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    Registration: Annexure "A"

    Uploaded by

    Shubham Jadhav Gujjar
    The document is an application form for enrollment as a contractor in Pradhikaran. It requests information such as the applicant's name, company details, technical qualifications, experience, previous works completed, tools and plants owned, solvency certificate, and a certification that the applicant will not register under multiple names.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Registration: Annexure "A"

    Uploaded by

    Shubham Jadhav Gujjar
    14 views2 pages
    The document is an application form for enrollment as a contractor in Pradhikaran. It requests information such as the applicant's name, company details, technical qualifications, experience, previous works completed, tools and plants owned, solvency certificate, and a certification that the applicant will not register under multiple names.

    Original Title

    AnnexureA

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    The document is an application form for enrollment as a contractor in Pradhikaran. It requests information such as the applicant's name, company details, technical qualifications, experience, previous works completed, tools and plants owned, solvency certificate, and a certification that the applicant will not register under multiple names.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    14 views2 pages

    Registration: Annexure "A"

    Uploaded by

    Shubham Jadhav Gujjar
    The document is an application form for enrollment as a contractor in Pradhikaran. It requests information such as the applicant's name, company details, technical qualifications, experience, previous works completed, tools and plants owned, solvency certificate, and a certification that the applicant will not register under multiple names.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Registration

    ANNEXURE "A"

    APPLICATION FOR ENROLMENT AS CONTRACTOR IN PRADHIKARAN

    1. Name of the Applicant and full Address :

    2. Whether the firm is a joint stock company, undivided


    Hindu Family, individual or a registered partnership firm
    (Attested copy of deeds / articles of association to be
    enclosed

    3. Name of the person holding the power of Attorney


    (attested copy of latest power of Attorney to be enclosed )

    4. Name of the Sole proprietor / partners / with particulars /


    liabilities (Attested copy of registered partnership deed to
    be enclosed.

    5. Name of the Banker and full address:

    6. Place of Business

    7. Class in which enrolment is sought :

    8. List of works undertaken / executed during a period of 3


    years preceding the date of the application
    a) Name of work
    b) Amount of work put to tender
    c) Date and year of commencement
    d) Amount spend during each of last three years
    e) Amount of work still remaining to be executed
    f) List of tools & plants in possession of the contractor
    with date

    9. List of tools & plants in possession of the contractor with


    date

    9. List of technicall qualification and experience of the


    proprietor or partners and dealing technical employees in
    the firm.

    10. Workshop, machineries owned by the applicant (Details to


    be Furnished )

    11. Whether enlisted in any other Dept / Organisation / other


    (State showing the amount qualified to tender )

    12. Has the applicant or his partner or Director been


    blacklisted in the past by any Govt. Dept. / Organisation /
    Other State / Pradhikaran.

    13. Amount of solvency Certificate which the applicant hold or


    will produce.

    I / We certify that I / We will not get myself /overselves registered as Contractor in the Pradhikaran under more than one
    name. The information furnished in the application is true.

    PLACE :

    DATE :

    (Signature of the Applicant & Address )

    Print Back

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