APPLICATION FORM OF NEW INTRODUCTION
(THE DETAILS TO BE TYPED ONLY & HARD COPY OF APPLICATION FORM ALONG WITH
ALL REQUISITE DOCUMENTS DULY ANNEXED TO BE FORWARDED TO CSD, HO, ADELPHI)
SUPPLIER DETAILS:
1 NAME OF THE FIRM : asdsdsadsasdsadsadasdadsadsasadsadsad
2 ADDRESS OF THE
REGISTERED OFFICE :
AREA , PIN CODE
STATE
PHONE NO. : , , ,
FAX NOS. : , , ,
EMAIL ADDRESS
WEBSITE ADDRESS
GSTIN NO : (attach certified copy)
3 ADDRESS FOR
COMMUNICATION :
AREA , PIN CODE
STATE
PHONE NO. : , , ,
FAX NOS. : , , ,
EMAIL ADDRESS
4 CONTACT PERSON NAME :
DESIGNATION :
TEL/MOB. NO. :
5 Type of Industry :
(eg. Heavy, MSME (Micro, Small, Medium), Cottage, Non-MSME)
(supporting documents from local authorities)
6 Type of Business :
(Propreitorship, Partnership, Pvt. Ltd, Ltd, Central PSU, State PSU, Cooperative, Federation)
(attach supporting documents)
7 Status of Supplier :
(Manufacturer, Brand Owner, All India Sole selling agents for domestic manufactured items,
All India Sole selling agents for imported items, Importers, Ex-servicemen Enterprises provided
the shareholding of ESM or NoK is minimum 66.66%) (Attach supporting Documents).
8 (a) Item/s being offered to CSD (for General & AFD II items)
Sr. HSN Code Nomen- Weight/ Case Pack Net rate MRP GST in Date of Shelf Bar Market Any BIS Places Annual Sales Data (excluding exports)
No. clature / Volume (exclusive of GST (per % intro- Life / Code Share / ISI (cities) for past 3 Financial Years (Both in
Name of the Dimension/ and other levies) unit) duction Warranty (%) stan- where Volume & value) UOM for Volume is
products size/capacity in civil **** ***** dards items are “Units”. Value to be denoted in “Lakhs”
with Brand as market avail- available ******
Name * applicable *** able /
(for exam- applica- (p)
ple : Bikaji In Offered ble
Brand Clas- Trade ** to CSD
sic Salted FY: FY: FY:
Peanuts)
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) Vol Val Vol Val Vol Val
1.
2.
3.
4.
5.
6.
7.
8.
NOTE:
* Please note that the nomenclature mentioned above should match with samples and TDS submitted to us in all respect and no variation is acceptable. Photographs of the samples bearing
complete nomenclature / name of the items proposed for introduction are also to be submitted mandatorily. Samples of each of the items will be submitted only when asked by this Office.
** The trade rate exclusive of GST and levies should be the lowest throughout India and should be certified by Chartered Accountants. (Copy of the trade invoice to this effect to be enclosed)
*** It should be ensured that the products should be available in civil market for at least 3 months before applying for introduction in CSD.
**** Products having shelf life of more than 6 months only be supplied to CSD with exception for selective items. Attach certificate from Govt. recognized laboratory in r/o the shelf life of
item/s being offered to CSD.
***** To be supported by Certificate from any reputed Market Research agency.
****** The annual sales data to be authenticated by Chartered Accountants.
8 (b) Item/s being offered to CSD (for Liquor items)
Sr. HSN Code Nomencla- Volume Case pack Lowest PET / Rate MRP (per VAT per- Date of Shelf Life / Bar Market Annual sale data of vol-
No. ture / Name EDP Price GLASS offered to unit) centage introduc- Warranty Code Share umes in cases for past 2 FYs
of the (state BOTTLE CSD exclu- tion in civil **** (%) ******
products ..........) sive of taxes market *** *****
with Brand (per case)** & levies
Name * (per case) (o)
FY: FY:
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n)
1.
2.
3.
4.
5.
6.
7.
8.
NOTE:
* Please note that the nomenclature mentioned above should match with samples and TDS submitted to us in all respect and no variation is acceptable.Photographs of the samples bearing complete
nomenclature / name of the items proposed for introduction are also to be submitted mandatorily. Samples of each of the items will be submitted only when asked by this Office.
** The trade rate exclusive of VAT and other levies should be the lowest throughout India and should be certified by Chartered Accountants. (Copy of the trade invoice to this effect to be enclosed)
*** It should be ensured that the products should be available in civil market for at least 3 months before applying for introduction in CSD.
**** Products having shelf life of more than 6 months only be supplied to CSD with exception for selective items. Attach certificate from Govt. recognized laboratory in r/o the shelf life of item/s being
offered to CSD.
***** To be supported by Certificate from any reputed Market Research agency.
****** To be supported by authentication done by Excise / customs authorities.
8 (c) Annual Turnover of the firm for past 3 Financial Years. (The figures should be supported with the copies of Audited P&L Statements.)
Sr. No. FY Turnover (in Crores)
1.
2.
3.
8 (d) Product offered (For AFD-I White Goods) : (There is no limits for number of items to be applied for introduction)
Sr. Nomencla- Model No. HSN Code Month & Warranty Barcode MRP Net Rate exclusive of GST % of Market Annual Sales Data (excluding exports) for past 3
No. ture of the Year of and other levies Share ** Financial Years (Both in Volume & value)
Products Launch in UOM for Volume is “Units”. Value to be denoted
with Brand Civil Market in “Lakhs”
Name ***
Offered to
Trade *
CSD FY: FY: FY:
Vol Val Vol Val Vol Val
1.
2.
3.
4.
5.
6.
7.
8.
Note :-
* The trade rate exclusive of GST and levies should be the lowest throughout India and should be certified by Chartered Accountants. (Copy of the trade invoice to this effect to be enclosed)
** To be supported by Certificate from any reputed Market Research agency.
*** To be authenticated by chartered accountants.
8 (e) Price offered to CSD (For Two/Four Wheelers): (There is no limits for number of items to be applied for introduction)
Sale in Civil
Engine
Transit Trade CSD Market in
Sr. No. HSN Code Item Fuel Type Category Cubic Basic Price Freight Dealer Margin GST Cess Discount
Insurance Rate Rate current FY
Capacity
(in units)
Civil CSD
9) Details of Products manufacturing units / franchisee / sub-contractor / job workers / packaging units:
Sr. Product Name of Factory Address Factory Whether Validity
No. offered for factory (In case & Phone no. License owned, of
introduction of imported (In case of Registration franchisee, Contract
product imported No. & sub-contract, upto
address of product, name Validity of job work or (date)
warehouse to & address of license packing unit
be mentioned) exporter to be (to be specified)
mentioned) with supporting
documents
1.
2.
3.
4.
5.
6.
7.
8.
10) Was any item of the firm deleted from CSD in the last 3 years?
YES NO
If so reason thereof.
11) Is any court case pending in consumer court? If so details
thereof with present status. YES NO
12) Is any complaint against any of the products of the firm?
If so details thereof. YES NO
13) Was your firm ever been blacklisted by the Central/State Govt./
CPC at any time? If so, please give details. YES NO
14) Whether items offered now have been applied earlier for
introduction but rejected in last 3 years? If so details thereof. YES NO
Sr. Name of the Products Period of Rejection
15) Whether the products are sold/available on online shopping /
e-commerce sites i.e Flipkart, Amazon, etc. YES NO
16) Whether products are available on GeM Portal of GOI. YES NO
17) Terms of Payment :
REMARKS
18) Terms of supply :
Direct delivery from manufacturing unit / C&F agency to all Depots
(F.O.R Door Delivery)
19) What is the replacement Policy of defective items?
REMARKS
20) Please indicate your consent to the subscription of the
advertisements in CSD Price List, CSD Newsletter, Hamara
YES NO
Samachar or any other magazines, periodicals and souvenir
concerned with Armed Forces and their welfare for increasing
awareness of your products.
21) Whether willing to provide 100% bank guarantee valid for three
YES NO
year to cover value of initial order and subsequent orders ?
ADDITIONAL DATA FOR INTRODUCTION
OF LIQUOR PRODUCTS
22) Whether your firm is a bottling unit or distillation plant cum
REMARKS
manufacturing unit.
23) Details of the States, with corresponding lowest Ex Distillery price & MRP, where the labels of
offered liquor items have been registered with excise authorities. (Label Registration in 10 states
mandatory. While filling up this form at least registration in 05 states essential):
Scanned
STATE IN LOWEST EX- copies
Sr.
ITEM WHICH LABEL DISTILLERY MRP of labels
No.
REGISTERED PRICE registered in
States
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
24) Are you a current supplier of CSD ? YES NO
25) Whether the brand being offered is being supplied in the civil market
at the following levels ? If so, since when ?
a) National level - All India covering all states.
b) Regional level with names of states.
c) Local level with names of cities.
26) Do your firm fulfill the parameters applicable to be eligible for consideration of the following
products :
Sr. No. Category of Liquor Cases per year Actual sale in cases per year
1 Matured Dark Rum 50000
2 Matured White Rum 30000
3 Whisky 30000
4 Scotch Whisky 10000
5 Single Malt Whisky (BIO) 3000
6 Beer 50000
7 Brandy 20000
8 Gin 10000
9 Vodka 5000
10 Wine 2500
11 Liqueur 1500
27) Sources of procurement of molasses or rectified spirit etc.
a) Whether purchased from open market.
b) From own sugar mills.
c) Allotment from State Government at controlled rates
28) Indicate break-up of the cost of product per case :
Glass / PP Caps / Other expenses for
Items Labels Spirit Labour
Pet Bottle Gwala Caps packing material etc.
29) Name other brands in CSD and civil market separately which are comparable with each of your
product being offered now.
Items applied Comparable with existing Comparable with existing items
items in CSD in Civil Market
30) Are you ready to effect supply as per schedule YES NO
31) Are you willing to supply the products Against Firm Demand? YES NO
32) Details of executives/employees on whole time employment with your Firm and authorized to
represent the firm with CSD (No Liaison Agents allowed).
Sr.
Name Design Address & email Mobile No.
No.
33) Please confirm your acceptance against each :
a) In case of any default, the General Manager CSD will be the sole
authority to impose any penalty.
b) You are required to execute all our orders at the existing rates
mentioned in the orders till such time price applied for is approved
by the Competent Authority or for three months after your revised
price reaches department, whichever is earlier.
c) If your products do not pick up sale while reviewing its performance
after a certain period depending on the nature of the item, these
items would be put up for deletion. After allowing two months for
sale, the unsold stocks will be returned to you at the wholesale price
of CSD at your cost.
d) Any damaged/date expired stock will have to be replaced with fresh
one at your risk and cost.
e) Penalty shall be imposed as per the policy reviewed from time to time
on late receipt of consignments against delivery schedule.
f) Extra packing material would have to be supplied at your cost as and
when requested for replacing damaged ones.
g) Price parity established and agreed to will be maintained from time
to time.
h) One sample will be provided free of cost to all our Area Depots for
display as & when required
j) Undertaking :
“It is certified that information rendered in the application form
is correct to the best of my/our knowledge. In case of any incorrect
information rendered/deviations found thereto at a later stage which
may adversely affect the department’s interest, it will be the
manufacture/ supplier’s responsibility and the item will become liable
for deletion and also the unsold stocks of the items will be taken back
by the manufacturer/supplier at his risk and cost. The decision of
General Manager, CSD will be final”.
Items offered for introduction vide this application form were not
applied for one to one replacement during last 1 year.
It is certified that latest models available in the market have been
offered.
Canvassing/influencing in any form by the concerned supplier or
through any outside agency, the decision making process of
introduction of the Department will lead to the product being
rejected.
Introduction request will be treated as closed, in an eventuality of your failure to attend the Price
Negotiation on Scheduled date as fixed and communicated by the Department.
NUMBER OF ITEMS APPLIED
Type of Industry (MSME, Startups /
Ex-Servicemen / Others)
BANK NAME
34) STAGE-I AMOUNT PAID
UTR No.
IFS code
DATE OF TRANSACTION
On line payment is to be made to Canteen Stores Department Public Fund Account (Main) through
RTGS/ NEFT/ ECS which is non-refundable
i. Name of the Bank : State Bank of India
ii. Branch : Churchgate, Mumbai - 400 020
iii. A/c No. : 10996681139
iv. IFS Code : SBIN 0000300
(transaction slip in original must be enclosed along with the application form).
SIGNATURE OF SUPPLIER/ PERSON AUTHORIZED :
STAMP :
NAME :
DESIGNATION : DATE :
