Contractor Registration Application Form (For New/renewal/change Of Class/change Of Voltage Grade/change Of Area Of Operation/inclusion Of Additional Item Of Work) Page 3

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with full addresses.
In case of registration for Items of work against Sl. Nos 2 & 3 i.e., Repairs to sick Power Transformers,
repairs to sick DTRs and other electrical equipment.
Sl.
Address
Repair
Service Connection Details
No.
Capacity
Section
Area
Cat
SC
Contracted
Code
No.
load
1)
l. Number of Vehicles available
:
In case of registration for Items of work against Sl. Nos 11 & 12 i.e., Transport works, Supply of
Vehicles.
Sl.
Vehicle
Year
Whether valid certificates of the following enclosed
No.
Particulars
of
(
√)
Mfg.
Type
Number
Regi
Insurance
Fitness
Permit
Pollution
strat
under
ion
control
1)
m. Other details of Contractor
Sl.No.
License/Registration
Details
1)
Details of License
License No.
issued by AP Electrical
Grade
Licensing Board
Upto KV
Validity period
2)
Central Excise
Registration No.
Registration details
under Service Tax Law
3)
VAT Registration
Tax Identification No.
under AP VAT Act, 2005
(TIN)
4)
Income Tax
PAN No.
n. Whether the contractor will come under the purview of “Chapter V of the Finance
Act’ 1994 read with the Service Tax Rules’ 1994.
:
Yes / No
(If yes, please furnish the copy of registration certificate or else furnish the undertaking letter in the
prescribed format)
o. Whether the Contractor or representatives of the Firm/
:
Yes / No
Company do have any relatives in APEPDCL?
If yes, please furnish the details
Sl.
Name of the Officer/
Designation and place of
Relationship
No.
Employee
Working
1)
2)
3)
Page 3 of 5

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