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 5

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List of enclosures with the application form
Description of enclosure
tick (√) if
Description of enclosure
tick (√) if
enclosed
enclosed
D.D.
Solvency Certificate
2 Nos Pass Port size photographs
T&P Certificate
Copy of Engineering degree
Experience Certificates
certificate
Copy of Community certificate
Copy of vehicle RC book
Copy of Certificate of registration
Copy of Pollution under control
from registrar of
certificate
Firms/Companies/ Societies
Copy of Memorandum and Articles
Copy of Insurance policy
of Association
Copy of Certificate of
Copy of License issued by AP
Incorporation
Electrical Licensing Board
Copy of Partnership deed
Copy of State Permit
Power of attorney for authorized
Copy of VAT registration
persons of the contractor to sign
contract documents
Copy of Certificate for permanent
Copy of Income Tax PAN
registration from the Department
of Industries
Copies of Certificate of
Copy of Central Excise
registration issued by other
registration
companies
Original proceedings of
registration issued by APEPDCL for
renewal
---------------------------------------------------------------------------------------------------
FOR OFFICE USE
Application is verified and proposed to accord
a
New/Renewal Registration as Class I / II / III for a period of three years from
________ to ________.
b
Change of Class from Class I / II / III to Class I / II / III.
c
Change of area of operation from ___________ Circle to Entire DISCOM
d
Inclusion of additional Item of works viz.,
_______________________________________________________________.
e
Rejection on reasons
_______________________________________________________________.
_______________________________________________________________.
Contractor’s particulars are entered in register vide Sl.No. _________.
AE/AAE
ADE/
DE/
SE/GM
CGM/O&CS
Proceedings No. _________________________________________________________
i)
The Registration No. assigned ___________.
ii) Contractor’s particulars entered/updated on ___________.
iii) Registration Certificate/Rejection letter sent to Contractor vide D.No._________
Dt.___________.
iv) DDs sent to the ………………………………… vide PCB folio/ U.O.Note Nos. ___________
Dt.___________
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