Professional Documents
Culture Documents
(उ. प्र.)
Regional Office, Mau- D 58/50, 1st Floor, Kashi Plaza, Rathyatra Sigra, Varansasi 221 010 (U.P)
Empanelment of Architect/Contractor/Valuer
REGIONAL HEAD
*बैंक हिन्दी में पत्राचार का स्वागत करता िै* *हिन्दी में कामकाज आसान िै, शुरु तो कीहजए*
दू रभाष Phone : ई-मेल E-mail :
REGIONAL OFFICE PRAYAGRAJ
24/28, SARASWATI APARTMENT, SAROJINI NAIDU MARG,
Ph: 8528000269
General information for the Architects / Consulting Engineers who wish to include their name in the
Bank’s panel for renovation of Branches / Offices / Residences, furnishing & interior decoration, civil
work and rehabilitation of the buildings, electrical, air-conditioning, fire safety works, etc are requested
to read following instructions before filling in the forms.
1. Architectural / Consulting firms, intending for empanelment in Union Bank of India are requested
to furnish the details as per enclosed format for consideration.
2. If the space provided in the proforma is insufficient for giving full details, separate sheet of
paper may be used.
4. Decision of the Union Bank of India regarding selection / rejection for empanelment will be final
and binding and no further correspondence will be entertained. Architects / Consultants
empanelled will be informed by post.
5. Information and details furnished by empanelled firm / party if found to be false at any time in
future or any information withheld, come to the notice of the Bank on later date, the
empanelment will be cancelled immediately.
6. The proforma or part thereof shall be signed by any one or more persons on behalf of the firm
holding the power of attorney to do so.
7. Cost of the application form is Rs.500.00 (non-refundable) to be paid by way of Pay Order /
Demand Draft favoring “Union Bank of India”, payable at mau. Application form is not
transferable.
10. Architect/ consulting firms having their office in Eastern Uttar Pradesh will be preferred. Relevant
documents should be attached with this application.
*बैंक हिन्दी में पत्राचार का स्वागत करता िै* *हिन्दी में कामकाज आसान िै, शुरु तो कीहजए*
दू रभाष Phone : ई-मेल E-mail :
BIO – DATA OF ARCHITECTURAL / CONSULTING FIRM
Telephone No. :
Office :
Residence :
Mobile :
Fax :
E-Mail :
Telephone No. :
Office :
Residence :
Mobile :
Fax :
E-Mail :
2 a) Whether proprietary/partnership/:
to be enclosed as Annexure-I).
*बैंक हिन्दी में पत्राचार का स्वागत करता िै* *हिन्दी में कामकाज आसान िै, शुरु तो कीहजए*
दू रभाष Phone : ई-मेल E-mail :
b) Name of the Proprietor, :
Partners, Directors
I)
II)
III)
c) Year of establishment :
I)
II)
the number.
*बैंक हिन्दी में पत्राचार का स्वागत करता िै* *हिन्दी में कामकाज आसान िै, शुरु तो कीहजए*
दू रभाष Phone : ई-मेल E-mail :
7. Certificate of Registration with Govt. / Public Sector / Banks (certificate of Registration to be
enclosed as Annexure V)
past 10 years.
*बैंक हिन्दी में पत्राचार का स्वागत करता िै* *हिन्दी में कामकाज आसान िै, शुरु तो कीहजए*
दू रभाष Phone : ई-मेल E-mail :
11. Name & relation, if any, with the staff :
Work
executed
for (name
of the
Type of Nature Duration of work with If work left
Institution /
work of work dt incomplete or
Body) Location Value
(in terminated
brief) Rs. Commence (give reasons)
completion
Note: Copies of work orders / appointment letters along with Xerox copies of relevant TDS certificate,
satisfactory completion certificate obtained from the client to be enclosed as Annexure-VI. Please note
without the copies of certificates, your application is liable to be rejected.
13. Details of work on hand (photo copies of performance certificate, work orders
enclosed as Annexure-VII).
*बैंक हिन्दी में पत्राचार का स्वागत करता िै* *हिन्दी में कामकाज आसान िै, शुरु तो कीहजए*
दू रभाष Phone : ई-मेल E-mail :
Type of Work Nature of Location Value Rs. Duration Present stage
work executed work (in of work, of work
for (name brief) stipulated
of the time
Institution /
Body)
*बैंक हिन्दी में पत्राचार का स्वागत करता िै* *हिन्दी में कामकाज आसान िै, शुरु तो कीहजए*
दू रभाष Phone : ई-मेल E-mail :
15. Turnover in last 5 years:
Copies of income-tax returns / assessment orders for each year to be enclosed as Annexure-VIII A, B, C,
D & E)
CATEGORIES
*बैंक हिन्दी में पत्राचार का स्वागत करता िै* *हिन्दी में कामकाज आसान िै, शुरु तो कीहजए*
दू रभाष Phone : ई-मेल E-mail :
B) For the work up to Rs.15.00 lacs
Note: When there is turnkey job, consulting firm selected will take care of entire work.
For Category A
For Category B
TOTAL 100
*बैंक हिन्दी में पत्राचार का स्वागत करता िै* *हिन्दी में कामकाज आसान िै, शुरु तो कीहजए*
दू रभाष Phone : ई-मेल E-mail :
NOTE: Criteria mentioned above are just minimum requirement. The Bank at its discretion may upgrade
the criteria. No complaint on this account will be entertained. Agencies scoring 80 marks & above will
only be considered for pre-qualification. Agencies themselves have to fill in self-rating marks column in
the above table.
18. LIST OF ENCLOSURES:
IIA, IIB, IIC Certificates of registration with Income Tax, Service Tax, ,
EPF authorities.
IVA, IVB, IVC Audited Balance Sheet & Profit & Loss A/c. Statement for the
last three years.
Note: In absence of any of the above enclosures, your application is likely to be rejected.
*बैंक हिन्दी में पत्राचार का स्वागत करता िै* *हिन्दी में कामकाज आसान िै, शुरु तो कीहजए*
दू रभाष Phone : ई-मेल E-mail :
DECLARATION
1. I / We have read the instructions appended to the proforma and I / We understand that if any
false information is detected at a later date, any future contract made between ourselves and
Union Bank of India, on the basis of the information given by me / us can be treated as invalid
2. I / We agree that the decision of Union Bank of India in selection of contractors will be final and
binding to me / us.
3. All the information furnished by me hereunder is correct to the best of my knowledge and belief.
4. I / We agree that I / we have no objection if enquiries are made about the work listed by me /
5. I / We agree that I / We have not applied in the name of sister concern for the subject
empanelment process.
Place : SIGNATURE
SEAL OF ORGANISATION
*बैंक हिन्दी में पत्राचार का स्वागत करता िै* *हिन्दी में कामकाज आसान िै, शुरु तो कीहजए*
दू रभाष Phone : ई-मेल E-mail :
Undertaking to be submitted by the valuers for empanelment
UNDERTAKING
I, ..................................................................son /
daughter of
………………………………………………... do hereby solemnly affirm and state that
a. I am a citizen of India
b. I have not been removed/dismissed from service/employment earlier
c. I have not been convicted of any offence and sentenced to a term of
imprisonment
d. I have not been found guilty of misconduct in professional capacity
e. I am not an undischarged insolvent
f. I have not been convicted of an offence connected with any proceeding before
any court of law in India.
g. My PAN Card number…………………./GSTN Number ………………………………
h. I undertake to keep you informed of any events or happenings which would
make me ineligible for empanelment as a valuer
i. I have not concealed or suppressed any material information, facts and
records and I have made a complete and full disclosure
j. I act with independence, integrity and objectivity and undertake all valuation
works with an independent mind and shall not come under any influence of
anybody.
k. I am not related to any of the personnel in the Bank in the
department/division dealing with valuation work directly.
Dated: …………………………….
Signature……………………………….
Name…………………………………...
Address…………………………………
…………………………………………….
*बैंक हिन्दी में पत्राचार का स्वागत करता िै* *हिन्दी में कामकाज आसान िै, शुरु तो कीहजए*
दू रभाष Phone : ई-मेल E-mail :
ANNEXURE – V
Application for Empanelment of valuers
(Application to be made to Regional Offices)
To
………………………..
………………………..
………………………..
Date: …………………
Dear Madam/Sir,
I am a valuer of immoveable properties (land and buildings/ plant and
machinery/current asset) and desire to apply to your organization for empanelment.
My particulars are given below:
Name:……………………………………………………………………………….
Sex:……………………Date of Birth:…………………..…………Age:……..…..
Address:…………………………………………………….......................................................
..........
……………………………………………………………………………………………………………………………………………
………….
Tel No:………………………………..…. Mobile:…………………………………
E-Mail:…………………………………… Fax:…………………………...………..
Educational/Professional Qualifications:
University/Institute/ Examining
S. No. Body Qualification Date of Award
Number of years of experience in the field of valuation:…………………………...
Page 63 of 71
(Attach evidence in the form of reference letters/copies of valuation reports/any
other evidence)
Name and address of previous employer (if applicable):
……………………………………………………………………………………..........................................
.......……………………………………………………………………………………...................................
................
Details of previous empanelment, if any, with dates/duration:
……………………………………………………………………………………..........................................
.........
……………………………………………………………………………………..........................................
.........
Membership of Professional Valuer Association (name and membership number):
……………………………………………………………………………………..........................................
.........
……………………………………………………………………………………..........................................
.........
Registration with CBDT under Wealth Tax Act (Regn. No. and date)
……………………………………………………………………………………..........................................
.........
……………………………………………………………………………………..........................................
.........
Permanent Account Number ( PAN ) of Income Tax
Department:………………………………………………….
GSTN………………………………………………………………………
I/We are/ not Registered Valuer with Insolvency and Bankruptcy Board of India (IBBI)
*बैंक हिन्दी में पत्राचार का स्वागत करता िै* *हिन्दी में कामकाज आसान िै, शुरु तो कीहजए*
दू रभाष Phone : ई-मेल E-mail :
in compliance with Companies (Registered Valuers and Valuations) Rules, 2017 .
Page 64 of 71
References:
1)………………………………………………………………………………………………………………………………
2)………………………………………………………………………………………………………………………………………
……………
3)………………………………………………………………………………………………………………………………………
……………
■ If the firm is partnership concern – Name of the Partners and a Brief profile with
their Qualification & experience
■ Registration number / Certificate as allotted by ICAI / IBBI / other professional
bodies
■ GSTN Number
■ Details of major assignment handled so far ( Furnish Nature of Assignment,
Nature of Assets, & Amount)
■ Whether any allied firms / partners are already empanelled for any other type of
audits for the Bank / FI. If so, furnish details
■ Whether Applicant was delisted from any Bank‟s Panel on any earlier occasion. If
so furnish details.
The above information about me is true to the best of my knowledge and if found
incorrect, I will be fully responsible for the consequences.
Enclosed: Attested photocopies of all certificates/documents of proof
Signature:………………………..
Name:…………………………
Encl:
Undertaking to be submitted by valuer as per Annexure IV.
*बैंक हिन्दी में पत्राचार का स्वागत करता िै* *हिन्दी में कामकाज आसान िै, शुरु तो कीहजए*
दू रभाष Phone : ई-मेल E-mail :