ANNEXURE-I

APPLICATION FOR EMPANELMENT OF ARCHITECTS & ENGINEERING CONSULTANTS

NAME OF APPLICANT / COMPANY

MONETARY GROUP & CATEGORY IN WHICH APPLICANT IS INTERESTED

FOR EMPANNELMENT

MONETARY GROUP
CATEGORY

(To be selected from table given in Section 1)

e.g. If an applicant is interested for Empanelment in Category A1, Monetary Group-I: Up to Rs.
25 Crs.it is to be written as :

GROUP / Group -I : Up to Rs. 25 Crs.

Monetary
Limit
A1 Residential Buildings.
CATEGORY

The requisite Registration fees of Rs. - only) (The

Registration fee is inclusive of GST @ 18%) are herewith submitted through RTGS/NEFT No.
__________ dated __________.

[SIGNATURE OF APPLICANT]

Page 19 of 30
 ANNEXURE-II

GENERAL INFORMATION
1. Name of Applicant/Company
2. Address for correspondence
Contact Person:
3.
Telephone Nos.
Fax Nos.
Mobile
Type of Organization:
4.
a.) A proprietary firm
b.) A firm in partnership
(Attach copy of Partnership)

c.) A Limited Company

(Attach copy of Article of
Association)
d.) Any other (mention the type)
5. Place and Year of Incorporation
6. Details of Registration /
Membership with the council of
Architects or Institute of Engineers
or such other Institute.(Attach copy)
7. Name of Director / Partners in the
Organization and their status along
with their qualifications.
8. Name(s) of the persons along with
their qualification and designation,
who is authorized to deal with EPI
(Attach copy of power of Attorney
9. Organization Chart of Key
Personnel
10. Details of Awards/Appreciations
supported with document to be
submitted.
Other details:
11.
a) EPF No.
b) PAN No.
c) GST Regn No
(Copies to be enclosed)
12. Any other Information

Page 20 of 30
 ANNEXURE-III

FORM C

Organization setup of the company

(Details to be furnished in the following format)

Sl. Name Designation Qualification Professional COA Years Remarks

No Experience Registration with
and details No. with firm
of work validity
carried out

Note:

Certificates of qualification are required to be attached.

[SIGNATURE OF APPLICANT]

Page 21 of 30
 ANNEXURE-IV

FINANCIAL INFORMATION

Financial Analysis: Details to be furnished duly supported by figures in Audited Balance Sheet /
Profit & Loss Account for the last five years duly certified by the Chartered Accountant, as
submitted by the applicant to the Income Tax Department (copies to be attached)

2018- 2019- 2020- 2021- 2022- Average Annual

2019 2020 2021 2022 2023 turnover.

a b c d e (c + d + e)/3
(i)
Turnover from
Professional
services
(ii) Profit / Loss
(iii) Net Worth (Paid up
capital + Free
reserves but
excluding surplus
on revaluation of
assets, etc as
defined under

Act,2013)
(iv) Latest Banker
Certificate/Networth
Certificate

II. The Banker certificate from Banker not issued not issued earlier than 3 months from last
date of submission of applications

SIGNATURE OF CHARTERED
ACCOUNTANT WITH SEAL SEAL AND SIGNATURE OF APPLICANT

Page 22 of 30
 ANNEXURE-V

BANKERS' CERTIFICATE FROM A SCHEDULED BANK

This is to certify that to the best of our knowledge and information that M/s./

Customer of our bank are/ is respectable and can be treated as good for any engagement upto

This certificate is issued without any guarantee or responsibility on the bank or any of the
officers.
(Signature) For the Bank

NOTE
1. Bankers Certificates should be on letter head of the Bank, addressed to tendering
authority.
2. In case of Partnership firm, certificate should include names of all partners as recorded
with the Bank.

FORM FOR CERTIFICATE OF NET WORTH FROM CHARTERED ACCOUNTANT

"It is to certify that as per the audited balance sheet and profit & loss account during the

Registered Address of individual/fi

Net Worth of the company has not eroded by more than 30 % in the last three years ending on
(the relevant date)."

Membership No. of ICAI

Page 23 of 30
 ANNEXURE-VI

FORM

Details of Specialist Associate Consultants working on regular Basis with firm:

Sl. No Specialization Name Works

Associate

1. HVAC Services

2. Fire Fighting & Fire Alarm

3. Landscaping &
Horticulture

4. Green Building Consultant

5. Electrical design Services

6. Structural design Services

7. Plumbing Services design

8. Water
Supply/Network/Treatment
Plant Design
9. Instrumentation &
Communication design
services.
10. CCTV, Data Centre & IT
Services.

11. Another Relevant

Information.

[SIGNATURE OF APPLICANT]

Page 24 of 30
 ANNEXURE-VII

FORM G

Details of Office Space and infrastructure with firm:

Sl. Criteria Details

No
1. Office Space (Sqm)

2. Computers, Plotters etc.

3. Software Details

[SIGNATURE OF APPLICANT]

Page 25 of 30
 ANNEXURE-VIII

FORM H

Details of Architectural/ Structural/Engineering Services works completed during the last 7 years
(Details to be furnished in the following format)

Sl. No Name Scope Value of Date of Start / Name & Remarks

of of Work completion Address
work Services of the
client

Note:

The following documents are to be enclosed for each of the above work:

Completion Certificate

Copy of Award letter

Other relevant documentary evidence, if any.

[SIGNATURE OF APPLICANT]

Page 26 of 30
 ANNEXURE-IX

FORM I

Details of on-going Works

(Details to be furnished in the following format)

Sl. No Name of Scope of Value of Date & Start / Name & Remarks
work Services Work % completion Address
of the
client

Note:

The following documents are to be enclosed for each of the above work:

Copy of Award letter

Other relevant documentary evidence, if any.

[SIGNATURE OF APPLICANT]

Page 27 of 30
Page 28 of 30
 ANNEXURE-X

FORM J

AFFIDAVIT

(TO BE SUBMITTED ON NON-JUDICIAL STAMP PAPER OF MINIMUM RS.10/-

DULY CERTIFIED BY NOTARY PUBLIC)

I, the deponent above named do hereby solemnly affirm and declare a under:

2. That the information / documents / Experience certificates submitted by

along with this ARCHITECTS &
ENGINEERING CONSULTANTS to
and true and nothing has
been concealed.

2. I shall have no objection in case EPI verifies them from issuing Authority (ies).
I shall also
have no objection in providing the original copy of the document(s), in case EPI demand so
for verification.

3. I hereby confirm that in case, any document, information &/Or certificate submitted by me
found to be incorrect/false/fabricated, EPI at its discretion may disqualify / reject my
application for pre qualification out
participating in any future tenders/ PQ.

DEPONENT

of
Affidavit is true to
my knowledge and nothing has been concealed there from and that no part of it is false.

Page 29 of 30
 ANNEXURE-XI

LETTER OF TRANSMITTAL
[ON THE LETTER HEAD OF APPLICANT]
From:

To
Executive Director (Contracts)
ENGINEERING PROJECTS (INDIA) LIMITED
Core 3, Scope Complex, 7 Lodhi Road,
NEW DELHI 110 003
E Mail:[email protected]

SUB: EMPANELMENT OF ARCHITECTS & ENGINEERING CONSULTANTS.

Sir,

Having examined the details given in Notice for Empanelment and Application documents for
the above work, we hereby submit our qualification and relevant documents.

1 We hereby certify that all the statements made and information supplied in the enclosed

2 We have furnished all information and details necessary for pre-qualification and have no
further pertinent information to supply.
3 We have submitted the requisite
ENGINEERING PROJECTS (INDIA) LIMITED or their representatives to approach
individuals, employers, firms and corporations to verify our submittals, competency and
general reputation.
4 We hereby confirm that we have read and understood all the stipulations given in this
prequalification documents and the decision of EPI with regard to our prequalification shall
be final and binding on us.
5 We have submitted the following certificates in support of our meeting the minimum
qualifying criteria of completed work(s) specified in Section 2 for having successfully
completed the following works:

NAME OF WORK CERTIFICATE FROM

1.
2.
3.

Enclosures:

Date of Submission:

(Seal of Applicant) (Signature of Applicant)

Page 30 of 30