PCCF001 Contractor Registration Form
PCCF001 Contractor Registration Form
1. The Form (Field 1 to 20 at Page 4 to 14) is to be completed in all respects. If any field is
not relevant, please write “Not Applicable”.
2. Submission of incomplete Form / short receipt of documents shall be sufficient cause for
outright rejection and no further correspondence shall be entertained.
5. Enclose all relevant documents self attested for Statutory Compliance (Mandatory).
7. Each page of the F orm to be dul y s igned and s tamped a t t he bot tom b y authorized
signatory.
______________________________________________________________________________________________
Contractor Registration Form -1- PCCF001-00
AREVA T&D India Limited
Systems Business Unit
STATUTORY COMPLIANCE
The Contractor must submit the ‘Self Attested Copy’ of the following before awarding First Order and
these shall be renewed time to time:
b. PF Code No. ( All employees to have PF A/c No. under PF every Act,1952).
c. ESI Registration No.( All employees to have a temporary or permanent ESI Card as per
ESI Act.)
e. PAN No.
h. LABOUR LICENSE No. issued under Contract Labour Act ( R & A) 1970
i. Audited Balance Sheet and Profit & Loss A/C for the last 3 years.
l. Turnover certificate issued by C.A for the last three Financial Years.
m. Value and period of the highest value job executed in each financial year.
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Contractor Registration Form -2- PCCF001-00
AREVA T&D India Limited
Systems Business Unit
1. Company Information
2. Contact Information
3. Application Type:
4. Business Information
______________________________________________________________________________________________
Contractor Registration Form -3- PCCF001-00
AREVA T&D India Limited
Systems Business Unit
Related Companies & Govt. Departments with whom registered as Approved Contractor:
(Mention Name & Contact Details of Industry References)
_____________________________________________________________________________________
RAILWAYS
_____________________________________________________________________________________
BHEL R&D- HYDERABAD
_____________________________________________________________________________________
NTPC- HYDERABAD
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
5. Contractor Category :
Category : ELECTRICAL
Category : CIVIL
Security Services
Housekeeping
Telecom / Networking : _______________________________________________
-NA-
Annual Maintenance Contract of ________________________________________
-NA-
Others (Specify):_____________________________________________________
-NA-
7. Number of Employees:
(Brief bio-data of all Engineers/ Technicians is to be submitted)
______________________________________________________________________________________________
Contractor Registration Form -5- PCCF001-00
AREVA T&D India Limited
Systems Business Unit
Administration : ___________
8 Support Staff : ___________
11
8. Banking Information
(Solvency certificate issued by the Bank in current financial Year is to be attached).
Address: City:
State:
Country:
Pin Code :
9. Litigation
Is your organization currently involved in any litigation? Yes No
Have you ever been Black listed from any Company or Govt. Agency? Yes No
______________________________________________________________________________________________
Contractor Registration Form -6- PCCF001-00
AREVA T&D India Limited
Systems Business Unit
Project 1 of 3
Project Name: VIJAYAWADA EXO
Project 2 of 3
Project Name: -NA-
Company Name:
Contact Name:
Phone:
Tender Price(Rs.):
Address: City:
State:
Country:
Pin Code:
Project 3 of 3
Project Name: -NA-
Company Name:
Contact Name:
Phone:
Tender Price(Rs.):
Address: City:
State:
Country:
Pin Code:
Order copy is to be enclosed
______________________________________________________________________________________________
Contractor Registration Form -7- PCCF001-00
AREVA T&D India Limited
Systems Business Unit
Project 1 of 3
Project Name: -NA-
Company Name:
Contact Name:
Phone:
Tender Price(Rs.):
Address: City:
State:
Country:
Pin Code:
Project 2 of 3
Project Name: -NA-
Company Name:
Contact Name:
Phone:
Tender Price(Rs.):
Address: City:
State:
Country:
Pin Code:
Project 3 of 3
Project Name: -NA-
Company Name:
Contact Name:
Phone:
Tender Price(Rs.):
Address: City:
State:
Country:
Pin Code:
Order copy is to be enclosed
______________________________________________________________________________________________
Contractor Registration Form -8- PCCF001-00
AREVA T&D India Limited
Systems Business Unit
-NA-
-NA- -NA- -NA- -NA-
______________________________________________________________________________________________
Contractor Registration Form -9- PCCF001-00
AREVA T&D India Limited
Systems Business Unit
Liabilities Rs.
13. Due to Banks 3,38,91,165
14. Taxes Payable -NA-
15. Accrued Salaries and Wages -NA-
16. Due to Sub-Contractors -NA-
17. Other Current Liabilities 1,75,16,630
Rs.
______________________________________________________________________________________________
Contractor Registration Form - 10 - PCCF001-00
AREVA T&D India Limited
Systems Business Unit
Do you have the necessary equipment to perform anticipated job/total work program?
Yes No
If No, how much will you be spending on equipment in the next year? -NA-
Equipment type: Enter an Equipment Type like (Tools & Tackles) / Testing / Vehicle
etc.
Year of Purchase: Enter the Year of Purchase for all equipment items of given equipment
type purchase in the same year.
Number of Items: Enter the number of equipment items for the given equipment type
purchase in the Year of Purchase
Total Cost of Line Item(s): Enter the Total Cost of all equipment items for the given equipment
type purchase in the Year of Purchase.
Note: Contractors must maintain an itemized list of equipment used in the equipment table for audit
purposes.
______________________________________________________________________________________________
Contractor Registration Form - 11 - PCCF001-00
AREVA T&D India Limited
Systems Business Unit
Total
ii) If any Employee or di rect r elation of any employee of AREVA T &D India Ltd. i s i n any way
connected as Employee / Consultant / Advisor / Director / Partner etc. with the Contractor we will
______________________________________________________________________________________________
Contractor Registration Form - 12 - PCCF001-00
AREVA T&D India Limited
Systems Business Unit
submit the AREVA T&D India Ltd Employee Name, Employee Code to Contracts Division for
further approval.
iii) I declare that the information furnished above is correct to the best of my Knowledge.
iv) I undertake to inform you at the earliest any change in details mentioned above.
Date
__________Stamp of Company___________
I understand that this information will be used to register this company with the AREVA T&D India Ltd.,
based on Contractor Qualification. I also understand that registration in this system does not guarantee
the availability or award of Work/Contracts in AREVA T&D India Ltd, Delhi and hereby waive all
claims resulting from errors or omissions.
______________________________________________________________________________________________
Contractor Registration Form - 13 - PCCF001-00
AREVA T&D India Limited
Systems Business Unit
Name:
Witness: Signature:
Position
Date:
Name:
Witness: Signature:
Position
Date:
.
(Signature of Proprietor/Partner/Chief Executive)
Date
__________Stamp of Company___________
______________________________________________________________________________________________
Contractor Registration Form - 14 - PCCF001-00