AHR seo (Refers to para 4 of Ein’s letter No 66546/P-1/Renewal2021.25/ 02 1ES dated 26 Apr 2020 APPLICATION FOR RENEWAL OF ENLISTED CONTRACTOR (Please see instructions at the end of the application) Wwe __ presently enlisted with Index No with foliowing proprietoxpartnerDirector whose Photographs are affixed below, amare desirous of being re-enlisted on the MES list of ‘contractors for the ‘Acex/Command/Pan- India and give below statement of our details, resources and declaration;= Name Name Name Name (Please paste passport size coloured photographs of Proprietoriall Partners/all Directors with signature of each person across his/her photograph) Ast owas competed deg We precede yearend of wore n hand os Paco easipecicont panne \ ise tend arena 2. PROPERTY DETAILS DECLARATION <7 __LNete This deta declaration are to be submited ely by the contactors whe have ‘ork(s) in hand without provision of Performance Secuty in the respective contacts and/or the fina bills) against any oftheir contrac) hae worked out to MINUS. Ihe centractor isnot fling inthis category then he shal give sutable effdavt stating that there fs no contract wth them net having provision of Performance Security and that ‘none ofthe Final Bis is MINUS. In this conection please refer his HQ latter No. 88546;Ranval925/E8 dated 12 Apr 2019] = (a) Affidavit atached (To be either as per Annx-l or Annx-ll, as applicable) (b) Original Valuation Report trom Registered Valuer attached (as applicable) (6) Documents of ownership attached (as applicable) (Please see pare 3 & 4 of instructions at the end of application) 4 Present Constitutional Status (Indicate name of sole proprietoriPartners/Directors (Please see Para 5 of the instructions at the end of application), «Att atte sm 608 } 7 Cont '2 5, Details of registration of DSC with defproc gov in Web Site (Enclose copy of web page Byponaay sine) (2) Name of frmicontractor and address. (©) Mobile number and land line number. (©) E-mail address. 8-05 (Enclose copy of GST Registration Certificate). 7. ADHAAR No. : (Adhaar no. of Sole Proprietovall Partners/all Directors to be mentioned) Relationship with MES Registered Contractors: (@) Name of Rotated Fiam: () Nature of Relationshia. (6) Particulars of his/tneir registration: 8. Deals of contracts which were cancolled in last fe years ending 31 Mar 2020 (as per enclosed AnnxIV) 10. Please intimate change if any with regard to details submitted against serial No.6 of the application form submitted during eniistmentViast upgradation 11, Ae hereby agree with and reat the contents at serial No 9 to 14 f our application form for enlistment. In addtion we reaffim that Ie are Tully equipped and active in e- ‘endering as per details given herein. Uwe agree that live shall not qualify for renewal if not ‘considered equipped and ready in all respect of e-tendering 12, We understand and agree that the Registering Authority has the right as he may decide, not to re-enlist me/us of to re-eniist in lower class and in case, IMle are not satisfied vith tis decision, we may apply to the next higher Engineer Authority (E-n-C in case of SS. Class), whase decision shall be final & binding, 43, (nWe forward through email (on email id of Registering Authority) the scanned copies Oi this application alongwith enclosures stated hereinbefore and shall send the originals by Registered Post/Speed Post to the Registering Authority (RA) within one week of date of ‘sending email on the nic email of RA. Encls: Sheets *Signature of Contractor(s) Sole Proprietor/Directors/Partners Date Place “All Parners and Directors are required to sign.