| 1. |
Name in Full |
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| 2. |
Father's Name |
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| 3. |
Place of Residence |
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| 4. |
Period for which the applicant
/firm has been staying at the place. : |
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| 5. |
| a. |
Category in which the contractor
is registered if any
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| b. |
Category in which registration
required |
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| 6. |
Name of relatives if any in Govt.
service in P.W.D |
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| 7. |
Name of persons who are working with
him. |
: |
| 8. |
| A) |
Solvency Certificate |
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a) Form a Revenue Officer not below a Tehsildar.
Incase of solvency from outside the state of M.P.It be countersigned by Collector or Dy.Collector.
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b) Date of granting the solvency cerificate by the officer (it should be current its period of validity is required. |
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c) Amount. |
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d) In the case of limited concerns the last audited balance sheet to be furnished. |
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| 9. |
A list showing the name of works executed by him in the Past with cost and year of completion.
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| 10. |
Profession followed so far year wise experience certificate for last 5 years from officers not below the rank of E.E |
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| 11. |
Experience in Contract works with P.W.D or other Department. |
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| 12. |
Attested copies of certificate from officials giving name and designation of officers (as per col.No.10 above) |
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| 13. |
| a) |
Whether there are technically qualified persons working with the applicant with details.
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| b) |
If not whether the applicant is ready to appoint an overseer/Engineer qualified from an Institution recognized by Govt. of M.P.
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: |
| 14. |
Amount of income assessed and Tax paid for last three years. Current income tax clearance Certificate to be attached.
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| 15. |
And other details which the applicant considers materials for the purpose. List of plant & equipment to be attached.
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| 16. |
In case of firm, the Name of each Partner should be given with attested copy of a partnership deed along with the acknowledgements obtained from the register to firms.
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| 17. |
Name of persons authorized to sign on behalf of contractors (receipt of bills etc) should be specified copy of General power of attorney to be attached.
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| 18. |
In the contractor is interested in Electrical works only, he should be submit a copy of license issued by Electricity Department that he has in his employee a wireman holding license.
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