FORM NO.

I - DETAILS OF LIST OF WORKS IN HAND AS ON SUBMISSION OF

TENDER :

I-(A) WORKS IN HAND

Sr. Name of Agreem Tender Date of Stipulated Value of Value Value of Probable Remark
No. the work ent No. ed commenc date of work of balance date of s
Amoun ement Completion already balanc work to be completion
t/ done (Rs. e work done
Project in lakhs) (Rs. in during this
Cost lakhs) contract
period.

1 2 3 4 5 6 7 8 9 10 11

1 Anmol 6356/2011, 2248.00 16/11/2013 31/12/2020 869.00 1379.00 1379.00 31/12/2020

Nayantara 4273/2013
City Two
(Part 2)

2 Anmol 6285.00 26/08/2015, 31/12/2020 5340.00 945.00 945.00 13/12/2020

Nayantara 4190/2011 14/12/2017
City One
(Part 2)

Note: - Works in hand shall be supported by certificate issued by agency /

authority/Executive engineer.

Signature of Contractor No. of Corrections Signature of Client

 FORM NO. I - - LIST AND DETAILS OF TENDERED WORKS

I-(B) WORKS TENDERED

Tendered Amount
Sr. Name Name and Time probable date Other relevant date if any
Rs. In lakh
No. of the address of the Limit when decision
work client expected

1 2 3 4 5 6 7

None Applied

Signature of Bidder

Signature of Contractor No. of Corrections Signature of Client

 FORM NO. III

DETAILS OF WORK OF SIMILAR TYPE AND MAGNITUDE CARRIED OUT

BY BIDDER DURING LAST FIVE YEARS

Sr. Name Name and Place Agreem Date of Tende Total Date of Principle
No. of Address of the and ent No. comme red cost comple Features &
work organisation Country nce cost of tion Built up area
for whom the ment work (sq.mtr.)
work was done
done
1 2 3 4 5 6 7 8 9 10
1 Anmol Bafna Realtors Pvt Nashik 4190/2011 16/11/2013 8546.00 8546.00 March 2018 76541 Sqmtr
Nayantara Ltd ,3rd floor ,
City ONE AnmolNayantara
(Part 1) Estate, Sambhaji
Chowk , Nashik

2 Anmol Bafna Realtors Pvt Nashik 6356/2011 16/11/2013 1713.00 1713.00 29/12/2015 12,200 Sqmtr
Nayantara Ltd ,3rd floor ,
City Two AnmolNayantara
(Part 1) Estate, Sambhaji
Chowk , Nashik

Signature of Bidder

Signature of Contractor No. of Corrections Signature of Client

 FORM NO. V - (B)
STATEMENT SHOWING PAYMENT RECEIVED (i.e. RECEIPT) IN ALL CLASSES OF CIVIL
ENGINEERING CONSTRUCTION WORKS DURING LAST FIVE YEARS BY UN-REGISTERED
CONTRACTOR/BUILDER/DEVELOPER etc.

Sr. Nam e of Project Agreement Date of Type and Expenditure of Amount of Expected date
No Work Cost No. Commen Nature of Project of last five work still of completion
. cement work year remaining to
be
executed
2013- 2014 2015 - 2016 2017-
2014 - 2016 - 2018
2015 2017

1 2 3 4 5 6 7 8 9 10 11
1 Anmol 14830.0 4190/2011 16/11/2013 Construction 2510.69 1637.45 1580.13 2340.59 1441.76 945.00 31/12/2020
Nayantara 0 RCC/
City ONE Blockwork/
Plaster/
Plumbing/
Electrical/
Tilling/
Landscape/
external
development
etc.
2 Anmol 3961.00 6356/2011 16/11/2013 Construction 588.95 481.96 173.66 56.86 231.06 1379.00 31/12/2020
Nayantara RCC/
City Two Blockwork/
Plaster/
Plumbing/
Electrical/
Tilling/
Landscape/
external
development
etc.
3099.64 2119.41 1753.79 2397.45 1672.82 2324.00
Grand
Total

Note: - Form shall be certified by the Charted Accountant.

Signature of Bidder

Signature of Contractor No. of Corrections Signature of Client