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 4 of 5) in pdf

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 4

p. Have you at any time been Removed/Demoted/Suspended/Blacklisted? :

Yes/No

If yes, give the details

Sl.No.

Name of

Registration

Class

Date and Period

Reasons

the

No.

of Removal/

organization

Suspension/

Blacklisted

DECLARATION

I/We declare that the particulars given in this application are true to the best of my/our

knowledge and belief and understand that it is liable for cancellation of registration if

proved, otherwise.

Place :

Date :

SIGNATURE OF CONTRACTOR

Name

Authority

Note: This form shall be signed by the person competent as detailed below

(a) Proprietorship business :

Individual/Sole proprietor of the business

(b) Partnership firm

By the partner who holds general power of attorney

authorizing him to sign for and on behalf of the firm

in contractual obligations

(power of attorney with certified

copy there of to be enclosed)

By Managing Director or any Director who holds

general power of attorney in his favour from the firm

giving him authority to do so

(power of attorney with

certified copy there of to be enclosed)

Page 4 of 5

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 4

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