Enlistment Form For Engineering Sub-Contractor: L&T-Chiyoda

L&T-CHIYODA LIMITED ENLISTMENT FORM FOR ENGINEERING SUB-CONTRACTOR
(Please TICK () mark in relevant box)

Type
L&T or Chiyoda Group Company  Other than L&T or Chiyoda Group Company
Name of Company
Head Office Local Office (if any)
Address of Company
Phone No. (ISD Code) - (STD Code)-(………..…………..) (ISD Code) - (STD Code)-(………..…………..)
Email Address
Weekly Off
Contact Person Mr./Ms./Dr. ……………………………..……….. Mr./Ms./Dr. ……………………………..………..
Proprietary  Partnership  Joint Venture Pvt. Ltd. Limited
Type of Company
Others (Please Specify )
Type of collaboration
 Joint Venture Technical Financial Design  Any Other
(if any)
Previous Experience
With Yes / No.
L&T Group co. / If yes, please attach details of work carried out alongwith work-order copy, as a
Chiyoda Group co./ documentary proof.
L&T-Chiyoda
Proposed Services For Enlistment
Sr. No. Service Description Discipline
1. Design Process Instrumentation Civil & Structural
2. Drafting Piping Electrical Utility Package
3. Detail Engineering Static Equipment Fire & Safety Others
4. Others Rotary Equipment Architecture
Fired Heaters Material Handling
Details of Executed Orders in past 5 years
(Please enclose WO Copy ; please use separate sheets, if Required)
Date of Total Manhour
Sr. No. Customer's Name Service
Completion Engg. Drafting
Resource Details
Legends: MGMT-Management; PP-Piping; CV-Civil/Structure; PC-Process; MES-Mechanical Static; MER-Mechanical Rotary; MEP-Mechanical
Package; IN-Instrumentation; EL-Electrical; PE-Project Engineering; TS -Technical Safety / HSE; MS-Quality Dept
Overall Manpower Details:
MGMT PP PC CV MES MER MEP IN EL PE TS MS Others
PERMANENT
Engineer
Diploma
ITI
Total
(Permanent)
CONTRACT
Engineer
Diploma
ITI
Total -
Contract
GRAND
TOTAL
LTC-OC-PG-G3-001-R0 Page 1
Current availability:
PP PC CV MES MER MEP IN EL PE TS MS Others
PERMANENT
Engineer
Diploma
ITI
Total
(Permanent)
CONTRACT
Engineer
Diploma
ITI
Total -
Contract
GRAND
TOTAL
No. Of Persons Available For Office Space Drafting Software Availability
Deputation & Their CVs (Floor area)
Engineering Drafting Software Version Numbers
Design / Engineering Infrastructure

Hardware Available (In Nos.) Engineering Software Available
Software Ver. / Rel. Numbers Application
a) Computers -
b) Plotters -
c) Printers -
d) Scanners -
Quality Assurance / Quality Control
Documented Quality ISO - 9001 Certification Quality Manual Separate Quality
System Department
Available And Implemented  ISO - 9001 Certification  Available And Followed  Exist
Available Not Implemented Achieved on……….  Available And not followed  Does Not Exist
 Not Available  Under Process  Not Available  Shared
Manpower Details to understand experience Bandwidth
Legends: MGMT-Management; PP-Piping; CV-Civil/Structure; PC-Process; MES-Mechanical Static; MER-Mechanical Rotary; MEP-Mechanical
Package; IN-Instrumentation; EL-Electrical; PE-Project Engineering; TS -Technical Safety/HSE; MS-Quality Dept; P – Permanent; C-Contractual
PP PC CV MES MER MEP IN EL PE TS MS Others
P C P C P C P C P C P C P C P C P C P C P C P C
Trainee
Entry level
upto 3years
Middle level
3-18 years
Senior Level-
1 8-12 Years
Senior Level-
2 >=12
Years
Total
Financial Information
Banker's Name And Address Bank Limits
Cash Cr.
Guarantees
Turnover of Last Three (3) Years:
Please furnish enclosures as asked below. Any non-compliance to this may lead to rejection of your application.
Documents  Documents 
1. Organisation Chart  7. Computation of Total Income for Last 2 years 
2. Copy of ISO Certificate  8. Enlistment With Public Sector Undertakings 
3. List of Orders / Clients  9. Enlistment With Reputed Consultants 
4. List of Design Software  10. Proof of Collaboration/Authorisation 
5. Quality Manual  11. Profit & Loss Accounts for Last 2 Years 
6. Last 2 Years Balance Sheet  12. Bank Statement of Accounts 
NOTE: (a) Use separate sheets if required.
(b) Enclose documents / evidences wherever required .
(c)Duly filled up form with enclosures to be submitted.
Declaration: The information provided in this Enlistment form is true to the best of our knowledge & ability.
Name & Designation of Authorised Signatory

Seal & Signature
Date
Place

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L&T-CHIYODA LIMITED ENLISTMENT FORM FOR ENGINEERING SUB-CONTRACTOR

(Please TICK () mark in relevant box)

Design / Engineering Infrastructure

Name & Designation of Authorised Signatory

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