HITEN Fasteners Private Limited.

SUPPLIER EVALUATION FORM

Vendor Registration
Number.
Date of
1.New supplier Evaluation
Reasons for Evaluation
2.Re approval

TO BE FILLED BY SUPPLIER

1 Company Name Karnataka OEM & Spares Pvt Ltd

Plot NO: 119,120 KIADB Industrial Area Narasapur

2 Company Address
Gadag-582102
Contact Person
3 Mr.Shivakumar Patil
Commercial
Contact Person
4 Mr. K.S.Kulakrni
Quality
+919945536106 comm.
5 Phone Number +919980951823 Q A

08372-221104
6 Fax Number

7 Email Address
koemgdg@gmail.com,hitennrp@gmail.com

8 Year of Establishment 2003/2004

9 Type of Industry Engineering Company

Partnership / Proprietary /
10 Limited company Limited
/Ownership

11 Sales Tax Number 29290025218

Exercise Registration AABCK6673KXM001

12
Number
VAT / TIN Registration
13 29290025218
Number

Bank Details with IFS C

14 SBIN0005621
code
15 Number of Employees Staff = 15
Quality =05
Manufacturing =102

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HITEN Fasteners Private Limited.
Are the employees covered under PF/ESI/and other
statutory(OTHERS 23)
Number of Shift on shop
16
floor 02 SHIFT
List of operation/s sub
17
contracted nil

18 PAN Number AABCK6673K

19 List of Major Customers HITEN Fasteners(P) Ltd Group

20 Quality System Approvals I SO 9001:2000 CERTIFIED

Does the company inspect

incoming products
21 YES
according to own
specification.
Does the company inspect
22 the product during the YES
manufacturing
Does the company have a
23 system of Final inspection YES
of manufactured Items.
Does the company have a
24 system of recording the YES
inspection results.
Does the company use
25 YES
process control.
Does the company perform
26 calibration of all measuring YES
instrument or tools.
Does the company use any
materials which are NO
27
dangerous to environment
or injurious to health.
Does the company have
28 pollution control board YES
approval.
Sanctioned Load: 400KVA
29 Power Backup Load:
Inspectorate c clearance valid until
NO
Does the company employ
30
person/s less than 18 years

We are iso 9001: 2000 certified company certified by

Any other relevant
31 bureauveritas,
information.

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HITEN Fasteners Private Limited.
Stamp and Signature
HITEN EVALUATION: -

Auditor Recommendation : -

Signature Date : -

Page 3 of 3