Scribd
Upload
258 views1 page

Payment Application

The document is a payment application form for an interim payment. It provides key details about the project such as the project name, client, contract details, scope of work, and payment amounts for the current application including amounts for works completed, variations, retention, previous payments, and the total amount due.

Uploaded by

madhutridub
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
258 views1 page

Payment Application

The document is a payment application form for an interim payment. It provides key details about the project such as the project name, client, contract details, scope of work, and payment amounts for the current application including amounts for works completed, variations, retention, previous payments, and the total amount due.

Uploaded by

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

PAYMENT APPLICATION

Application Ref. : Date: 15-Sep-2023


Application Type : Interim

Project Name Project Code :


Client Commencement Date
Scope Planned Completion Date
Contract/ PO Ref: EOT Granted (Days)
Contract Date Revised Completion Date
TOC Date Actual Completion Date
DLP (Days) 365 DLP Completion Date

Description Value (AED)

Contract Value :
Initial Contract Value

Sub Total A -
Variations in Original Contract
Approved Variations

Sub Total B -
Revised Contract Value
Nett Revised Contract Value -
Sub Total C -
Advance
Advance payment 30.00% AED 0.00 -
-
Sub Total -

Value of Works Executed to date


Works executed - Initial Contract Scope 50.00% AED 0.00 AED 0.00
Materials on Site -
Sub Total A (1) -
Value of Works Executed to date -Variations
Approved Variations 0.00% - -

Sub Total B (2) -


Retention
Less - Retention 5.00% - -
Release of Retention -
Sub Total C (3) -
Payments Statement
Less - Advance Payment Recovery 50.00% AED 0.00 -
Less - Previous Payments Certified
Sub Total D (4) -
Contracharges/ Others
Other Payments

Sub Total E (5) -

Total Amount = (1) + (2) + (3) + (4) + (5) (I) -


VAT @ 5% (II) -
Total Amount = (I) + (II) - Due for this Application AED 0.00

Amount in Words : UAE Dirham

Comments :

Prepared by: Verified By: Cerified By: Project Manager: Approved By:

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