Road Safety Week - Order Form

NSC Membership No:
Org GST No:
Name Of The Person : *
Designation :
Name Of Organization :
Email : *
Fax No. :
Postal Address :
Pin Code:
Dist.  :
State:
Tel.phone No.:
Mobile.  :
1) Collection Discount : 5% Discount will be applicable on 'Cost of the Materials' only if the material is collected from the council's office .In case you are collecting the materials please select 'Yes' or 'No'.
2) All prices are inclusive of packaging and freight charges.
3) NSC GST No: 27AAATN3069N1Z4
Collection of Materials
Quantity Required Details
Item Code Promotional Items Price Per Item [Rs.] Quantity Amt. Collection Discount
[Refer T & c for Applicability]
NET Cost GST Total Amount
BILLINGUAL ENGLISH HINDI Total Quantity Discount
(%)
Discount
Amount
NET Cost % Amount
1 RSW BADGE (with road Safety Theme) (HSN 4909) (Order should be in multiple of 100no.) 300 0 0% 18%
2 CLOTH BANNER (12 feet * 3 feet ) with road safety Theme (HSN 62) 310 0 0% 5%
3   POCKET GUIDES (2 Colour & 4 Colour Laminated) (HSN 4909)
55016 Vehicular Pollution 40 0 0% 12%
55019 Commuting To Workplace Safely 40 0 0% 12%
55105 Fire Safely in Transportation of Hazardous Goods 40 0 0% 12%
55117 Defensive Driving 40 0 0% 12%
55118 Fire Safety in Transportation of Hazardous Goods 40 0 0% 12%
55206 Road Traffic Signs (Mandatory and Cautionary) 40 0 0% 12%
4   ROAD SAFETY POSTERS (4 Colour on Art Paper) (50 cms * 75 cms) (HSN 4911)
65173 Educate Drivers/Helpers to take Correct Actions in Transport Emergency 100 0 0% 12%
65208 Stop! Don't Come Closer-It is Dangerous 100 0 0% 12%
65283 Follow Road Safety Rules, Your Family Awaits You 100 0 0% 12%
65288 Keep Safe Distance From Vehicles while Driving 100 0 0% 12%
65303 Do Not Use Cellphone while Driving 100 0 0% 12%
65312B Be a Good Samaritan, Help Accident Victim (Bilingual) 100 0 0% 12%
65318B Follow Road Safety Norms while Transporting Materials(Bilingual) 100 0 0% 12%
65319B Use Cleaner Fuels and Beat Air Pollution (Bilingual) 100 0 0% 12%
65320B Follow Prescribed Speed Limits - Prevent Accidents (Bilingual) 100 0 0% 12%
5   SAFETY FILMS (HSN 8523)
52006 Safe Driving for Truck Drivers (Hindi) (Duration 22 Min.) 1500 0 0% 18%
52007 Rasta - Safe Driving for 2 & 4 Wheeler Driver 1500 0 0% 18%
6 KEY CHAIN Acrylic Key Chain with Council's Name & Logo printed on it.(HSN 3926) (Order should be in multiples of 10 nos.) 20 0 0% 18%
7 DOCUMENTS HOLDER POUCH Made of high quality rexin (would be found useful for keeping documents like Insurance Policy,PUC Certificate ,RC card License etc.)(HSN 4202)(Order should be in multiples of 5 nos.) 65 0 0% 28%
8 CAP Made from good quality Cotten fabric (with polyster mix) with Council's logo printed on it.Useful in RSW March/Rally/Summer season.(HSN 3923) (Order should be in multiples of 5 nos.) 70 0 0% 18%
9 LED TORCH LED Bulb - Plastic Body Torch (Very handy during emergencies) with Council's Name and Logo printed on it.(HSN 8513) 115 0 0% 28%
Cost Of Material :-

Payment Option (In favour of National Safety Council)

Check/Demand Draft along with copy of this duly filled-in form to be sent to
The Director General, National Safety Council
Plot No.98-A, Institutional Area,
Sector 15, CBD Belapur,
Navi Mumbai - 400 614
Enclosed DD Number *
Drawn On(Bank and its branch) *
Amount *
Date *

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