For Locally Manufactured Building and Outdoor

Annex 4/a ANNUAL PRODUCT AWARDS - 2018 FOR LOCALLY MANUFACTURED BUILDING AND OUTDOOR MATERIALS AND FINISHED PRODUCTS A P P L I C A T I O N F O R M (Valid only for a single Product)

1.0. PRODUCT INFORMATION BASIC TECHNICAL NAME CODE NO. CATEGORY RAW MATERIALS USED PERCENTAGE (If any) Local – L Imported - I (%)

2.0. APPLICANTS INFORMATION Name of Organization

Address

Authorized Person

Contact Details Telephone: E-mail:

3.0. PRODUCT QUALITY (Please attach copies of relevant documents) 3.1 Quality Tested at (Name of the Institute) (The Certificate should have been issued within three months before the date of submission): …………………………………………………………………………………..…………………………

3.2 Date of Test Done:………………………………………………………………………..

3.3 Certificate No. & Date:……………………………………………………………………

4.0. PRODUCT REFERENCES (References by Corporate Clients preferred) (i.) …………………………………………………………………………………… (ii.) …………………………………………………………………………………… (iii.) …………………………………………………………………………………… (Please attach copies / original of the above reference documents)

SLIA PRODUCT AWARDS – 2018 1/2 Annex 4/b 5.0. MARKET POSITION (The Product should have been in the market at least for One Year) 5.1 How long has the Product been in the market :……………………………………………………….

5.2 State if any competitive advantage over other similar products …………………………………………

6.0. MANUFACTURING DETAILS : (Please describe in a separate sheet the detailed process of Manufacture)

Name of Manufacturer :………………………………..……………………………………………………..

Address : …………………………………………………………………………………..

……………………………………………………………………………………

Contact Nos: …………………..…………………………………………………………..

No. of work force:…………………………………………………………………..

Place/s where the product can be inspected.

……….…………………………………………………………………………………………………………..

No. of Units Manufactured per day :…………………………………

7.0. ANY OTHER RELEVANT TECHNICAL INFORMATION :

………………………………………………………………………………………………………………….

I …………………………………………………………………………of …………………………………... ………………………………………………………………………………………………………………… Hereby declare that the information given in this application is true and correct to my knowledge. In case my product is pre-qualified for the final submission, I will submit samples as requested. I am forwarding ……. Nos. photographs of the products along with this application. A cheque for Rs. …………….…. (Cheque No:…………………. Bank……………………… Branch……………………) is sent herewith in favour of “Sri Lanka Institute of Architects”

Signature : ………………………………………………………….

Name : …………………………………………………………….

Address :……………………………………………………………..

Tel. : …………………………… Fax :…………………………… Date : …………………………… E- mail: ……………………….…………………………

SLIA PRODUCT AWARDS – 2018 2/2