Annex XI

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ANNEXTURE XI

APPLICATION FOR REGISTRATION OF CONTRACTORS

Category of Registration

Details of Services for which


Registration is sought

Contractor Class to which registration is sought. Please strike out


those not applicable.
The Upper Limit indicates the maximum value of single work
that can be awarded to the applicant.

Class Upper Limit (Rs. Lacs)

I More than 500


II 500
III 250
IV 100
V 40
VI 10
(The above classification can be revised by CIDC)

GENERAL INFORMATION:
Name
Head Office/Registered Office:
Address/ City/ State/Pin Code

Telephone
Fax
E-Mail

Details of contact person


Name & Designation:

Branch office in Operational Region of ONGC if


any
Address/ City/ State/Pin Code

Telephone
Fax
E-Mail

Details of contact person


Name & Designation:

PAN No.
Central Sales Tax No.
VAT TIN No.
PF Registration No.
Service Tax Registration No.
ESIC Registration No. .

Pre-Qualification Questionnaire
1 Nature of past jobs done Exactly same as applied for
/ similar to what applied for
2 Value of atleast one single job done during Yes / No
lasts years is greater than 70% of the class
upper limit applied for
3 Total turnover of the past 3 years is atleast Yes / No
equal to the upper limit of class applied for
4 The maximum value of similar work done in Rs.
the past three years.
5 The minimum value of works that you shall Rs.
be interested in.
6 Does your organization follow any quality Yes / No
plans / programs?
7 Does your organization have laid down any Yes / No
safety policy?
8 Does your organization have ISO/ISRS Yes / No
Certification
Past Performance
1. Details of works Furnish the Work Order Copy & Completion Certificate
executed during (For a few jobs against each category for which
last 3 years. registration is sought)
2. Details of works Furnish the Work Order Copies for a few jobs
in progress
3. Time schedule Furnish status with respect to contractual completion
period.
4. Detail of any works executed in the past for ONGC ?
Order No.
Name of Work :
Value:

5. Whether the applicant has been blacklisted or de-registered from the


approved list or demoted to a lower class by any organization in the
past ?
Name of organization :
Date of Blacklisting:
Reason
6. Whether the applicant has gone for Arbitration/Litigation for any of the
past works with any organization ?
Name of the Organistion:
Name of the Work:
Nature of Arbitration :
Other Details
1. Past Turnover (Last 3 Years)

Financial Year Turn Over in Rs. Documents


lakhs Submitted
Audited Copy of

Balance Sheet
2. Maximum Value of similar Past Works: (In the order of highest value
first)

Year Order Value in Rs. Documents submitted


lakhs
Work order copy and Completion
certificate

3. Registration with Organisations:


(Consulting Organisations/Oil Companies/PSUs/Others)

Organization Details
Constitution:
Type of Organization Document to be enclosed
(Strike out those not
applicable)
Sole Proprietorship Registration Certificate
Partnership Partnership deed
Private Ltd. Prospectus, Memorandum of Association, Articles of
Association
Public Sector/Public Ltd. Prospectus, Memorandum of Association, Articles of
Association

Manpower Employed:
Sr. No. Particulars Nos. Documents
Submitted
1. Total no. in permanent
employment
2. Number of Graduate / Diploma
Engineers
3. Nos. in Safety/Inspn./QC
4. Others
5. For Electrical Contractors, whether the
applicant possesses:
- Valid Electrical Licenses
For LT / HT Works?
- Valid Electrical
Contractors License
- Valid Electrical
Supervisor License
Nos. of Licensed Electricians

Equipment / Facility Details:


1. Workshop Details:
Workshop Owned ? Yes / No
Area of workshop
Location
2. List of Tools / Machinery / Erection & construction
equipment owned:
3. List of Tools / Machinery / Erection & construction
equipment hired/leased:
4. Details of Facilities Available for Design/Drafting.

Financial Details
Banker’s Details:
Name
Branch
Address / City / State
Pin code

Particulars Rs. in lacs Documents submitted


2. Value of Assets Valuation Certificate
3. Overdraft/Cash credit Banker’s Certificate
limits with Banker
4. Extent of Solvency Banker’s Certificate (in terms of
networth)

IT IS CERTIFIED THAT THE INFORMATION SUPPLIED HEREIN (INCLUDING


ALL PAGES ATTECHED) IS CORRECT TO THE BEST OF MY KNOWLEDGE.

(SEAL OF COMPANY) SIGNATURE


_________________
NAME
_______________________
DESIGNATION
_______________

PLACE :__________________
DATE :___________________

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