Scribd
Upload
70 views2 pages

Application For Registration of Contractor (Class III)

This document is an application for registration as a Class III contractor. It requests information such as the applicant's name, address, financial details, experience, completed works, ongoing works, key personnel, owned machinery, financial turnover, litigation history, and a declaration of truthfulness of the provided information. The purpose is to assess the applicant's qualifications and suitability for registration as a Class III contractor.

Uploaded by

Rashmi Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
70 views2 pages

Application For Registration of Contractor (Class III)

This document is an application for registration as a Class III contractor. It requests information such as the applicant's name, address, financial details, experience, completed works, ongoing works, key personnel, owned machinery, financial turnover, litigation history, and a declaration of truthfulness of the provided information. The purpose is to assess the applicant's qualifications and suitability for registration as a Class III contractor.

Uploaded by

Rashmi Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Application for Registration of Contractor (Class III)

1. Vendor Details Name :


Registration Number :
Application Number :
2. Type of vendor :
3. Name of father/husband (in case of individual) :
4. Caste :
5. Religion :
6. Date of Birth :
7. Nationality :
8. PWRD Wing :
9. Permanent Address : Street name 1 :
Street name 2 :
Village/Town :
District :
Pincode :
Mobile No :
10. Present address : Street name 1 :
Street name 2 :
Village/Town :
District :
Pincode :
Mobile No. :
11. Class & Category : CLASS III
12. Financial Year :
13. PAN Number :
14. GST Number :
15. Bank Details : Bank Name :
Branch Name :
Account Number :
16. Registration Date :
17. Registration Renewal Date :
18. Address of Regd. Office (Mandatory for Partnership Street Name1 :
Firm/Company Street Name2 :
Village/Town :
District :
Pin Code :
Mobile No :
19. Address of Individual/Proprietor in case of Proprietorship Firm.For Partnership firm, include address of all
Partners. For Company, include address of designated person :
Sl. No. Partners/Directors Name Age Address
20. Contact person/Authorized Signatory details : Name of Authorised Signatory. :
Street Name1 :
Street Name2 :
Village/Town :
District :
Pin Code :
Mobile No :
Email Id :
21. Completed Works :
Works executed in the last 5 years (Current Financial Year not to be included) :
Sl. No. Prime/Sub Contractor Project Name Details
22. Quantities of work executed in the last 6 years (Current Financial Year not to be included) :
Sl. No. Prime/Sub Contractor Work Item Quantity Financial Year
23. On going works :
Sl. No. Prime/Sub Contractor Project Name Details
24. Key Personnel for Works and Administration :
Sl. No. Work Position Name Qualification Experience
25. Details of Machinery Owned :
Sl. No. Type of Equipment Numbers Owned Machinery Details
26. Financial Turnover from Civil Engineering Works in the Last 5 years (Current Financial Year Not To Be
Included) :
Sl. No. Financial Year Turnover(INR)
27. Litigation History :
Sl. No. Employer Cause of Dispute Status
28. Vendor History :
Sl. No. Class Action Date
29. Brief description of requirement :
Contractors Declaration
I declare that the data and credentials submitted/document attached by me for the mentioned year for vendor data
update is correct.
Date : 01-01-1970
Place : Signature of the Applicant

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy