Name of the Organization *
Address *
Street 1
Street 2
City
Pincode
Phone *
Fax
Email *
Name of contact person *
Type of supplier *	--Select-- Manufacturer Service Provider Logistics Service Provider Dealer EPC Supplier
Details of the items/services provided *
Turnover during last 3 year	Year Turnover
Years of establishment *
Quality Assurance Certificate *
ISO 9001 *	Yes   No
ISO 14001 *	Yes   No
OHSAS 18001 *	Yes   No
Others	Yes  No
Have dealt with MALCO before *	Yes   No
Name of the Promoter/Director *
Legal Entity Document(if any) *
Articles	Yes  No
Memorandum of understanding	Yes  No
Partnership deed	Yes   No
ESI/PF	Yes  No
CST/VAT/EXCISE/REG NO	Yes  No
Specify your ESI Code. (Applicable if your workers will be working inside our plant) *	--Not Applicable-- YES NO
Specify your PF Code. (Applicable if your workers will be working inside our plant) *	--Not Applicable-- YES NO
Specify your Service Tax/ Sales tax Registration no.*
Major Customers. Please specify.
Has your company ever been involved in Fraudulent activities.*	Yes   No
Does any of your relative work in MALCO? Please specify.
Name
Designation
Department
Relationship

Note: In case your workers will be working inside our plant premises you have to submit ESI subcode or Smart Card for your workers.

If you are having the ESI Number from any other state than Tamil Nadu than you have to apply for ESI Subcode in Mettur ESI Office.If you are having the ESI Number from anywhere in Tamil Nadu than you have to transfer the number of Labour you are bringing in Form 53 from your existing ESI Office to Mettru Office.