DOC NO.

LARSEN & TOUBRO LIMITED [SCA]

SCM REGISTRATION - APPLICATION FORM
QUALITY MANAGEMENT
(**Mandatory Data - to be filled in and supporting documents
Application Sl.enclosed
No. )
Date of Application:

S.NO FIELD DESCRIPTION SIZE INPUT

. ( letters )
1 Name of the 100
Organization**
(Please do not start with M/s,
Dr , Mr, etc... )
2 Regd. Office Address** 150

3 Contact Person 50
4 Telephone Number 25
5 Zip/ Pincode** 15
6 E-Mail** 25
7 Valid PAN Number / GIR 10
No. ** (Enclose if available) **
 Give number if ------
--------
applicable
 Applied For
 N.A. (Not Applicable)
8 IT clearance certificate ** 15 (Enclose if available) **
9 CST (if available) (Enclose)
10 LST (if available) (Enclose)
11 Excise Registration ( if (Enclose)
available)
12 Excise Control Code (if (Enclose)
available)
13 SSI (if available) (Enclose)
14 SSI Validity Period From (Enclose)
( if SSI available)
15 SSI Validity Period Up to (Enclose)
( if SSI available)
16 Service Tax Registration No. 50 (Enclose)
17 Organization type ** (Enclose)**
(Partnership, Private, Proprietary, PSU,
Public, Govt., Associate, Foreign Company,
Joint Venture, Subsidiary, OTHERS)
18 Payment in favour of** 50
19 Bank Name** 50
20 Bank Address** 50

21 MICR / Bank Branch 9

Code**
22 Account No. ** 15
23 Preferred Login Name** 15
24 Regional office of ECC
HQ-Chennai Ahmedabad
where you will submit the
hard copies of your Bangalore Chennai Delhi
application for Hyderabad Kolkata Mumbai
registration **
(Head Office to be registered Pithampur Pondy Kanchipuram
first. Branch Offices to be
entered under Branch Details.)
 DOC NO.
LARSEN & TOUBRO LIMITED [SCA]
SCM REGISTRATION - APPLICATION FORM
QUALITY MANAGEMENT
(**Mandatory Data - to be filled in and supporting documents Sl.
Application enclosed
No. )
Date of Application:

Sub-contractor Category
 Regular Labour Sub- Contractors(PRW)
 Specialised Sub-Contractors with Labour & Material
and Equipment (PRW)
 Specialised Works Labour Contractors (PRW)
 Specialised Works Contractor with Tools /P&M (PRW)
 Service Labour Sub-contractors

Sub-contractor Sub Category (As per Sub Category Codes attached)

P.F. Registration Number 25 (Enclose if available)

Workmen's Compensation Policy No. 25 (Enclose if available)

Bank solvency Enclose if available
Banker’s Credit Limit Enclose if available
Reference No. of application document hard copy
Registration with any other body Enclose , if available
ISO Certification (if available) (Enclose)
Quality Assurance/Quality Plan of the organization (Enclose if available)
_________________________________________________ (Enclose if available)

Safety procedure manual/Plans of the organization

BUSINESS AREA (As per Business Codes attached)

DISCIPLINE (As Per Discipline Code attached)

SKILL GROUP (As Per Skill Group Code attached)

SUB SKILL (As Per Sub Skill Code attached)

ANNUAL TURNOVER OF PAST FIVE (5) YEARS (Attach copy of annual reports / Certificates of turnover)
S.No Financial Year Ending Turnover (Rs. In Lakhs) Remarks)
1
2
3
4
5
 DOC NO.
LARSEN & TOUBRO LIMITED [SCA]
SCM REGISTRATION - APPLICATION FORM
QUALITY MANAGEMENT
Application
(**Mandatory Data - to be filled in and supporting documents Sl. No. )
enclosed
Date of Application:

PREVIOUS EXPERIENCE IN INDIA/ OVERSEAS OF PAST FIVE (5) YEARS (Attach copy of WO and Completion
Certificates / Final Certified copy of Invoice
Sl. Project/ Coun State, if in Client/ Disc Group Sub WO Duration Job Code if
No. Job try India Lead iplin skill skill Value of Job in ECC work
Site (50) Contrac e (Rs. months (15)
(50) tor(50) Lakhs)
1

8
 DOC NO.
LARSEN & TOUBRO LIMITED [SCA]
SCM REGISTRATION - APPLICATION FORM
QUALITY MANAGEMENT
(**Mandatory Data - to be filled in and supporting documents Sl.
Application enclosed
No. )
Date of Application:

JOBS IN HAND (Attach copy of WO)

Sl. Project/ Coun State, if in Client/ Disc Group Sub WO Duration Job Code if
No. Job try India Lead iplin skill skill Value of Job in ECC work
Site (50) Contrac e (Rs. months (15)
(50) tor(50) Lakhs)
1

8
 DOC NO.
LARSEN & TOUBRO LIMITED [SCA]
SCM REGISTRATION - APPLICATION FORM
QUALITY MANAGEMENT
(**Mandatory Data - to be filled in and supporting documents Sl.
Application enclosed
No. )
Date of Application:

LABOUR MOBILISATION CAPACITY

Sl. No Workmen category Peak Mobilization Source country Source State
Capacity (50)
numbers
1 Highly Skilled

2 Skilled

3 Semi Skilled

4 Unskilled

EQUIPMENT OWNED AS ON DATE

Sl.No Equipment ( Category / Class ) Capacity / Make (50) Nos. Owned
1

6
 DOC NO.
LARSEN & TOUBRO LIMITED [SCA]
SCM REGISTRATION - APPLICATION FORM
QUALITY MANAGEMENT
(**Mandatory Data - to be filled in and supporting documents Sl.
Application enclosed
No. )
Date of Application:

DETAILS OF KEY PERSONNEL ON ROLL

Sl.No Name(s)of the person(50) Position Qualification(50) Experience (Years)
1 Owner/ Proprietor
2 Partner(s)
3 Director(s)
4 Chief Executive

Sl.No Positions Number of persons

< 5 Years of 5 to 10 years > 10 years of Total no. of
experience experience experience persons
1 Engineering Managers (with
Engineering Graduation &
above)
2 Engineers (with Engineering
Diploma)
3 Other technical staff (ITI or
other certifications)

Any court cases / Arbitration cases pending YES / NO

(If yes, please furnish details in Hard copies)
Any incidence of suspension / abandonment of work (in last 5 years) YES / NO
(If yes, please furnish details in Hard copies)
Are you or any of your Partners / Directors already registered with us in other individual name /
organisation name YES / NO
(If yes, please furnish details in Hard copies)
Any other relevant data (Furnish in Hard Copy)

REFERRED BY (If any)

(Name, Designation, Address, Telephone No.) YES / NO
(If yes, please furnish details)

DECLARATION

We hereby declare that the above mentioned statements are true and in case of any false statements
and / or misrepresentation on our behalf, our registration will be liable to be withdrawn by Larsen &
Toubro Ltd – ECC Division.

We also accept that the registration is not a promise, in any form, by Larsen & Toubro Limited - ECC
Division for award of any job. We also agree to submit this form duly filled in, sealed and signed in
hard copy with all enclosures as aforesaid to the Section Head, Resource Department at the Regional
Office of ECC Division as indicated above.

This Portal is governed by the Terms & Conditions laid in the IT Act, 2000 & the Copyright Act,1957,
The Indian Contract Act, 1872 and/or other applicable laws of India and users are automatically
agreeing to abide by all Terms & Conditions of the act. Any unauthorized usage of this portal is a legal
offence.

Date Authorized Signature & Name of Sub-Contractor with Seal

 CODIFICATION

There are four (4) codes of work through which the sub-contractors can be filtered
- BUSINESS AREA CODE
- DISCIPLINE CODE
- GROUP SKILLS CODE
- SUB SKILL CODE

BUSINESS AREAS
- Institutional & Commercial buildings
- System housing & Industrial structures
- Nuclear power projects
- Hydro power projects
- Ports & Harbours
- HighwaysAirports
- Power plants - Thermal & others
- Hydrocarbon projects
- Oil, gas & product pipelines
- Mineral & Metal projects
- Bulk material handling
- Water supply & effluent treatment
- Electrical, Instrumentation & Communication
- Transmission lines
- Railway projects
- Developmental projects (BOT, BOOT, BOLT, BOOST, BOO…)
- Bridges
- Building Products
- Property Development

DISCIPLINES
- Civil
- Mechanical
- Electrical & Instrumentation
- Integrated (any combination of the above)
- Plant & Machinary
- Transport of Materials, P&M, Personnel

CIVIL

 Ground Engineering (group skill)

- Survey
- Soil Investigation
- Site Leveling
- Excavation & shoring, Blasting
- Anti Termite Treatment
- Waterproofing work
- Piling work
- Diaphragm wall Sub skills
- Drilling/Grouting/Anchoring
- Well sinking
- Caissons
- Dewatering
- Ground Improvement
- Tunneling
- Dams, dykes, reservoirs and canals
- Dredging
 Concrete, formwork & reinforcement works
- Formwork
- Reinforcement, embedment & inserts
- Concreting
- Pre-stressing work
- Pre-casting work
- Guniting
 Masonry/ Plastering & Finishes
- Brickwork
- Flooring
- Plaster, Building Finishes &Painting
- False ceiling/ False flooring/Partitions
- Stone cladding
 Doors, Windows & Roofing
- Steel Doors & Windows
- Aluminum Doors & Windows
- Wooden Doors & Windows
- Doors & Windows (Other than Steel/Aluminum/Wooden)
- Glazing work
- Woodwork/Interiors
- Glass wall work
- Ironmonger
- Stainless steel work
- Structural Glazing/Al. cladding
- Poly-carbonate roof sheeting
- Space Frames
 Roads, runways, railways & marine works
- Runways
- Marine works
- Railway construction
- Road works
- Mechanized Mining (with blasting license)
- Crushing of aggregates with crushers
- Asphalt paving
- Bases & Sub-bases
- Earthwork in embankment
- Cross-drainage works
- Bridges and Flyovers
- Rehabilitation of Bridges
- Maintenance of Roads
-
 Area development
- Horticulture/Landscaping
- Miscellaneous area improvement works
- Swimming pools
- Sports tracks
- Tennis/ badminton court
- Golf course
- Demolition
- Restoration work
 Water supply, plumbing & drainage work
 Testing for civil works
 Operation & maintenance
MECHANICAL

 Structural work
- Shop fabrication
- Site fabrication
- Erection & cladding work
- Special fabrication work(fabricated technological structure / equipment etc )
- Sand Blasting, painting and galvanizing
- Chemical cleaning
 Building equipment & automation
- Kitchen Equipment
- Laundry Equipment
- Building Automation
- Automatic Fire Detection System
- Surveillance & security systems
- Building Electrical
- Lifts / Escalators / Travelletors
- Telephone/ Intercom network
- Public Address system
 Equipment & piping
- Equipment Erection (stationery & rotary)
- Refractory work
- Piping fabrication & installation
- Cathodic protection
- Insulation
- Wrapping & coating
- Non-Destructive Testing
- Post weld Heat Treatment
- Re-vamping work
 Gas piping & equipment
- Industrial/ Medical Gases and LPG piping
- Medical/ Laboratory Equipment
 HVAC & related works
 Fire Fighting & Fire Protection
 Testing & commissioning
 O&M of mechanical works

ELECTRICAL & INSTRUMENTATION

 Power distribution
- Erection & Commissioning of electrical equipment (Static & Rotary)
- DP structures & transformers
- Power control Centers & Distribution boards
- Power wiring , Underground cabling & Termination
- Lighting
 Power transmission - tower erection and stringing of conductor & earth wire/ OPGW
 Railway electrification works
 Instrumentation including Programmable Logic Controllers (PLC) & Distributed Control
System (DCS)
 Telecommunication system - OFC laying/ OPGW stringing
 Testing & commissioning
 O&M of electrical works
PLANT & MACHINARY

 Plant & machinery - Hiring

- Concreting Eqpt-Major
- Concreting Eqpt-Minor
- Conveyance Vehicles
- Cranes
- Earth Moving Eqpt
- Haulage Vehicles
- Heavy Cranes
- Material Handling Eqpt
- Minor Eqpt
- Office Eqpt
- Piling Eqpt-Major
- Piling Eqpt-Minor
- Pipe Laying Eqpt
- Power Generators
- Quarry Eqpt
- Road Making Eqpt
- Slip Form / Prestressing E
- Testing & Survey Eqpt
- Tower Cranes
- Transmission Line Eqpt
- Tunneling Eqpt
- Utility Eqpt
- Welding Eqpt
- Workshop Machinery

PLANT & MACHINARY – Maintenance, Repair & Overhaul

 Plant & machinery – Maintenance, Repair & Overhaul
- Concreting Eqpt-Major
- Concreting Eqpt-Minor
- Conveyance Vehicles
- Cranes
- Earth Moving Eqpt
- Haulage Vehicles
- Heavy Cranes
- Material Handling Eqpt
- Minor Eqpt
- Office Eqpt
- Piling Eqpt-Major
- Piling Eqpt-Minor
- Pipe Laying Eqpt
- Power Generators
- Quarry Eqpt
- Road Making Eqpt
- Slip Form / Prestressing E
- Testing & Survey Eqpt
- Tower Cranes
- Transmission Line Eqpt
- Tunneling Eqpt
- Utility Eqpt
- Welding Eqpt
- Workshop Machinery

TRANSPORT OF MATERIALS / P&M / PERSONNEL

 Transport of P&M
 Transport of Construction Materials
 Transport of Personnel
Sub-Contractor Category

Regular Labour Sub- Contractors (PRW)

 BARBENDING
 CONCRETING
 CRUSHING OF AGGREGATES
 DP STRUCTURES & TRANSFORMERS
 DRY FINISHING CONCRETE SURFACES
 ERECTION & COMMISSIONING OF ELECTRICAL EQUIPMENT (STATIC & ROTARY)
 FORMWMWORK
 GENERAL BUILDERS WORKS
 INDUSTRIAL/MEDICAL GASES AND LPG PIPING
 KHALAZI WORKS
 LIGHTING
 MAKING FORMWORK
 MASONRY & PLASTERING
 PIPING FABRICATION & INSTALLATION
 POWER CONTROL CENTERS & DISTRIBUTION BOARDS
 POWER WIRING / UNDERGROUND CABLING & TERMINATION
 PRE-CASTING WORK
 RESTORATION WORK
 SFT LAB S/C
 STEEL UN-LOADING
 STRUCTURAL STEEL FABRICATION & ERECTION
 TELECOMMUNICATION SYSTEM - OFC LAYING/OPGW STRINGING

Specialised Sub-Contractors with Labour & Material and Equipment (PRW)

 ALUMINIUM WORKS
 ANITERMITE TREATEMENT
 AUTOMATIC FIRE DETECTION SYSTEM
 BARBED WIRE & CONCENTRINA WIRE
 BGMS SYSTEM
 BUILDING AUTOMATION
 BUILDING ELECTRICAL
 CATHODIC PROTECTION
 D WALL CONSTRUCTION
 DG SET WORKS
 ELECTRICAL WORKS
 FAÇADE / ACP / ST GLAZING WORKS
 FALSE CEILING AGENCY
 FIRE PROOFING WORKS
 FIRE PROTECTION WORKS
 FIRE SEALANT
 FIREPROOF DOORS
 GENERAL BUILDERS WORK
 GRANITE / MARBLE & OTHER NATURAL STONES
 GROUTING WORKS
 HVAC WORKS
 INDUSTRIAL/MEDICAL GASES AND LPG PIPING
 INSULATION
 INTERIOR / PARTITION WORKS
 INTERIOR FURNISHING
 KITCHEN EQUIPMENT
 LANDSCAPPING
 LAUNDRY EQUIPMENT
 LIFT / ESCALATOR / TRAVELATORS
 LV SYSTEM
 M&E WORKS IN SWIMMING POOLS
 MEDICAL EQUIPMENT
 MS PIPING / HAND RAILING /GRATING WORKS
 PAINTING WORKS
  PAVER BLOCK CASTING AND LAYING
 PHE / PLUMBING WORKS
 PILING
 PREFAB SHEDS
 PRESTRESSING WORKS
 PUBLIC ADDRESS SYSTEM
 RE-VAMPING WORK
 REFRACTORY WORK
 ROADWORKS
 S&F SPORTS EQPMNTS
 SEALANT / JOINT APPLICATION
 SHEETING / CLADDING
 SHORTCRETING
 SPACE FRAMES
 SPECIALISED ANCHORS
 SS HANDRAIL
 STP/ WTP / TREATMENT WORKS
 STRUCTURAL STEEL
 SURVEILLANCE & SECURITY SYSTEMS
 TELEPHONE / INTERCOM NETWORK
 WATERPROOFING WORKS
 WOOD WORK
 WOODEN FLOORING
 WRAPPING & COATING

Specialised Works Labour Contractors (PRW)

 ALUMINIUM WORKS
 ANITERMITE TREATEMENT
 AUTOMATIC FIRE DETECTION SYSTEM
 BARBED WIRE & CONCENTRINA WIRE
 BGMS SYSTEM
 BUILDING AUTOMATION
 BUILDING ELECTRICAL
 CATHODIC PROTECTION
 D WALL CONSTRUCTION
 DG SET WORKS
 ELECTRICAL WORKS
 FAÇADE / ACP / ST GLAZING WORKS
 FALSE CEILING AGENCY
 FIRE PROOFING WORKS
 FIRE PROTECTION WORKS
 FIRE SEALANT
 FIREPROOF DOORS
 GENERAL BUILDERS WORK
 GRANITE / MARBLE & OTHER NATURAL STONES
 GROUTING WORKS
 HVAC WORKS
 INDUSTRIAL/MEDICAL GASES AND LPG PIPING
 INSULATION
 INTERIOR / PARTITION WORKS
 INTERIOR FURNISHING
 KITCHEN EQUIPMENT
 LANDSCAPPING
 LAUNDRY EQUIPMENT
 LIFT / ESCALATOR / TRAVELATORS
 LV SYSTEM
 M&E WORKS IN SWIMMING POOLS
 MEDICAL EQUIPMENT
 MS PIPING / HAND RAILING /GRATING WORKS
 PAINTING WORKS
 PAVER BLOCK CASTING AND LAYING
 PHE / PLUMBING WORKS
 PILING
 PREFAB SHEDS
 PRESTRESSING WORKS
  PUBLIC ADDRESS SYSTEM
 RE-VAMPING WORK
 REFRACTORY WORK
 ROADWORKS
 S&F SPORTS EQPMNTS
 SEALANT / JOINT APPLICATION
 SHEETING / CLADDING
 SHORTCRETING
 SPACE FRAMES
 SPECIALISED ANCHORS
 SS HANDRAIL
 STP/ WTP / TREATMENT WORKS
 STRUCTURAL STEEL
 SURVEILLANCE & SECURITY SYSTEMS
 TELEPHONE / INTERCOM NETWORK
 WATERPROOFING WORKS
 WOOD WORK
 WOODEN FLOORING
 WRAPPING & COATING

Specialized Works Contractor with Tools /P&M (PRW)

 BORE WELL
 CAB OPERATORS/CONVEYANCE VEHICLES
 CAISSONS
 CHEMICAL CLEANING
 CONCRETE BREAKING WORKS
 CONCRETING EQPT-MAJOR
 CONCRETING EQPT-MINOR
 CONVEYANCE VEHICLES
 CORE CUTTING
 CRANES
 CRUSHING OF AGGREGATES WITH CRUSHERS
 DEWATERING
 DIAPHRAGM WALL
 DREDGING
 DRILLING/GROUTING/ANCHORING
 EARTH MOVING EQPT
 EARTHWORK (EXCAVATION/DISPOSAL / FILLING /TRANSPORT)
 FABRICATION WORKS (WITH AGENCYS TOOLS & P&M)
 FOOD SUPPLY
 GARBAGE DISPOSAL WITH TRACTOR /LORRY/CART
 GEO TECHNICAL SURVEY
 GROOVE FILLING WORK
 GROUND IMPROVEMENT
 GUNITING
 HAULAGE VEHICLES
 HEAVY CRANES
 HIRING OF MACHINES
 MACHINE TRANSPORTATION WITH VEHICLE
 MATERIAL HANDLING EQPT
 MATERIAL TRANSPORTATION WITH VEHICLE
 MECHANIZED MINING (WITH BLASTING LICENSE)
 MINOR EQPT
 OFFICE EQPT
 PILE CHIPPING WORKS
 PILING EQPT-MAJOR
 PILING EQPT-MINOR
 PILING WITH RIGS
 PIPE LAYING EQPT
 POLISHING WORKS / GRIDING
 POST WELD HEAT TREATMENT
 POWER GENERATORS
 QUARRY EQPT
 RCC SURFACE GRINDING
  REBAR COUPLERS WITH MACHINES
 ROAD MAKING EQPT
 SAND BLASTING / PAINTING AND GALVANIZING
 SCAFFOLD HIRING
 SCREED / TREMIX / VDF FLOORING WORK
 SHAMIANA / PANDAL / PEDASTAL DECORATION WORKS
 SLIP FORM / PRESTRESSING E
 SOIL INVESTIGATION
 SPECIAL FABRICATION WORK (FABRICATED TECHNOLOGICAL STRUCTURE/EQUIPMENT ETC)
 SPECIAL SHED HIRING
 SURVEY
 TESTING & SURVEY EQPT
 TILE LAYING WITH TILE CUTTING M/C
 TOILETS ON HIRING
 TOWER CRANES
 TRANSMISSION LINE EQPT
 TUNNELING
 TUNNELING EQPT
 UTILITY EQPT
 WATER SUPPLY WITH TANKERS
 WELDING EQPT
 WELL SINKING
 WORKSHOP MACHINERY

Service Labour Sub-contractors

 3D SCANNING
 BBS PREPARATION
 BROKERAGE / STATUTORY CHARGES
 CEMENT FEEDING
 COMMUNICATION TOOLS HIRING
 CONCRETE PIPE LINE WORKS AGENCY
 CONSULTANCY
 CONTRIBUTIONS
 COURIER CHARGES
 CSTI WORKMENS
 DEPARTMENTAL WORKMEN
 DOCTORS
 DRAUGHTSMAN/TECHNICAL PERSONS
 EXTINGUISHER FILLING
 FIRST AIDERS
 INTERNET RELATED SERVICE
 MACHINE OPERATOR
 NON-DESTRUCTIVE TESTING
 O&M OF ELECTRICAL WORKS
 ON CONTRACT STAFF
 PHOTOGRAPHY
 POOJA
 PRINTING / BANNERS / LEAFLETS
 RENTAL CHARGES
 REPAIR & MAINTENANCE
 SECURITY
 SHOP DRAWING PREPARATION
 SWEEPER / SCAVENGER
 TERMITE CONTROL IN LABOUR COLONY
 TESTING OF MATERIALS
 TESTING/COMMISSIONING
 LIST OF EQUIPMENT

Concreting Eqpt-Major Batching Plants

Cement Pumps
Concrete Placers
Concrete Pump
Mini Batching Plants
Transit Mixers
Concreting Eqpt-Minor
Block-Making
Concrete Flooring & Polishing Mach
Concrete Loader
Concrete Mixers
Concrete Placers
Concrete Vibrators
Mini Shotcrete machine
Tile Saw
Weigh Batchers
Conveyance Vehicles
Ambulance
Bus
Cars
Jeep
Motor Cycles
Cranes - Crawler Mtd.
Cranes
Cranes - Tyre Mtd.
Hydraulic Cranes
Mechanical Cranes
Earth Moving Eqpt
Backhoe Loader
Dozers
Excavators
Rock Breakers
Wheel Loaders
Haulage Vehicles
Explosive Van
Front End Dumpers
Tippers
Tractors
Trucks & Trailers
Heavy Cranes
Heavy Cranes
Material Handling Eqpt
Barge
EOT / JIB Cranes
EOT Cranes
Fork Lifts
Gantry Cranes
Grab
Heavy Lifts
Hoist & Winches
Minor Eqpt
Air-Heaters
Auger
Boat
Colcrete Mixer
Diesel Pump
Fab-Mould/Mach
Foam Generators
 Grinders
Lighting Masts
Mini Compactors
Oil Filter
Power Transformers
Pumps
Rock Splitter
Soil Displacement Hammers
Stone Polishing Machine
Strand Pusher
Airconditioning
Passenger Lifts
Piling Eqpt-Major
Diaphragm Walling Eqpt
Pile extractor
Piling Hammers
Piling Rigs
Piling Eqpt-Minor
Piling Winches
Pipe laying Eqpt
Bevelling Machine
Horizontal Drilling
Pay-Welder
Pipe Layer
Power Generators
PG
Quarry Eqpt
Bar Sizers
Blast Hole Drill
Conveyors
Crushers
De-Dusting Unit
Feeders
Impactors
Vibratory Screens
Wagon Drill
Road Making Eqpt
Asphalt Plants
Bitumen Sprayers
Emulsion Plant
Kerb Casters
Motor Graders
Pavers
Pneumatic Rollers
Road Rollers
Soil Stabilisation
Vibratory Rollers
Slip Form / Prestressing E
Prestressing
Slip Form
Testing & Survey Eqpt
Civil Testing Eqpt
Survey Instruments
Tower Cranes
Tower Cranes
Transmission Line Eqpt
Bycycle
Tensioner
TL Compressor
TL Puller
Trencher
Tunneling Eqpt
Boltec
Boomer
 Grouting M/c
Locomotive
Rock Shovel
Shotcrete
Tunnel Dumpers
Wagners
Utility Eqpt
Air Compressors
Boilers
Chilling Plant
Core Drill
Ice Plant
Weighing Eqpt
Welding Eqpt
Welding - Special
Welding Generators
Welding Rectifiers
Welding Transformers
Workshop Machinery
Bar Bending
Bar Cutting
Blade Sharpener
Chamfering
Circular Saw
Circular Saw/Planers
Concrete Saw
Drilling Eqpt
Flame Shape Cutting Machine
Grinding
Hydraulic Press
Lathe
Lifting Jacks/Track Press
Pipe Cutting Machine
Pipe Cutting/Threading Machine
Planers
Plasma/Plastic Cutting Machine
Plate Bending
Power hacksaw
Ramp
Sander Machine
Saw/Cutter
Shapers
Torque Wrenches
Tube Bending Machine
Tyre Changer
Washer
Wheel Aligner
Wire Straightener

DOC NO.
LARSEN & TOUBRO LIMITED [SCA]
SCM REGISTRATION - APPLICATION FORM
QUALITY MANAGEMENT
(**Mandatory Data - to be filled in and supporting documents
Application Sl.enclosed
No. )
Date of Application:

BRANCH DETAILS
SIZE
S.NO. FIELD DESCRIPTION (LETTERS) INPUT
 1) Mandatory Data
1 Address * 150
2 City * 25
3 State 25
4 Country 25
5 Zip Code * 6
6 E-mail * 50
7 Preferred Login Name * 25
8 Valid PAN Number / GIR No. 10
** (Enclose if available) **
 Give number if ------
applicable --------
 Applied For
 N.A. (Not Applicable)
9 CST ( If registered ) 50
10 LST ( If registered ) 50
11 SSI ( If registered ) 50
12 SSI validity from period DATE
13 SSI validity upto period DATE
14 Service Tax Registration No. 50
15 Payment in favour of * 50
16 Bank Name * 50
17 Bank Address * 50
18 MICR / Bank branch Code * 9
19 Account Number * 50
20 Regional office of ECC where you
will submit the hard copies of your
application for registration*
(HQ-Chennai, Ahmedabad, Bangalore,
Chennai, Delhi, Hyderabad, Kolkata,
Mumbai, Pithampur, Pondy,
Kanchipuram, Overseas )
2)General Data
21 Contact Person 1 50
22 Designation 25
23 Contact Person 2 50
24 Designation 25
25 E-Mail 2 50
26 Phone 8
27 Fax 8
28 Excise Registration ( If avaliable ) 50
29 Excise Control Code 50
( If avaliable )

Date Authorized Signature & Name of Sub-contractor with Seal