Application Form for Empanelment Submission Guide
This document is an application form for vendors seeking to be empanelled with Life Insurance Corporation of India. It requires detailed information about the firm, ownership, and past performance. Carefully complete the form before the submission deadline for consideration.
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How do I fill this out?
Filling this form requires you to provide comprehensive details about your firm. Ensure you collect all necessary information as specified in each section. Review your entries carefully before submission to avoid errors.
How to fill out the Application Form for Empanelment Submission Guide?
1
Gather necessary information about your firm and its history.
2
Carefully complete each section of the form, ensuring clarity.
3
Attach necessary documents such as licenses and balance sheets.
4
Sign the application form with your office seal.
5
Submit the completed form by the given deadline.
Who needs the Application Form for Empanelment Submission Guide?
1
Business vendors looking to collaborate with LIC.
2
Freelancers offering services related to branding or advertising.
3
Companies providing printing and publicity materials.
4
Individuals seeking to establish a business relationship with LIC.
5
Partnership firms aiming for government contracts.
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Save your modifications by downloading the file.
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What are the instructions for submitting this form?
To submit this form, please ensure all required fields are filled correctly along with the necessary supporting documents. The completed application must be sent to the relevant LIC office either via email at submissions@licindia.com or by physical mail to the Rajkot Divisional Office. Ensure that you meet the submission deadline of 15.05.2023 for consideration.
What are the important dates for this form in 2024 and 2025?
The application form must be submitted on or before 15.05.2023. It's essential to take note of all deadlines to ensure timely submissions and eligibility for consideration in the empanelment process.
What is the purpose of this form?
This application form serves to formalize the empanelment process for vendors interested in providing services to Life Insurance Corporation of India. It collects vital information regarding the vendor's establishment, capabilities, and compliance with regulations. Completing this form is crucial for vendors who wish to be considered for active partnerships with LIC.
Tell me about this form and its components and fields line-by-line.
- 1. Name of the Firm/Vendor: The formal name of the company applying for empanelment.
- 2. Established for more than Three Years?: A question confirming the firm's experience in operation.
- 3. Date of Establishment: The official date when the firm was founded.
- 4. Contact Details: Includes email and phone numbers for communication.
- 5. Permanent Postal Address: Complete mailing address for official correspondence.
- 6. Nature of Ownership: Type of ownership—Proprietary, Partnership, etc.
- 7. Partners/Directors/Proprietors: Names of individuals who are in charge of the firm.
- 8. Chief Executive Contact: Details of the chief executive, including contact number.
- 9. Shop Establishment Act Registration: Information about the firm's legal registration status.
- 10. PAN No: Tax identification number of the firm.
- 11. GST No: Goods and Services Tax registration number.
- 12. Turnover for last 3 years: Financial data for the previous three fiscal years.
- 13. Blacklisting History: Inquiry into any past disqualifications by authorities.
- 14. Current Clients: References from notable clients to establish credibility.
- 15. Products and Services Provided: Overview of what the firm offers in terms of products and services.
- 16. Signature with Office Seal: Required as a confirmation of authenticity.
What happens if I fail to submit this form?
Failing to submit this form may result in disqualification from the empanelment process with LIC. Incomplete or incorrect submissions could lead to the rejection of the application. Businesses may miss out on lucrative contracts and opportunities with LIC.
- Missed Opportunities: Without submission, vendors may lose potential contracts.
- Reputation Impact: Not submitting may reflect poorly on the business's reliability.
- Financial Implications: Loss in revenue from not being considered for partnerships.
How do I know when to use this form?
- 1. Vendor Registration: For businesses aiming to become registered vendors with LIC.
- 2. Government Contracts: To secure contracts for providing services to public sector clients.
- 3. Partnership Proposals: When proposing collaboration on projects or services.
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