REGISTRATION FORM FOR CIVIL CONTRACTOR
* mark fields are mandatory
Please Choose Contractor Type Which You Are Applying For
Licence Type : *
Personal Information
Proprietor Name : *
Applicant Name : * Father/ Husband Name(Proprietor) : *
Postal Address
(i) Residence Address
State :*  Division :* 
District :* City :*  
Pin Code :*
(ii) Office Address
Postal Address of Firm :*
State :*  Division :* 
District :* City :*  
Pin Code :*
(iii) Correspondence Address Same As Office Address *
Postal Address of Firm :*
State :*  Division :* 
District :* City :*  
Pin Code :*
Personal Details
Phone No. [Office] with STD Code : Mobile No :*
PAN Card : * GST. No. :*
Fax No. [Office] with STD Code : E-Mail ID [Firm] :*
Type Of Work For Which Registration Is Applied :* Status of Applicant :*
Bank Detail
Bank Name :* Branch Name :*
Account Number : * Rupees *
Rupees in Words : * Is Your Annual Turnover More Than 100000 ? :*   Yes  No
Work wise details of work completed /or in progress by the contractors in any particular Dn./Deptt
Contractor Name*
S No. Division in which worked Name Of Work Agreement No. Agreement Date (DD/MM/YYYY) Amount of work as per agreement(In Rupees) Actual cost of work as completed(In Rupees) Period allotted(In Months) Actual time taken to complete the work(In Months) Works which are in hand , present position of the works Remark Action
1.
List Of Supporting Documents
Certified Copy OF Pan Card :
(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB) *
Certified Copy of Tin No :
(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB) *
Certified Copy Of Electrical Work Licence :
(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)*  
Scan Copy of Original Affidavit in Prescribed Proforma :
(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB) *
Download Format
Cash(Security Amount After Approval of Registration) :
(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB) *
Scan Photograph and Signature Which Is Certified By The bank officer : (In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB) *
Certified Copy OF Registration of Firm and Partnership Deed :
(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB) *
Photo Copy of E.P.F. Registration :
(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB) *
Voter I.D./Aadhar Card :
(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB) *
Character Certificate(In Prescribed Form) :
(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB) *
Download Format
To Attach Scan Copy Of Registration OF PWD :
(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)
Scan Copy of 3 Years Income Tax Return :
(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB) *
Attachment of scan copy of Registration of Service.Tax & Its Field :
(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB) *
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