(NTPC GADARWARA - CONTRACTS & MATERIALS DEPARTMENT)

Ref: GwSTPP/C&M/CS/235/Vend Reg Elect_2016-17

Date: 01.04.2016

10.Application complete in all respects shall be addressed and forwarded by registered post or given by hand or by courier at the following address :-

D.G.M (Contract Services), NTPC LIMITED,

Gadarwara Super Thermal Power Station, Vill: Dongagaon, PO: Gangai,

Thana: Chichli, Tehsil: Gadarwara,

Distt: Narsinghpur (M.P.).- 487770 Ph No – 07790-220028

E-mail:vijaysolanki@ntpc.co.in/ neetisinghal@ntpc.co.in

11.The envelope should be super scribed with the titles Registration of Contractors for Services at NTPC GwSTPP, Name of work for which enlistment is being sought, NTPC reference no. of Notice inviting Application, Name of contractor, Phone No./Mobile No. and Correspondence Address.

12.If a Contractor is interested in enlistment against more than one work then, SEPARATE envelopes shall be submitted by the Contractor duly mentioning the details as required at para 12 above including the ‘Name of work for which enlistment is being sought’.

13.Last date of receipt of completed application: The application should reach us by 21.05.2016 at 16:00 HRS. NTPC will not be responsible for any postal delay, loss or non-receipt of applications sent through post / courier.

15.Please acknowledge the receipt of the Application Form for Registration / Enlistment.

Thanking you,

Yours faithfully,

(Vijay Solanki)

DGM(Contract Services)

Enclosures:

1.Instruction to Vendors for filling in the Application Form (Page 3&4)

2.Documents authenticity certificate (Page 5)

3.Application Form for Registration / Enlistment (Page 6 to 9)

4.Qualifying Requirement (Annexure-I ) (Page 10 to 12)

5.Form for acceptance of Fraud Prevention Policy (Annexure-II) (Page 13)

6.Electronic Fund Transfer Form (Annexure- III) (Page 14 to 15)

Page 2

NTPC Ltd., Gadarwara Super Thermal Power Project (GwSTPP)

Village: Dongargaon, PO: Gangai, Thana: Chichli, Tehsil: Gadarwara

District - Narsinghpur (M.P.) - 487770

(NTPC GADARWARA - CONTRACTS & MATERIALS DEPARTMENT)

Ref: GwSTPP/C&M/CS/235/Vend Reg Elect_2016-17

Date: 01.04.2016

INSTRUCTION TO CONTRACTORS FOR FILLING IN THE APPLICATION FORM

1.Contractors are requested to fill in the application form carefully as the enlistment / registration of Contractors shall be done by NTPC, GwSTPP after evaluation of the financial & technical credentials submitted with the application form.

2.Name of the Company as registered should be mentioned. The address of company should be mentioned from where correspondences will be made and offers / bids will be submitted in case of future tenders.

3.The applicant is required to clearly state the work for which they intend to get enlisted / registered.

4.Fees/ Charges: There will be no fee applicable for issuing the Application Form.

5.The application form consists of the following Documents :-

i)Notice Inviting Application for enlistment of contractors

ii)Instruction to Contractors for filling in the application form

iii)Documents Authenticity Certificate

iv)APPLICATION PROFORMA:

PART- I : Company information

PART- II : Capability & experience information

v)Qualifying Requirements (Annexure-I )

vi)Form for acceptance of Fraud Prevention Policy (Annexure-II)

vii)Electronic Fund Transfer Form (Annexure- III)

Application Performa (both Part-I & Part-II) and Documents Authenticity Certificate must be completed neatly and signed by authorized signatory (of the company seeking enlistment) with Company Seal. In addition, each page of the application documents (as given at 5-i, ii & iv) with enclosures, if any such as Qualifying Requirements (5.v) etc. and credentials in support of meeting the Qualifying Requirements (Q.R) should be signed & stamped by the authorized signatory.

6.The documents viz. Purchase Orders/Work Orders/Letter of Awards/Contract Agreement/Completion Certificate/Performance Certificate, Balance Sheet/Annual Report for financial years (2014-15, 2013-14, 2012-13), etc. have to be submitted in support of the information furnished in the Application form has to be mandatorily attached, failing which the application is liable for rejection. A list of documents which have to be attached with the application form is given which must be filled and authenticated by signature & Seal of authorized signatory.

Page 3

NTPC Ltd., Gadarwara Super Thermal Power Project (GwSTPP)

Village: Dongargaon, PO: Gangai, Thana: Chichli, Tehsil: Gadarwara

District - Narsinghpur (M.P.) - 487770

(NTPC GADARWARA - CONTRACTS & MATERIALS DEPARTMENT)

Ref: GwSTPP/C&M/CS/235/Vend Reg Elect_2016-17

Date: 01.04.2016

Vendor should necessarily submit the following:

i.Documentary Proof of Provident Fund Registration Number, Service Tax Regn. No. & PAN No.

ii.Certificate of Incorporation of the firm / Memorandum and Articles of Association / Partnership Deed /Affidavit of Proprietorship with name (s) and address (s) of the Sole Proprietor / Partners / Board of Directors.

iii.Provisions of ESI, Labour License, etc. & other statutory requirements as per labour law as applicable, shall have to be mandatorily complied with, in case of the agency executing any work based on this enlistment.

iv.Your acceptance of Fraud Prevention Policy as per Proforma attached duly signed and stamped.

v.Electronic Fund Transfer Form duly certified by your banker alongwith a copy of cancelled cheque to be submitted.

7.All the documents have to be self attested under seal & stamp of your company unless otherwise mentioned.

8.Vendors, in their own interest, are advised to ensure the correctness & authenticity of all the documents submitted to NTPC. If it is established at any time during the evaluation of the credentials or later that the information furnished by you is false or incorrect, your company shall be liable for black-listing / banning of business dealings & any or all recourses available with NTPC to take punitive/legal action.

9.Vendors are requested to page number the total set of documents being submitted. The Page No. of each document should be compulsorily mentioned in the space provided in the application form.

10.Incomplete application will not be considered for further evaluation.

11.These instructions shall form a part of the Application Form for

Registration / Enlistment.

Page 4

NTPC Ltd., Gadarwara Super Thermal Power Project (GwSTPP)

Village: Dongargaon, PO: Gangai, Thana: Chichli, Tehsil: Gadarwara

District - Narsinghpur (M.P.) - 487770

(NTPC GADARWARA - CONTRACTS & MATERIALS DEPARTMENT)

		Ref: GwSTPP/C&M/CS/235/Vend Reg Elect_2016-17	Date: 01.04.2016
		DOCUMENTS AUTHENTICITY CERTIFICATE
	(Please go through this check list and ensure that all required details are furnished along with relevant documents)
Sl.		DOCUMENTS REQUIRED	Page Nos.
No.			(Please mention page no. on all
			the documents and mention page
			no. below against each)
1		Copy of certificate of incorporation / article of Association / Partnership
		deed
2		Copy of Annual Report including Profit & Loss Account / Balance Sheet duly
		certified by Chartered Accountant alongwith the Registration Number of CA
3		Copy of three highest value Purchase Orders
		(for similar works executed during last 7 years)
3A		Relevant proof of executed work value as at Sl. No. 3 (Performance
		Certificate/ completion certificate)
4		SSI registration certificate(if applicable)
5		NSIC registration certificate (If applicable)
6		Certificate from the MSME Directorate (If your company falls under Micro,
		small or medium enterprise)
7		Copy of PAN (Income Tax)
8		Copy of Sales Tax / Trade Tax (TIN no.) / VAT (Whichever is applicable)
9		Service Tax Registration Certificate
10		PF Registration certificate (Mandatory), Labour License/ Insurance, if any
11		Acceptance of Fraud Prevention Policy by Contractor
12		Electronic Fund Transfer form duly certified by banker alongwith a copy of
		cancelled cheque
13		Class A - Electrical Contractor License, if any
14		Registration certificate from MPPKVVCL, Jabalpur (Madhya Pradesh Purva
		Kshetra Vidyut Vitran Co.), if any
15		Other Documents (if any) : Please mention details
16		This to certify that all documents enclosed as mentioned above are duly attested by self or specified authority as
		required and stamped. The details given herein are correct. We shall be solely responsible for any mistake,
		wrong information, forgery of any document etc. I, hereby also certify that I am duly authorized by my company
		to submit and sign the application & the enclosed documents with this application.

Date:………………..	(Signature) ……………………………..
	(Duly authorized to sign on behalf of Contractor)
Place:……………….	(Name) ……………………………………..
	(Designation)……………………………..
	(Name of Contractor) ……………………
	(Common Seal) ……………………………

Page 5

NTPC Ltd., Gadarwara Super Thermal Power Project (GwSTPP)

Village: Dongargaon, PO: Gangai, Thana: Chichli, Tehsil: Gadarwara

District - Narsinghpur (M.P.) - 487770

(NTPC GADARWARA - CONTRACTS & MATERIALS DEPARTMENT)

Ref: GwSTPP/C&M/CS/235/Vend Reg Elect_2016-17

Date: 01.04.2016

APPLICATION PROFORMA

PART- I: COMPANY INFORMATION

(To be Furnished by the Applicant along with Supporting Documents To be Enclosed with this application)

1. Name of						Copy of certificate of
Company						incorporation / article of
						Association /
Address							-do-
(For Correspondence &
submission of offers etc.)
E Mail ID
Telephone No.				Fax Number
Contact person
Designation of Contact				Mobile no.
person
E Mail ID				Telephone no.
2. Names of		S.	Name , Designation &		S.N	Name , Designation &
Directors		N	Address			Address
/Partners					iii
/ Proprietor		i
(with Address & Mobile
No.)
		ii			iv

			Public Sector Undertaking
3. Type of company
			Small Scale Industries	SSI valid registration certificate / Udyog
(Tick whichever applicable				Aadhaar
& enclose self attested
			NSIC registerd unit	NSIC valid registration certificate /
relevant certificate as
mentioned against each as				Udyog Aadhaar
documentary evidence.)
			Manufacturer	Certified copy of Article of Association /
				Certificate of incorporation
			Authorized Dealer	Dealership certificate / Authorization
				Letter from Principal
			Public Limited Co.	Certified copy of article of Association /
				Certificate of incorporation

Page 6

NTPC Ltd., Gadarwara Super Thermal Power Project (GwSTPP)

Village: Dongargaon, PO: Gangai, Thana: Chichli, Tehsil: Gadarwara

District - Narsinghpur (M.P.) - 487770

(NTPC GADARWARA - CONTRACTS & MATERIALS DEPARTMENT)

Ref: GwSTPP/C&M/CS/235/Vend Reg Elect_2016-17

Date: 01.04.2016

APPLICATION PROFORMA

PART- I: COMPANY INFORMATION

Private Limited Co.

Certified copy of Articles of Association /

Certificate of Incorporation

Properitorship Co.

Registration of firms/ Partnership deed

Partnership Co.

Registration of firms/Partnership deed /

Certificate of incorporation

MSM Enterprise

Micro

Certificate from the concerned Directorate to be enclosed

Category

Small

(Tick whichever is

Medium

applicable.)

4. Registration Details :- (Please enclose self attested copies of registration certificate / relevant documents)

Sl.

Details (Self attested copies to be

Registration No. & Date

Doc. enclosed at

enclosed against each)

page no.

(i)

Permanent Account No (PAN)

(ii)

TIN No.

(iii)

Provident Fund Number

(iv)

Labour License/ Insurance

(if any)

(v)

Service Tax Registration No.

(vi)

Class A - Electrical Contractor

License (if any)

(vii)

Registration certificate from

MPPKVVCL, Jabalpur (if any)

5. Vendor Code (In case registered in NTPC)

(i)

Whether registered in NTPC

Yes

No

(ii)

If registered in NTPC, then

Vendor Code -

furnish Vendor Code

Page 7

NTPC Ltd., Gadarwara Super Thermal Power Project (GwSTPP)

Village: Dongargaon, PO: Gangai, Thana: Chichli, Tehsil: Gadarwara

District - Narsinghpur (M.P.) - 487770

(NTPC GADARWARA - CONTRACTS & MATERIALS DEPARTMENT)

Ref: GwSTPP/C&M/CS/235/Vend Reg Elect_2016-17

Date: 01.04.2016

APPLICATION PROFORMA

PART- II: CAPABILITY & EXPERIENCE INFORMATION

6. Work for which enlistment / registration being applied for :

Name of Work :

Please refer to the Qualifying Requirements for specific package for which you intend for enlistment for Technical & Financial requirements and furnish Credentials to meet the requirements. The details are to be furnished below. Pl’ refer to Annexure-I for Qualifying Requirements.

FINANCIAL REQUIREMENTS

PROVIDENT FUND REG. NO.

(a copy of the valid PF Registration certificate must be enclosed with the application)

			Copy of Annual Report / Balance Sheet
	Fin. Year	Rs.	duly certified by Chartered Accountant to be
			enclosed (Please mention Page no
7. ANNUAL			below)
	2014-15
TURNOVER
	2013-14
DURING THE
THREE (03)	2012-13
FINANCIAL
	Average		Rupees
YEARS
	Annual		Only.
	Turnover

8.Maximum Value of Order(s) executed : Col.1 to 3 below :

(Please furnish details of three highest value Purchase Orders/Work Orders/Letter of Award/Contract Agreement for similar woks (for which enlistment being applied for) successfully executed/ completed for reputed Govt./Public/Private Sector Organization during last seven (07) years prior to the month in which bids are opened. Self Attested Copy of Purchase Orders/Work Orders/Letter of Award/Contract Agreement, Completion certificate to be enclosed (Pl’ mention page no.)

Particulars	Three PO details (of highest value) similar			Remarks
	executed / completed work during last seven
	(07) years prior to the month in which bids are
		opened
	1	2	3
P.O. No. & Date
Work executed
(Brief description of work)
Name of company
(For whom work executed.
Pl mention their address &
phone no.)
Name of Client /
Owner (For whom work
executed.)

Page 8

NTPC Ltd., Gadarwara Super Thermal Power Project (GwSTPP)

Village: Dongargaon, PO: Gangai, Thana: Chichli, Tehsil: Gadarwara

District - Narsinghpur (M.P.) - 487770

(NTPC GADARWARA - CONTRACTS & MATERIALS DEPARTMENT)

Ref: GwSTPP/C&M/CS/235/Vend Reg Elect_2016-17

Date: 01.04.2016

Address of Client

Mobile no & email id of client

Value of work successfully executed / completed (Rs.)

Date of Start

Date of completion

Details (Ref. No. & Date) of Certificate of successful completion

Copy of PO / Work Order / LOA enclosed (Yes/No)

Certificate of successful completion enclosed (Yes/No)

EXPERIENCE REQUIREMENTS

Please refer to the Qualifying Requirements for details of experience of having completed / executed the specific work as given at Annexure-I, during the period mentioned therein and furnish the copy of PO/Work Order/LOA and certificate of execution as required in Qualifying Requirements.

Date:………………..	(Signature) ……………………………..
	(Duly authorized to sign on behalf of Contractor)
Place:……………….	(Name) ……………………………………..
	(Designation)……………………………..
	(Name of Contractor) ……………………
	(Common Seal) ……………………………

Page 9

NTPC Ltd., Gadarwara Super Thermal Power Project (GwSTPP)

Village: Dongargaon, PO: Gangai, Thana: Chichli, Tehsil: Gadarwara

District - Narsinghpur (M.P.) - 487770

(NTPC GADARWARA - CONTRACTS & MATERIALS DEPARTMENT)

Ref: GwSTPP/C&M/CS/235/Vend Reg Elect_2016-17

Date: 01.04.2016

ANNEXURE-I

I.List of works for which enlistment is being sought: Electrical Works

				“Definition of Similar Work” specified as per
Sl. No.		List of Works		Qualifying Requirements for which Contractor
				has to submit Credentials
1.	Job	Contract	for	Similar works means “The agency should have
	Miscellaneous		Electrical	successfully carried out work such as 11kV or above
	works like General Electrical			overhead line pole erection, HT/LT cable laying/
	maintenance, Pole		erection	rerouting/ termination/ jointing work.”
	and cable laying/ re-routing
	etc.
2.	Air Conditioner maintenance			Similar works means “The agency should have
	Contract			successfully carried out maintenance work of split/
				window ACs in any industry/ office establishment’s
				coverings preventive and breakdown maintenance”.
3.	Area	lighting maintenance		Similar works means “The agency should have
	contract			successfully carried out maintenance work of street
				lighting poles / fixtures / Distribution Boards/
				Transformers etc.”
4.	Round the clock operation &			Similar works means “The agency should have
	maintenance of Construction			successfully carried out O&M activities of 11 KV or
	Power			above system consisting of overhead lines/
				substations/ transformers/ LT systems in a power plant
				or construction site.”
5.	Supply, erection,		testing &	Similar works means “The agency should have
	commissioning of 11kV lines			successfully	carried	out	supply,	installation,
				commissioning of 11 kV or above rating substation (s)
				works consisting of 11 kV or above rating circuit
				breakers, power transformers, HT cables and
				terminations.”

Page 10

NTPC Ltd., Gadarwara Super Thermal Power Project (GwSTPP)

Village: Dongargaon, PO: Gangai, Thana: Chichli, Tehsil: Gadarwara

District - Narsinghpur (M.P.) - 487770

(NTPC GADARWARA - CONTRACTS & MATERIALS DEPARTMENT)

Ref: GwSTPP/C&M/CS/235/Vend Reg Elect_2016-17

Date: 01.04.2016

Financial Requirements:

II.Average Annual Turnover:

Package	Estimated Value	Requirement
Category	of Work
A	Upto 15 Lacs	Minimum Average Annual Turnover should be Rs 7.5 Lac in the
		last Three Consecutive Completed Financial Years (2012-
		13, 2013-14 & 2014-15)
B	15.01 to 30.00	Minimum Average Annual Turnover should be Rs. 22.50 Lac in
	Lacs	the last Three Consecutive Completed Financial Years
		(2012-13, 2013-14 & 2014-15)
C	30.01 to - 50.00	Minimum Average Annual Turnover should be Rs. 40 Lac in the
	Lacs	last Three Consecutive Completed Financial Years (2012-
		13, 2013-14 & 2014-15)
D	From 50.01 to	Minimum Average Annual Turnover should be Rs. 62.50 Lac in
	75.00 Lacs	the last Three Consecutive Completed Financial Years
		(2012-13, 2013-14 & 2014-15)
E	From 75.01 to 100	Minimum Average Annual Turnover should be Rs. 87.50 Lac in
	Lacs	the last Three Consecutive Completed Financial Years
		(2012-13, 2013-14 & 2014-15)
F	From 100.01 to	Minimum Average Annual Turnover should be Rs. 150 Lac in the
	200.00 Lacs	last Three Consecutive Completed Financial Years (2012-
		13, 2013-14 & 2014-15)
G	From 200.01 to	Minimum Average Annual Turnover should be Rs. 250 Lac in the
	300.00 Lacs	last Three Consecutive Completed Financial Years (2012-
		13, 2013-14 & 2014-15)

III.Technical Requirements: The Bidder should meet either of the following during last Seven (07) years prior to the month in which bids are opened. The definition of similar works mentioned at Sr. no. I above.

	Package	Requirement
	Category
		Completed / Executed “ONE similar work” of contract value not less than Rs.
		6,00,000 /-
		Or
		Completed / Executed “TWO similar works” each of contract value not less than Rs.

A3,75,000 /-

Or

Completed / Executed “THREE similar works” each of contract value not less than Rs. 3,00,000 /-

Completed / Executed “ONE similar work” of contract value not less than Rs. 18,00,000 /-

Or

Completed / Executed “TWO similar works” each of contract value not less than Rs.

B

11,25,000 /-

Or

Completed / Executed “THREE similar works” each of contract value not less than Rs. 9,00,000 /-

Page 11

NTPC Ltd., Gadarwara Super Thermal Power Project (GwSTPP)

Village: Dongargaon, PO: Gangai, Thana: Chichli, Tehsil: Gadarwara

District - Narsinghpur (M.P.) - 487770

(NTPC GADARWARA - CONTRACTS & MATERIALS DEPARTMENT)

Ref: GwSTPP/C&M/CS/235/Vend Reg Elect_2016-17

Date: 01.04.2016

Completed / Executed “ONE similar work” of contract value not less than Rs. 32,00,000 /-

Or

Completed / Executed “TWO similar works” each of contract value not less than Rs.

C20,00,000 /-

Or

Completed / Executed “THREE similar works” each of contract value not less than Rs. 16,00,000 /-

Completed / Executed “ONE similar work” of contract value not less than Rs. 50,00,000 /-

Or

Completed / Executed “TWO similar works” each of contract value not less than Rs.

D31,25,000 /-

Or

Completed / Executed “THREE similar works” each of contract value not less than Rs. 25,00,000 /-

ECompleted / Executed “ONE similar work” of contract value not less than Rs. 70,00,000 /-

Or

Completed / Executed “TWO similar works” each of contract value not less than Rs. 43,75,000 /-

Or

Completed / Executed “THREE similar works” each of contract value not less than Rs. 35,00,000 /-

FCompleted / Executed “ONE similar work” of contract value not less than Rs. 120,00,000 /-

Or

Completed / Executed “TWO similar works” each of contract value not less than Rs. 75,00,000 /-

Or

Completed / Executed “THREE similar works” each of contract value not less than Rs. 60,00,000 /-

GCompleted / Executed “ONE similar work” of contract value not less than Rs. 200,00,000 /-

Or

Completed / Executed “TWO similar works” each of contract value not less than Rs. 125,00,000 /-

Or

Completed / Executed “THREE similar works” each of contract value not less than Rs. 100,00,000 /-

Date:………………..	(Signature) ……………………………..
	(Duly authorized to sign on behalf of Contractor)
Place:……………….	(Name) ……………………………………..
	(Designation)……………………………..
	(Name of Contractor) ……………………
	(Common Seal) ……………………………

Page 12

NTPC Ltd., Gadarwara Super Thermal Power Project (GwSTPP)

Village: Dongargaon, PO: Gangai, Thana: Chichli, Tehsil: Gadarwara

District - Narsinghpur (M.P.) - 487770

(NTPC GADARWARA - CONTRACTS & MATERIALS DEPARTMENT)

Ref: GwSTPP/C&M/CS/235/Vend Reg Elect_2016-17

Date: 01.04.2016

ANNEXURE-II

Form of Acceptance of Fraud Prevention Policy

To

C&M Department

NTPC Limited,

Gadarwara STPP

Vill: Dongaragaon, PO: Gangai, Thana: Chichli,

Tehsil: Gadarwars, Distt: Narsinghpur- 487770

Sir

We have read the contents of the Fraud Prevention Policy of NTPC displayed on its tender website http://www.ntpctender.com and undertake that we along with our associate /collaborator /subcontractors/ sub-venders / consultants /service providers shall strictly abide by the provisions of the Fraud Prevention Policy of NTPC.

	Yours faithfully
Date:………………..	(Signature) ……………………………..
	(Duly authorized to sign on behalf of Contractor)
Place:……………….	(Name) ……………………………………..
	(Designation)……………………………..
	(Name of Contractor) ……………………
	(Common Seal) ……………………………

Page 13

NTPC Ltd., Gadarwara Super Thermal Power Project (GwSTPP)

Village: Dongargaon, PO: Gangai, Thana: Chichli, Tehsil: Gadarwara

District - Narsinghpur (M.P.) - 487770

(NTPC GADARWARA - CONTRACTS & MATERIALS DEPARTMENT)

Ref: GwSTPP/C&M/CS/235/Vend Reg Elect_2016-17

Date: 01.04.2016

ANNEXURE-III

E.F.T. Form (ELECTRONIC FUND TRANSFER FORM)

(TO BE SUBMITTED ALONG WITH THE BID)

To

C&M Department

NTPC Limited,

Gadarwara STPP

Vill: Dongaragaon, PO: Gangai, Thana: Chichli,

Tehsil: Gadarwars, Distt: Narsinghpur- 487770

Dear Sirs,

REF. AUTHORISATION OF ALL OUR PAYMENTS THROUGH ELECTRONIC FUND TRANSFER SYSTEM.

We, hereby authorized NTPC Limited, Gadarwara STPP, Opposite Mandapam, Rajendra Babu Ward, Station Road, Gadarwara, Dist. Narsinghpur, M.P. – 487551 to make all our payments through Electronic Fund Transfer System. The details for facilitating the payments are given below:

(TO BE FILLED IN CAPITAL LETTERS)

1.NAME OF THE BENEFICIARY

2.ADDRESS

PIN CODE

3.TELEPHONE NO. (WITH STD CODE)

4.BANK PARTICULARS

(A)BANK NAME

(B)BANK TELEPHONE NO. (WITH STD CODE)

(C)BRANCH ADDRESS

PIN CODE

(D)BRANCH CODE

(E)9 DIGIT MICR CODE OF THE BANK BRANCH (ENCLOSE COPY OF A CANCELLED CHEQUE)

Page 14

NTPC Ltd., Gadarwara Super Thermal Power Project (GwSTPP)

Village: Dongargaon, PO: Gangai, Thana: Chichli, Tehsil: Gadarwara

District - Narsinghpur (M.P.) - 487770

(NTPC GADARWARA - CONTRACTS & MATERIALS DEPARTMENT)

Ref: GwSTPP/C&M/CS/235/Vend Reg Elect_2016-17

Date: 01.04.2016

(F)BANK ACCOUNT NUMBER

(G)BANK ACCOUNT TYPE (TICK ONE)

SAVING	CURRENT	LOAN	CASH CREDIT	OTHERS

IF OTHERS, SPECIFY

5.PERMANENT ACCOUNT NUMBER (PAN)

6.E-MAIL ADDRESS FOR INTIMATION REGARDING RELEASE OF PAYMENTS

I /We hereby declare that the particulars given above are correct and complete. If the transaction is delayed or credit is not affected at all for reasons of incomplete or incorrect information, I/We would not hold the Owner responsible.

SIGNATURE

DATE

(AUTHORISED SIGNATORY)

Name:

OFFICIAL STAMP

BANK CERTIFICATION

It is certified that above mentioned beneficiary holds a bank account no…………………….. With our branch and the Bank particulars mentioned above are correct.

SIGNATURE

DATE:

(AUTHORISED SIGNATORY)

Authorization No. : ……………………………..

Name:

OFFICIAL STAMP

Page 15

NTPC Ltd., Gadarwara Super Thermal Power Project (GwSTPP)

Village: Dongargaon, PO: Gangai, Thana: Chichli, Tehsil: Gadarwara

District - Narsinghpur (M.P.) - 487770