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.