lakh Aerated Drinks Biscuits Preferably as per IS 1011:2002 standards A Rs. 20.00 Crore Rs. 05.00 Crore Rs. 02.00 Lakh 2 Confectionery items Preferably as per IS 1008:2004 standards Tetra packed/ Glass/PET Bottles Fruit Juice Tetra packed/pet Bottles Fruit Drinks Milk Products: Flavoured Milk Curd/Yogurt Lassi/Butter Milk Processed Cheese etc. B Rs. 05.00 Crore Rs. 01.25 Crore Rs. 40,000/- 3 Bakery Products Chips Preferably as per IS 15271:2003 standards A Rs. 05.00 Crore Rs. 01.25 Crore Rs. 01.00 Lakh IRCTC- SRF (PAD) Revised 2018 7 of 14
Namkeen Tea Bulk Pack in packets & Tea Bags Preferably as per IS 3611:2000 standards Tomato Ketchup- Bottle/ Sachet-1 Kg Pack & 12-15 gm sachets Preferably as per IS 3882:1966 standards Coffee Powder in sachets Preferably as per IS 3309:1992 standards Tea Premix Coffee Premix (including Coffee Beans) B Rs. 01.25 Crore Rs. 30.00 Lakh Rs. 25,000/- Soup Premix 4 Blister Pack-Pickle Preferably as per IS 3501:1966 standards Blister Pack-Jam Preferably as per IS 5861:1993 standards Sachet- Dairy Creamer Must comply with IS 1165:2002 standards Sachet- Sugar Preferably as per IS 1151:2003 standard A Rs. 02.00 Crore Rs. 50.00 Lakh Rs. 50,000/- B Rs. 50.00 lakh Rs. 12.50 lakh Rs. 15,000/- Nimbu Pani in Tetra pack/pet/pp Bottles 5 1.. 2. Must be packed and each pack should be suitably marked name of material, Batch no, Code no, Date of packing, Best before date & Net weight. 3. Should be free from any organ chlorine compounds. A B Rs. 1.00 Crore Rs. 1.00 Crore Rs. 1.00 Lakh Rs.50 Lakhs Rs.50 Lakhs Rs.25,000/- IRCTC- SRF (PAD) Revised 2018 8 of 14
6 Packed Coconut Water in Tetra Pack/PET/PP Bottles 1. 2. Must be packed and each pack should be suitably marked name of material, Batch no, Code no, Date of packing, Best before date & Net weight. B A Rs. 1.00 Crore Rs. 50 Lakhs Rs. 1.00 Lakh Rs.50 Lakhs Rs.25 Lakhs Rs.25,000/- 7 Butter In Blister Pack Rs 02 Crores Rs 50 Lakhs A B Rs 50 Lakhs Rs 12.50Lakhs Rs 50,000/- Rs 15,000/- 8 Cornflakes and other breakfast cereals Rs 02 Crores Rs 1 Crore A Rs 1 Lakh B Rs 50Lakhs Rs 12.50 Lakhs Rs 15,000/- 9 Energy Drinks Enhanced Water A Rs 20Crores Rs 5 Crores Rs 2 Lakhs Rs 5 Crores Rs 1.25 Crores B Rs 40,000/- 10 Popcorn 1.. 2. Must be packed and each pack should be suitably marked name of material, Batch no, Code no, Date of packing, Best before date & Net weight. 3. All corns packed must be fully puffed up. A B Rs 25 Lakhs Rs 25 Lakhs Rs 1 Lakh Rs 12.50 Lakhs Rs 12.50 Lakhs Rs 25,000/- 11 Sealed Packed Fresh Food 1.The fresh food should be ready to consume. 2.Should have shelf life not less then 24 Hours at normal room conditions. 3. Should not use Retort technology or Dehydrated technology for preserving food. 4. Must be packed and each pack should be suitably marked name of material, Batch no, Code no, Date of packing, Best before date & Net weight. A Rs 1Crore Rs 1Crore Rs 1Lakh B Rs 25 Lakhs Rs 25 Lakhs Rs 25,000/- i. MSE units registered with NSIC are exempted from the following: a. Cost of Supplier Registration Form (SRF) b. Submission of Earnest Money Deposit (EMD) c. Turnover eligibility criteria IRCTC- SRF (PAD) Revised 2018 9 of 14
d. Relaxation in experience of manufacturing/supplying the item. ii. iii. iv. The Company/ firm should be registered for manufacturing and selling similar products in India. The company/ firm should posses at least 2 years experience, of manufacturing the product in India. However MSE firms may be considered with a minimum one year experience also. The Company/ firm should posses valid license (Health License/FPO/ PFA/ ISI/FSSAI etc.) issued by Competent Government Authority. v. The Brand, for which empanelment is sought, should be registered. Additional Representation will not be considered for empanelment. vi. The Company/ Firm should enclose copy of all relevant documents, in support of requisite information in SRF, along with balance sheet and P&L account of last two completed financial years (2015-16 & 2016-17) Category A: The suppliers empanelled in this Category are eligible for supplying to all IRCTC departmentally/licensee operated Static and Mobile Catering units over IRCTC network, except Trains like Rajdhani, Shatabdi & Duronto Trains. Category B: The suppliers empanelled in this Category are eligible to supply their shortlisted brand only at a particular Railway station mentioned in their letter of empanelment. These suppliers are eligible to supply only to IRCTC departmental/ Licensee static units of IRCTC up to the limit of 10% of the total requirement. Category B suppliers are not eligible to supply in Mobile operated units. Send your application on the following address: Group General Manager (P&Q) Indian Railway Catering and Tourism Corporation Ltd. 11th FLOOR, Statesman House Building Barakhamba Road NEW DELHI 110 001 Tel:-011-23701145 Tel:-011-23311263-64, Fax:-011-23311259 www.irctc.com IRCTC- SRF (PAD) Revised 2018 10 of 14
Annexure II Brands Turnover Certificate (Certified by Chartered Accountant in Original on their Letter head) This is certify that we have verified the books of accounts of M/s.(Firm s Name) for.. (Brand of Product) and certify the following facts and figures relating to.(product Category) located at.. (Firm s Address). Sales Turnover from. (Brand of Product) in..(product category) S. No Financial Year Amount(Rs) 1. 2016-17 2. 2017-18 Chartered Accountant Name & Stamp IRCTC- SRF (PAD) Revised 2018 11 of 14
Annexure III DETAILS OF DISTRIBUTION NETWORK OF FIRM (To be submitted on the firms letter head) Please tick in the box where distributor network of the firm is available. 1. NORTH ZONE 1.1 New Delhi = 1.2 CHANDIGARH = 1.3 LUCKNOW = 1.4 JAIPUR = (Please mentioned if any other city). 2. EAST ZONE 2.1 KOLKATA = 2.2 HOWRAH = 2.3 BHUBANESHWAR = 2.4 PATNA = 2.5 GUWAHATI = (Please mentioned if any other city) 3. WEST ZONE 3.1 MUMBAI = 3.2 BHOPAL = 3.3 AHMEDABAD = (Please mentioned if any other city). 4. SOUTH ZONE 4.1 CHENNAI = 4.2 ERNAKULAM = 4.3 BANGLORE = (Please mentioned if any other city). 5. SOUTH CENTRAL ZONE 5.1 SECUNDERABAD = (Please mentioned if any other city) (Signature of authorized person with company seal) IRCTC- SRF (PAD) Revised 2018 12 of 14
Annexure IV (To be submitted on the firms letter head) It is submitted that we have/do not have an Inhouse Lab for testing of various raw materials and finished products. Details of Testing Facilities: In House Facilities-(Name of Tests) 1) 2) 3) 4) 5) Out sourced Facilities-(Name of Tests) 1) 2) 3) 4) 5) (Signature of authorized person with firms seal) IRCTC- SRF (PAD) Revised 2018 13 of 14
Annexure V (To be submitted on a Non Judicial Stamp paper of Rs 100/-, duly notarized.) AFFIDAVIT I. (address.. ), do hereby solemnly affirm and state as follows. I am authorized signatory of M/s address.. It is hereby affirmed that the (Name of company or its products) is not a banned/black listed by IRCTC or Zonal Railways or Ministry of Railways. The above stated facts are true and correct to the best of my knowledge and belief. Place: Date: Deponent Attestation: The deponent herein sworn and signed before me, after admitting that the above facts are true and correct to the best of his/her knowledge, belief and information. Place: Date: Attester-Notary IRCTC- SRF (PAD) Revised 2018 14 of 14