( ANNEXURE II )

APPLICATION FORM FOR EMPANELMENT OF

GOVERNMENT APPROVED VALUERS

Name / Name of the firm

_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________

Address (Office)

E-mail id.

_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________

Category valuer

Individual - ( Yes / No )

Telephone no.
Fax no.
Contact Person
Mobile no.

Proprietorship firm (Yes/No)

4

pg. 1

Does individual / proprietor valuer ( Yes / No )

registered under Section 34AB of the
Wealth Tax Act 1957.
Details :
_______________________________________________________
(Related documents to be submitted)
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________

Signature of the applicant __________________

Does valuer has membership of any

one of the professional valuer bodies
viz. Institution of Valuers, institution
of Surveyors (Valuation Branch),
institution of Govt. Approved
Valuers,
Practicing
Valuers
Association of India, The Indian
Institution of Valuers, Centre for
Valuation Studies, Research and
Training, Royal institute of Chartered
Surveyors, India Chapter, American
Society of Appraisers, USA, Appraisal
institute USA etc.
(Related documents to be submitted)

Details :
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________

Educational Qualification :
Individual / firms proprietor shall
have Bachelors degree or equivalent
in civil engineering / architecture
/town planning or he should be a
Post Graduate in Valuation of Real
Estates from a recognized University
(Documents to be submitted)

( Yes / No )

(Yes / No)
Details:
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________

Work Experience :
Minimum 5 years work experience in (Yes / No)
the field of valuation of assets related
to the discipline viz. land, building, Details:
structures, plants & machineries, etc. _______________________________________________________
_______________________________________________________
(Documents to be submitted)
_______________________________________________________
_______________________________________________________

pg. 2

Preferred locations for valuations

( States / Regions )

_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
Signature of the applicant __________________

Whether executed minimum 10 jobs (Yes/No)

in last 3 years ending on 31st March
2016, whose value of asset is more
than Rs. 1 Crs. each
(Related documents to be submitted)

10 Manpower details (Key personnel)

11 PAN no.

_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________

_____________________________________________________

Copy of PAN card of Individual /

firm to be submitted.
Copy of ITR form to be submitted

12 Registration / Empanelment with ( Yes / No )

Central / State governments /
municipal corporations / other Details :
Public Sector Units as valuer.
______________________________________________________
_______________________________________________________
(Related documents to be submitted)
_______________________________________________________
_______________________________________________________
_______________________________________________________
______________________________________________________
_______________________________________________________

pg. 3

Signature of the applicant __________________

I / We certify that I/we will not get myself/ourselves registered as valuer in the
Undertaking under more than one name.
I / We hereby confirm that the above information is true to the best of my / our knowledge
& belief.
I / We also undertake that, if at any stage, the above information are found to be incorrect,
the Corporation shall reserve the right to cancel my /our empanelment, at any time,
without notice, at its discretion.
I / We certify that I/our partners / directors did not retire as an employee of Bharat
Petroleum Corporation Limited during the last two years. I / We also certify that I have
neither such persons under my employment nor shall I / we employ such persons within
two years of his / her retirement from this organization except with prior permission.
I / We certify that I / our partners / directors are not relatives of the Managerial, Accounts,
Engineering or Materials employee of Bharat Petroleum Corporation Limited (A near
relative may include wife, husband, parent, children, grand children, brothers, sisters,
uncles, aunts, cousins and their corresponding in laws).
Date :
Place :
Signature of the applicant _____________________________

Stamp or Seal

NOTE :
All relevant documents must necessarily accompany the application form and should be
submitted. Non-submission of any of the documents as mentioned in the application form or
incomplete form may lead to summarily rejection.
Applicant requesting for empanelment of both Corporate Valuer and Government Approved
Valuer must submit separate application form alongwith supporting documents required for
empanelment.
Applications which do not fulfill all or any of the Conditions or are incomplete in any respect
are liable to be rejected.
BPCL reserves the right to accept or reject any application of Corporate Valuer and / or
Government Approved Valuer in whole or any part thereof without assigning any reason
whatsoever.
BPCL reserves the right to modify, extend timelines or terminate these proceedings at any time.

pg. 4

Signature of the applicant __________________