Registration Certificate for Proprietorship Firm

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FOI SHRI LA r,'l
I LAL FATEL
PROi N,IETCR
qm
ffi
GoverDmert of India
Form GST REG-46
[See Rule ]0(t)l
Registration Certifi cate
Registrrtio! Number :O8AAZpp5?l8MlZN
I Legrl Name LAXMI LAI PAIEL

2 Trude Neme' if eny SHRI LAXMI LAI PATEL
3. Coastilution of Business Proprictorship
4 Addresc of Princiorl Place of THANA, RISHABHDE V, KHERWARA, Udaipur,
Busintss Rajasthan,
3I 300 t
5. Detc ofLisbitity ot/01/20t7

6. P€riod of \/elidity Fmm ot/o'7 t20t1 To NA
1 Type of Registrrtion Regular
8 Prrticulrrs of Approvitrg Authority
Signature
Narne
Designation
Jurisdictional Ofrce
9. Dste ofissue ofCcrrificate 20i09/20t'1
ote: The rEgistration certificate ts required ro be prominently

disptayed at al places of business rhe Sl!te.
This is e systcm gcncrrt'd digit.lly dg..d R.lirh.tiotr certilic.te isru.d

b.s.d otr the d€t,ed .pprov.l of llc spplicltior for
rcgi(r.tion
Fcr SliR I L IIII LAL PATEL

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Aonexure A
GSTIN O8AAZPPs7I8MlZN
Legal Name LAXMI LAL PATEL
Tradc Narne, ifany SHRI LAXMI LAL PATEL
Details of Additioml phces of Business
Total Number of Additional places ofBusiness in the

Srate I
Sr. No Address
I VILLAGE GADAWAT, RISHABHDEV, RISHABHDEV,
Udaipur, Rsjasthan, 3I 3802
AnBexure B
GSTIN O8AAZPP57I8M IZN
Lcgal Name LAXMI LAL PATEL

Trade Name, ifany SHRI LAXMI LAL PATEL
Details of Proprietor
I Neme LAXMI LAL PATEL
Desigmtion/Status PROPRIETOR
Resident of State Rajasthan
For SHRI
LA
&to, roru.
)
.lli aEl tr{ r,pERti[A ENTAccouarNurrEER .61
AAZFPST18M
j'lr^ltE
d$
LAXiN LAL PATEL
trlti !ll] Tr /r_^r-H58 S rE re

I{AI{J] PAIEL
F{ ftli ruATE gF ri
l9-05.1980
fnttuc--
9FEt rrl', #I.
caulirSlickA € Hcotr6 t x ,arclP.Jp
4'r-
EMPLOYEES' PROVIDENT FUND
(A statutory Body under the Ministry of Labour and
Employment,
www.eofindia,oov.in
PROVIDENT FUND CODE NUMBER INTIMATION
No : 1006547069UDR
Oate : 07lO712016
To
TAXMI LAL PATEL
PROPRITOR
SHRI LAXMI LAL PATEL
1O ASHOK VIHAR NEAR JAIN MANDIR
UDAIPUR UDAIPUR
RAJASTHAN - 313001
sub: Allotmenl of code Number to establishment M/s sHRl LAxMt LAL

PATEL under Emptoyees, provident Fund and
Miscellaneous Provisions Act, 1 952-regarding.
Sir/iradam,
Based on the information submitted online by you, your establishmenl
is registered with Employees, provident Fund
Organisation with the following code number :
Code Number : RJUDR149t692O0O
This code number is allotted based on the following declarations

by you:
'l. Eslabtishment : SHR| LAXMT LAL PATEL
Name of
2. PAN of Estabtishment : AAZ??ST,|BM

3. Date on which employment : O6tO7l2O16
strength crossed 19
which
4, Seclion under : OOOl(3Xb)
5. Primary Activity : ENGTNEERS - ENGG. CONTRACTORS
6. Ownership Type : proprietorshlp Firm
7. The address prool of the - Copy of ba nk passbooUstatement
establishmenl is
Application Number : 1006547069 Page 1 of2

Code Number : RJUDR1 491 692000
Fcr SHRI LAyi,ILAL PATEL
*'2
I The proof of date of set up 'l g/O.t/2001 is Others IL
9. As at the time of apprication, your estabrishment is having the fo owing licenses and registrations
S.No. License Under License Number Date lssued By Place of lssue
1 Sales Tax Act 08403950415 't9t01t2001 CTO UDAIPUR UDAIPUR

10. As on date ofyour application, your establishment is not regrstered with ESIC
11. As on date of your application, your establishment is not having LIN

SUB REGIONAL OFFICE
UDAIPUR
IO ASHOK VIHAR NEAR JAIN MANDIR 313OOI
laxmi9l 777@rediffmail.com
Please note that this intimation letter is generated with the owners' Details
in Form 5A and the lntimated tetter will be vatid
only if the Form 5A is enclosed.
lmpodant information:
1-.By virtue o, this registration, you are required to compty wlth the provision
of the EpF & Mp Act 1952. The
obligalions/duties/responsibilities
cast. upon you as an employei of this estabtishment ano penalties,
compliance with the same, are explained on our website wufl.epfindia.gov.in. on account of non-
carefully.
i"Lli" i"qriifi't; go through them
under the provisions of the Act is to be made only through a challan generated
through the Unified
r registration on the portal, preparation of the EcR txt fit; and retateJ
i"i"ir"'ti- i. availabte on the
3. ln case this letter is produced as a proof of
any lnspector from EPFO, the Form 5A genera
this letter. The remittance details of the esta
"Establishment Search" where all payments
available.
4 Please quote the code Number RJUDR1491692ooo for aI the future

correspondence with EpFo.
This is a system generated letter and needs no signature
Employees' Provident Fund Organisation

Dated:07/07/2016
Application Number : 1 006547069

Page 2 of 2
Code Number : RJ|JDR1491692000 L
f. tt
Al{NEX. J
TECHNICAL CAPACITY OF THE BIDDER
(Re{er lo Cl6use 2 2 222 2 5 and 2 2 2 7 d ltE RFP)
Experience (ln Crore)
Payment Received Value of Escalation TECHNICAL

Applicant Pro,ecl Escalation
Category frorConstruction of Prolectc in Year Amount Faclor EXP. (ln
TyPe Code Value Proiect
Eligible Proiects in Category 1 Projeci Crore)
Category 3 & 4 t2
Signle Entity
2016.1t 342 1.20 4.10
Shri Laxmi Lal a 3 4.14 4.93
Patel 2017-18 0.72 'l 15 083
Signle Entity
201G17 330 1.20 396
Shri Laxmi Lal b 3 4.00 4.71
Patel 2017.18 070 1.15 0 8'1
Signle Entity
2018-19 4.90 1.'10 s39
Shri Laxmi Lal c 3 8.84 952
Patel 2019-20 3.93 1.05 4.13
Signle Entity
2011-18 3.0s 1.1s 3.51
Shd Laxmi Lal d 3 4.53 5.14
Patel 2018-19 1.48 1.10 1.63
Signle Entity
2016-17 3.17 1.20 380
Shri Laxmi Lal e 3 4.03 4.79
Patel 2017-18 0.86 1 15 0.99
SQnle Entity 2016-17 298 120 358
Shri Laxmi Lal f 3 4.01 4.83
Patel 2017-18 109 1.15 1.25
S[nle Entity 2016.17 2.16 1.20 2.59
Shri Laxmi Lal s 3 442
Patel 2011-18 1.59 1.15 1.83
Sbnle E ntity
201&19 3.72 1.10 4.09
Shri Laxmi Lal h 3 6.20 670
Patel 2019-20 248 1.05 2.60
Signle Entfiy
20'18-19 2.99 110 329
Shri Larmi Lal 3 4.07 442
Patel 2019-20 1.08 1.05 1.13
Signh Entrty
2016-17 209 1.20 2.51
Shri Laxmi Lal l 3 3.s0 4.13
Petel 2017-18 141 1,15 1.62
S'gnle Entty
2016-17 324 1.20 389
Shri Laxmi Lal k 3 3.24 3.89
Patel 2017-18 0.00 '1.15 000
Sbnle Entity
2016-17 2.29 1.20 2.75
Shri Laxmi Lal I 3 3.32 3.93
Patel 2017-18 1.03 1.15 1.18
TOTAL ffechnical Capacity)i 61.46
.t-- =-
3
IRI LAX!,.'!I LAL FATEL
R
J-ut
Appendix IA
Annex-lV
ANNEX-TV
Details of Eligible Projects
(Refer toClauses 2.2.2.2, 2.2.2.5 and 2.2.2 7of rhe RFp)
Pro Code: En Self/Members:
Item Refer Particulars of the
lnstruction Project
Title & nature of the Rl-32-282
5 3
2016-1'1
1.42
2017- 18
Year-wr se 6 o72
(a)payments received for construction or work
exeruledandcertr fi edbytheEngineer-in-
charge/lndependent Engine€r/Authority's Engineer,
atrd/or
(b) revenues appropnated for self construction urder
PPP ects
for which rhe ect was constructed 7 Shri Laxmi Lal Patet
Location Udaipur
Proiect cost 8 Rs. 4 57 Crore
Date of commen cement of confiact 26 09 2016
Date of com leuon/ commissionin 9 23 .07 20 t7
Equity sharehold ing (with period dunng whrch equity l0 1U)o/o
was held)
f.r Cr LAXITtI LAL PATEL
IETOR
#.-
H.R.JAIr{ & CO.
o
CHARTERED ACCOUNTANTS
310.313, Shri ArihaDt Plaza, Udia pole, Near SBI , UDAIPUR-313001 (R4)
Phon e : 9785390875, E-Mail: h r lal nca4ri;gm ail .com CE
c IFICAT E FROM T HE STA TUARY AUDITOR / CLIENT REGA RDING

S ON WORK
Based on its books of accounts and other

SHRI LA(MI LAL PATEL was engaged
Rajasthan to execute Construction of B
The construction of the project commenced on 26.09.2
Year
Amount
(Rs. ln Crore)
2016-2017 | 3.12
2017-2018 : 0.72
Total:. 4.14
to"7l
t*r,L^L PATE.
l(-tT
f
OFFICE OF THE EXECUTIVE ENGNEER, P.W.D.
DIVISION SALUMBEft-
I ..o IT
is to certified that Shri Laxmi Lal palel ,,AA"
Class contractor. Rishabdeo
had executed the quantitjes of Const. of BT Road
under PMGSY under Package No.
RJ-32-282 in Disft. Udaipur ls completety in time
& euality of work is good &
satisfactory.
Detail of the lrrerk executed are as under :-
Agreement No. 9012016,17
Amount of Agreement Rs.4,56,71,172.00
Date of Commencement 26 09.20.16
Date of Completion 25.07.2017
Actual date of CompleUon 23.07.2A17
Financial Year 2016-17
Aclual work done 41353252.00
A-Earth work (Cum) 104144.79 Cum

B-GSB-c-llURiver Shingte 12148.01 Cum
C. WMM (Cum) 7547.86 Curn
D-Primer Coat 50305.46 S-om
E-Tack Coat 50305.46 Sqm
F-PMC 50305.46 Sqm
G-Seal Coat 50305.46 Sqm
H- CC (1:3:6) 426.71 Cum
ICC (1:2:4) M2O 49 57 Cum
J-RCC M25 34.82 Cum
K-R.R. Stone Masonary 5716.08 Cum
L-Pointing 3396 54 Sqm
M-Plastering 221.00 Sqm
N4oping 36,00 Sqm
O- Hume Pipe (Single Row) 225,00 R.Mtr.
P-Hume Pipe (Oouble Row) 66.25 R Mtr.
Q-Hume Pipe (30O mm dia) 97.50 R.Mtr.
R-Steel 0.00 Ton
s-Rcc 0.00 Cum
.t
PW r
F I
r
e ---\
Apoendix lA
Anaex-lV
ANNEX-IV
(ReJbr to Clauses 2.2.2.2, 2.2.2.5 and 2.2.2.7ofthe Rl;I,)
Pm ect Code: En : Self/Members:
Item Refer Particulars of tte
Instruction Project
Title & nature of the Rl-32-278
C 5 3
2016-17
330
20|'t -t8
Year-wise 6 0.70
(a)palments received for construction or work
ex ecutedandcerti fi edbythe Engineer-in-
chrge/Independent Engineer/Au6ority's Engineer
and/or
(b) rwenues appropnated for self construction under
PPP projects
Enti for which the ect was constructed 7 Shri Laxmi Lal Patel
Locafion Udaipur
Project cost 8 Rs. 4.64 Crore
Date of commencement ofproject/ contract 26 09 20t6
Date of letion/ 9 t0 a7 2017
Equity shreholding (with period during which equity 10 1000/0
was held)
Fcr SHRt LAXMT PATEL

KL
(r '1t
px{pr.
I
31
H.R.JAIN & CO.
310-3 I3, Shri Arihant Plaza, Udiapole, Near SBl, UD.AIPUR-3t3OO1 (Ra,
Phone : 97853 90875, E-Mail : hrjainca(dsnail.com
FICAT OM TH STA AUD R/CL TR ON T K
Based on its books of

SHRI IAXIII I.AL PA
Rajasthan to execule
charge/lndependent Engine€r/Authority,s Engineer

Per year-wise details noted below.
Amount
Year
(Rs. ln Crore)
2016-2017 : 3.30
2017-2018 : 0,70
Totali 4.00
For SHR| tA{!,t,

tAt PAIEL
L
^..,/
' F*fr.,,rro*
d i/
^.-----
)(-t7
/f -/0
.rr:rtarc Ae turE gr,Ea.r ltllrE clti.!tlEEct
No r 1',?-.r..,r,i\ i.., Dale
TO WHOM SO EVER IT MAY CONCERN

ThE !3 !c cei]igd !h-rl Shii Larr-r! Le! Plte! '.44" Class con!,sr!or.
Rishabhdev. Udaipur had erecuted the quantilies ol Const of BT Road under
PMGSY under Package No. RJ.32-270 in Oist(. Udaipur is complelely in t me E
Quality of work is good & satisfaclory
Oetall of the work executed are as under:-
/.tgrtl(,r ||Errl i(u.

funount ol Agreement Rs.4,63,59.175/-
Date of Commgncement 26 09,2016
Date ol Completion 25 07 2017
Aclual date ol Complelion 10 01 .2017
{d Financisl Year 2016-17
Actual wod( done Rs.3,99,57,180r.
'A-Earth wolk (Cum) 89420.61 Cum

B€SB-C-lll 1 1463 63 Cum
g WMM (Cum) 7086.03 Cum
D-Primer Coal a7239.97 Sqm
E-Tach Coat 47239 97 Sqm
F.PMC 47239.97 Sqm
, 7 r'lo o? c^-
H- CC ( 1:3:6) 7M 39 Cum
l-R R. Ston€ Masonry 59al 19 Cum
J-CC (M-20) 43.62 C,.xn
K-RCC (M-30) 0 00 Cum
L-RCC (M-25) 81.82 Cum
M-Pointing 2801 17 Sqm
N-Plasleting 28a C0 Sqm
O- Humo Pipe (Single Row) 202 50 R.Mtr.
g u..-6 Oiha /n^',hla El^w\ 82 50 R.Mtf .
Q-Hume Pipe (300 mm dia) 120 00 R.Mtr.

R-Sleel 0 00 Ton
.'1:-''-,1 ,1 z
ErecutrG Ed{ineer
P W D. Division Salumbet
I LAL PATEL
,,4-----
d"
(+
d
Aooendix IA
,Annex-lV
ANNEX-IV
(Refer to Clauses 2.2.2.2, 2.2.2.5 and 2.2.2.7ofthe Rt'P)
Code: En Self/Mem bers:
Instruction Pmject
Title & nature of the project R]-32.PI-LSB-04
Category 5 3
2018-t9
4.90
2019-20
Year-wise 6 3.93
(a)payrnents received for construction or work
executedandcertifi edbythe Engineer-i n-
charge/Independent Engrneer/Authority's Engineo
and/or
(b) revenues appropriated for self construction under
PPP proJects
Entity for which the project was constructed '7
Shri Laxmi Lal Patel
Location Udaipur
Project cost 8 Rs. 8 2l Crore
Date of commencement of contract 16 08 20 r8
Date of completron/ commi sslonrng 9 t 5 06 2019
Equity shaeholding (with period during which equity t0 1N%
was held)
t"t,-ltryALPArEL
PROFRIEiOR
t"
gt
(,
H.R.JAIN & CO.

CIIARTERED ACCOUNTANTS
Shri Arihant plaza, Udi apole, Ncar SBt, UD.{tpUR-3l3OOl
3 10.313,
(Rai)
Phone : 97853908?5 , E-Mail : h rjai Lcom
CE FICATE FROM TH E STATU ARY AUDIT oR / cLr ENT RE RDING CONSTR GT ION WORK
was/ is likely to be commissioned on i5.06.2019. lt is

executed and certified by the Engineer_in-
resaid construction works, We further certify that
Crore, of which the Applicant rec€ived or h6
ndependent Engineer/Authority,s Engineer
se details noted below:
funount
Year
(Rs. ln Crore)
2018-2019 : 4.90
2019-2020 : 3.93
Total:- 8.84
I LAL PATEL
{-
I
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. N" sbf t7/7/2-oLo ,'{-'J ,.
OFFICE OF THE EXECUTIVE ENGNEER, P.I,Y.D. DIVISION SALUMBER
TO WHOM SO EVER IT MAY CONCE RN

This is to certifi€d lhat Shri Laxmi lal Patel "AA" Class contractor, Rishabdeo
had executed the quantities of Const. of Left Out Bridge on Mahro Ka Guda at Som
River Package No. RJ-32-P|-LSB44 in Distt. Udaipur is completely in time E euality
of work is good & satisfactory.
Detail of lhe work executed are as under :-
Agreement No. . 112018-19
Amount of Agreement : Rs 8,21 ,04,510.0O
Datg of Commencement : 16.08.2018
Date of Completion : i5.06.2019
Actual date of Completion : 03.03.2020
Financial Year : 2019-20
Actual work done : Rs. 8,84,01,045.00

B-GSB-G-lll/River Shingle '1731 .38 Cum
C- WMM (Cum) 1068.76 Cum
D-Primer Coat 7125.00 Sqm
E-BM (Gum) 356.25 Cum
F-Tack Coat 7125.00 Sqm
G-PMC 7125.00 Sqrn
H-Seal Coat 7125.00 Sqm
i- CC (t::t:6) i94.i I Cum
J-CC (1:2:a) M20 1102.40 Cum
K-RCC M25 5706.17 Cum
L-RCC M30 1645.69 Cum
ttl-El Cl Strina liae^nanr 687 'l 1 Cum
NPointing 537.35 Sqm
O-Plaslering 3.84 Sqm
P-Coping 135.73 Sqm
{_-
Q- Hume Pipe (Single Row) 15.00 R.Mtr
R-Hurne Pipe (Doubb Row) 7.50 R.Mlr.
S-Steel 784.61 Ton
T-Back filling 1381 .74 Cum
U RCC Railing M25 462 00 R.M
E e[,
P.W. i{l
sclqv
r tt Ltxt! t PATEL
lAl
r1
o
Aooendix IA
Annex-lV
ANNEX.IV
(Refer ro Clauses 2.2.2.2, 2.2.2.5 and 2 2.2.7ol the Rt,p)
Pm Code: lln Self/Members:
It€m Refer Particulars of the
lnstruction Project
Title & nature of the ect RJ-33-O IiGGP-III
5 l
2017-18
305
2018-19
Year-wise 6 148
execu tedandccrti fi odbyth eEn gin eer-in-
chargeflndependort Engineer/Authority's Engineer,
and./or
(b) rwenues appropriated for selfconstruction rmder
PPP Fojects
En for which the ect was constructed 7 Shri Laxmi Lal Patel
Location Udaipur
Project cost 8 Rs. 4 53 Crore
Date of commencernent of prqect/ contract 23 t t 20t7
Date of colnml 9 20 07 2018
E4uity shaeholding (with penod during which equity IO 1$o/o
was held)
11
II.R.JAIIY & CO.
CHARTERED ACOOI'NTANTS
310-313, Shri Arihant Plaza, Udiapole, N€ar SBl, UDAIPUR-3130O1 (Raj)
Phone ; 9785390875, E-Mail : hriai nc{algmail.com
CERTIF TEF THE ST TUARY IT LIENT co RK
Based on its books of accounts and othe

SHRI tAxilll LAL PATEL was engage
Rajasthan to execute Const of CC
conskuction of the project commencd on 23.11.201
charge/lndependent Engineer/Authority's Enginei.,r

Per year-wise details noted below:
Amount
Year
(Rs. ln Crore)
2017-2018 : 3.05
2018.2019 : 1.48
Total:- 4.53
AL PATEL
?.at7-/9 E-
1!'ry
t
OFFICE OF THE EXECUTIVE ENGNEER,
C'
a TOW HOM
P.W.D. DIVISION SALUMBER
OEV ER IT AY CO NCE N
This is to c€rtified that Shri Laxmi Lal Patel "AA"
Class contractor. Rishabdeo
had oxecuted the quantities of Const.
Of Ce Road with Drain under GGp Scheme in
Distt. Udaipur under package N o. RJ-33-01/GGp-
t 12017-18 in Distt.
Udaipr.r, js
comolelelv in lirno e n,,.rih,
-..,,_ ,q Bse,ru ^. ...^
vr rrv , rr guuo q sauslacl ory
Detail of the work executed are as^
under :-
Agreement No. 5WO17-18
Amounl of Agreement Rs.4,53,54,429.00
Oate of Commencement 23.11 .2017
Oate oi Comptetion
22.07 2018
Actual date of Completion 20.07.2018
Financial Year
2017-18
Actual work done 40873586.00
B-GSB-G-ll l/River Shingle 2090.38 Cum
E-Tac* Coat 0.00 Sqm
F.PMC 0,00 Sqm
H- CC (1:3:6) 569-10 Cum
ICC 11:2:4) MzO 1666,39 Cum
J-RCC M25 0.00 Cum
L-Poinling 0.00 Sqm
N-Coping 0.00 Sqm
O- Hume Pipe (Singte Row) 330.00 R.Mtr.
P-Hume Pipe (Double Row)
,?-Hume Pipe (600 mm dia)
R-Steel
0,00 R.Mtr.
22.50 R Mtr
I
x[--''
0 00 Ton
s-Rcc M30 5665.21 Cum
,,/
grneer
P ron Saiumber
For SHql la enrrl

)t,Lnr
(-
It
Aooendr-r IA
AnnexJV
ANNEX.IV
Deteils of Eligible Projects
(Refir to Clauses 2.2.2.2, 2.2.2.5 and 2.2.2.7ofrhe Rl'p)
Pm ect Code: En : Self/Members:
lnstru ction Project
Title & nature of the ect N-32-267
Category 5 l
2016-17
3t7
2017 -r8
Year-wise 6 086
executedandcerti fi edbytheEn gin eer-in-
chargeflndepeadent Engine€r/Authonty's Engineer,
and/or
PPP projects
Entity for which the project was constructed 7 Shri Larmi Lal Patel
Location Udaipur
Proiect cost 8 Rs 4 52 Crore
Date of commencernent of project/ conrract 26.09 2016
Date of completron/ commi 9 23 07 20t7
Equity shaeholding (with period during which equity t0 1009;
was held)
Fcr SllRl LAX LAL PATEL
I
l\
*_._--
H.R.J/UN & CO.
310-313, Shri Arihant Plaza, Udiapole, Near SBl, UDAIPUR-3 13OO I (Rqt)
Phone : 9785390875 , E-Mail : hrjainca(r}:mail. com
CER F THE A Y D oR/ ENT G CON R
Based on its
SHRI LAXiII
Rajasthan to
The construction of the project commenced on 26.0g.2
charge/lndependent Engineer/Authority,s Engineer R

Amount
Year
(Rs. ln Crore)
2016-2017 | 3.17
2017-2018 : 0.86
Total:- 4.03
For SHR| LAXM

$,- oorr..
A"
A
t') tl
/t - /l
t? -t0
OFFICE OF THE EXECUTIVE ENGNEER, P. W.O.
DIVISION SALUMBER
oae. 't.. ?o ti
-5o
TO WHOM SOE VER IT MA YCO NCERN
This rs to certifiedthat Shri Lsrmi Lrl patel .AA-
Class conlractor
Rishabhdev, udaipur had executed the guanl tres
of const oI BT Road under
PMGSy under package No RJ-32-Z6Z in Distt Udaipu;
i. in iime &
Ouality of work rs good & satislactory "olnpt"t"ty
Detaii of the wor< executed are as under
Agreemenl No 76nO16-17
ArYr6r rnt nf A^roam6-r D. d El OA aoal
Date of Commencement 26 09 2016
Oate of Completion 25 07 2C17
Aclual date of Complet on 23.07 2017
Financral Year 2016-1-I
Aclual wo* done R5. {,02,58,610r.
A-Earth work (Cum) 86653 48 Cr,m

B.GSB-G-III 12116 51 Cum
C-WMM (Cum) 7382 81 Cum
O-Primer Coat 49225.88 Sqm
E-Tack Coat 49225 88 Sqm
F.PMC 49225 88 Sqm
G-Seal Coat 49?25 88 Sqm
H- CC (1:3:6) 525.35 Cum
l.R R. Slone Masonry 5565.36 Cum
J-CC (M-20) 44 19 Cum
K-RCC (M.30) 0 0C Cur
I -tr(.a ,lr-?(\ 328 59 Cu.m
N-Plastering 279 00 Sqm
O- Hume Pipe (Single Row) 24C 00 R llttr
P-Hume Pipe (Doubie Row) 22 50 R Mtt
Q-Hume Pipe (300 mm dra) C 00 R.Mtr
R-Steel '1
55 Ton
Execuhve tngrneer
PWD Urvrsron Saturnoer
Fcr SHii LAXMT LAL PATEL
f
Appendix IA
Amex-IV
ANNEX-IV
(Relbr ro (-lauses 2.2-2.2, 2.2.2.5 and 2.2.2.7ol the RFp'1
Pro ect Code: En : Self/Members:
Item Refer ParticulaIs of the
Instruction Project
Title & nature of the ect RJ-32-260
Category 5 3
2016-t't
298
20t7-18
Year-wise 6 L09
executedandcerb fiedbytheEngineer-in-
charge/lndependent Engineer/Autfrority's Engureer,
and/or
@) revanues appropriated for selfconstruction under
PPP ests
Entity for which the project was constructed 7 Shri Laxmi Lal Patel
Location Udaipur
ProJoot cost 8 Rs 4 6l Crore
Date of commencernent of prqecy contract 26 09 20t6
Date of completion/ commissionilg 9 23 o',t 20t'1
Equity sh areholding (with period during wluch equity IO 1@%
was held)
Fcr SHRI LAXt\, LAL PATEL
I
t:
n
t'j
frf-
U
\j
,
H.R.JAIN & CO.

CHARTERED ACCOUNTANTS I
310.313, Shri Arihant Plaza. Udiapole, Near SBt, UD.qlpUR-313OOt (Raj)
Phone ; 97853 90875, E-Mail : h rjainca(ql*m ail. com
t
CE FICATE FR M THE STATU ARY A UDTTOR / CLIE NTR

ING CON UCT t0N
charge/lndependenl Engineer/Authority,s Engineer

Year
Amount
(Rs. ln Crore)
2016-2017 : 2,98
2017-2018 : 1.00
Totali 4.07
F IL AfllLnL errsr
n
il,
/6-/> /:
/)-/g
OFFICE OF THE EXECUTIVE ENGNEER, P,W.D. OIVISION SALUMBER
No I i b'i Oate (itr /7-'t1

This ls to cerlilied lhal shri Larmi Lal PEtel 'AA' Class contrador.
Rishabhdev, Udaipur had erecuted the quanlrtres o, Consl ol BT Roaci under
PMGSY under Package No. RJ-32-250 i:r Distt Udaipur is comPlelely rn ltme &
Quality of work rs good & satistactory.
Oetail of the work executed aIe as unde,' -
Agreement No. 72nO',t6-17

Atlroulrt (Jl /l9tccr rrc, r. E. ,^ An (!.,
"r/
Date of Completion 25 07 2017
Actual date of Comptelion ?3 07 20',t7

Financial Year 2C16- 17
Actual work oone Rs.4,07,r1,981r-
A.Earlh woft (Cum) 10'1834.90 Cum
B.GSB.GIII 1 1367 67 Cum
C- WMM (Cum) 7030 a5 Cum

O.Prim€r Coat 46869 40 Sqm
F-PMC c0869.40 Sqm
G-Seal Coat 46869,40 Sqm
H- CC (1:3:6) OilJ JOa l,UrIl
l-R.R. Stone Masonry 6117 13 Cum
J-CC {M-20) 53 78 Curr
K-RCC (M-30) 0.00 Cum

L-RCC (M-25) 240 00 Cum
M-Poinling 3068 75 Sqri

O- Hurne Pipe (Single Row) i95 C0 R lt'llr d---
P-Hume PiPe (Double Row) 30.00 R Mtr
Q-Hune Pipe (300 mm dra) 374.00 R.Mir.

R-Steel 0-90 Ton
-1r'-42,
_{-_-,;lt-.
Executive Engrneer'
P.W,O Oivision Salurrbet
For SHRI LAXl,4l LAL pATEL
n /1"
(l :)
Aooendix IA
Annex-[V
ANNEX-IV
Details of Eligible Projecrs
(Refer to Clauses 2-2.2.2, 2.2.2.5 and 2.2.2.7ofthe RI;p)
P (lode: En Self/N{embers:
Item Refer Particularc of thc
lnstruction Project
-t-
& nafure of the ect PJ-32-259
Category 5 l
20t6-17
216
2017-l8
Year-wise 6 159
(ahayments received for construction or work
executedandc€rtr fi edbytheEngheer-in-
charge/Indepordent Engrneer/Authority's Engrneer,
and/or
(b) rwenues approprided for self construction under
PPP projects
EntiS lor wtich the was constructed 7 Shri Laxmi Lal Patel
Location Udaipur
Project cost 8 Rs 4 40 Crore
Date of commencement of proJecV contract 26 09 2016
Date of corlmr 9 22 0'1 2017
shareholding ( with period dunng which equlty 10 tN%
was held)
For'-sHRt LAXMI
LAt PATEL
/\
,l
(
U
J
H.R.JAIN & CO.
310.313, Shri Arihant plaza, Udi apole, Near SBI, UD.qIPUR-3 t3OO I (Raj)
Phone : 9785390875 , E-Mail : h rlzu ll.com I
T FROM T STA ARYA IENT R GARDI o U
B
s
R
The mnstruction of the project commenced on 26.09.2
chargdlndependent Engineer/Authority,s Engineer

Per year-wise details noled below:
Amount
Year
(Rs. ln Crore)
m16-2017 i 2.16
2017-2018 : 1.59
Total:- 3.75
For Sl.iRl I LAI- PATEL

lr4
o I
tr-
t(-t7
/)-/g 3/
OFFICE OF THE EXECUTIVE ENGITEER,
P.II,.D. OIVISION SALUMBER
No. l9t'9
ral,,l ,-, Dare :
WH M EVER I TMA YCO NC

Thb is lc cs!!fi.d ther Shrl Laxmi Lai Fatei -AA-
Rishabhdsv,
udaipur had execured the quaotities 'oiar
Cjass coorractor.
Road under
PMGSY under package No RJ.32.ZS9 in Oisn "i'co"ri
Uaaipur is''c#petery in r,me &
Quality of work ls good & satistactory
Detall of the tvork oxecuod are as under :.
Agre€menl iro. 96/2016-17

Amount of Agreernent Rs.4,39,58,365/-
Dato of Commencemont 26.09.2016
Oate of Cornpletron 25.0?.2a17
Actual date of Comoletion 22 07 .2017
3 Financial Year 2016-17
Actual work done Rr.3,75,40,232/-
' A-Eatfi work (Cum)
101723.73 Cum
B€S&c-It 10960,46 Cum
C- WllM (Cum) 6794 52 Cum
D-Prirne, Coal 45206.64 Sqm
E-Tack Coal 45296.64 Sqm
F.PMC 45296.64 Sqm
G-S€d eoat 45296.64 Sqm
H- CC (1:3:6) 6M 39 Cum
l-R.R. Stons Masonry 5248 33 Cum
J-CC (M-20) 27.18 Cum
KfiCC (l\[-30) 0.00 Cum
L-RCC (M-2s) 473.22 Cum
MPointing 1838.17 Sqm
N.PlastBring 427.00 Sqm 14--
{ l,l
G Hurn Pipe (Smgte Rovy) 255.C0 R.Mtr.
P-Hume Plp€ (Doubte Row) 52 50 R.Mtr.
Q*lume Pipe (300 mm d6) 210.00 R.Mtr.
R€teel 4.794 Ton
..:7.>'
Execuuye^..-.,2
Engra€€.
P W D. Division SalumDer
For SHR| LAXI

rtfiSL PATEL
PROFRIEIOR
I rat'
Apoendix IA
Annex-lV
ANNEX-IV
(llelbr to (llauses 2.2.2.2, 2.2.2.5 arul 2.2.2.7rl the RFp)
Pm ect Codc: En : Self/Membcn:
Item Refer Particulars of tbe
lnstruction Project
Title & nature ofthe ect zu-32-PI LSB 03
Category 5 l
20r 8-19
2019-20
Year-wise 6 248
(a)payments received for construstion or work
execu tedandcertifi edbyth eEngin eer-in-
chargeflndependent Engineer/Authority's Engineer,
and/or
(b) revenues appropriated for selfconstruction under
PI)P ects
Enh for whrch the was constructed 7 Shri Laxmi Lal Patel
Location Udarpur
Pro ect cost 8 Rs. 6.09 Crore
Date of commenc€ment of ecY contract l3 08 2018
Date of completion/ commissioning 9 t2 06 2019
Equity shreholding (with period during which equity l0 100%
was held)
fpn g,dFJ lAdtJt t t_ pArEL
-+rr4i RiEToR
,t(-
@
H.R.JAIN & CO.
CHARTERED ACCOUNTAIYTS
3lO-313, Shri Arihant Plaza, Ud rarro le. Near SB l, UD.{IPUR-313001 (Rqi}
Phone : 9785390875 E-Mail : hriai ncaidsrnail com
CERTI TE FROM THE STATU ARYAUDITO / CLIENT R ING C STRUCTION WORK
Based on its books of accounts and other published information authenticated by it, this is to certify that
sHRl LAxlll LAL PATEL was engag-ed by Engineer, pwD Division salumber, Disit udaipur,
-Executive
Rajasthan to execute Construction of Left Out Bridge on tlahro Ka Guda at Som River iackaga1o.
RJ.
32'P|'LS&03 in Distt Udaipur. The of the project commenced on 13.08.2018 and ihe prqect
.construction
w6/ is likely to be commissioned on ,l2.06.2019. lt is certified that Bidder received payments from its Clients
for construction works executed by them or work executed and certilied by the Engineer-in_
charge/lndependent Engineer/Authority's Engineer, in the aforesaid construction works. We turther c6rtify
tnat
the total estimated capital cost of the project is Rs. 6.$ Crore, of which the Applicant received or ha
executed the work as certified by the Engineer-in-charge/lndependent Engineer/Authority's Engineer
Rs. 6'20 crore, during the pastfive financiar years as p< r yeai-wise detairs noted below:
Amount
Year
(Rs. ln Crore)
2018-2019 : 3.72
2019.2020 : 2.48
Total:- 6.20
For SHRI t AXMI LAL PATEL

.r/
PR
#-
-ti7'!-- -
iltt'1"'t-orrcE
/
lu-r7
?-ta
oF THE ExEcurvE ENGNEER, p.w.o. DrvrsroN SALUMBER
t \>
\
j

Tnis is to cerlifiec, tFat Shri Laxmi Lal Patel 'AA" Class Lontractor, RishaMeo
had executed the quantitEs ot Const. of Left Out Brrdge on Rathari Bridge on
Jhakam River Package No RJ-32-P|-LSB-03 is complelely in time & Ouality ol work
is good E satisfactory,
Detail of the work executed are as under :-
Agreement No C9/2018-19
Amounl o{ Agreement : Rs 60970852 00
Date of Comm'encement 13.08.2018
Dale of Completion : 12.06.2019
Actual date of Completron 02 06.2020
Financial Year 2018'19
Acluat work done : Rs. 62026905.00
A-Earth work (Cum) 35'160.01 Cum

B-GSB-GJll/River Shingle 2642.63 Cum
C- WBM (Cum) i631 26 Cum
D,Primer Coat 10875.0C Sqm

F.BM 543 75 Cum
G-PMC 10875 0C Scm
H-Seal Coat 10875 0C Sqm
l- CC (1.3:6) 239 06 Cum
J-CC (1:2 a) M20 699 89 Cum
K-RCC M25 3740 58 Cum
L-RCC M30 844 52 Con
M-R R Stone Masonary 1039 26 Cum
N-Pointing 817.23 Sqm
O-Plastering 8 95 Sqm
P-Coping 194 06 Sqm
O-Hume Prpe(Stngle Row) NP3 JU UU l( IVITI
R:Hume Pipe (Double Row)

S-Steel
22 50 R Mtr
492 53 Ton
d-
T-Back f:lling 14 00-06 Cum
Exe
P,W D
For SHili LAXIIl LAL FATEL
Iln
3rL*',.ro*
l,l "'\
Aopendix IA
Armex-lV
ANNEX-IV
(ReJbr ro Clauses 2.2.2.2, 2.2.2.5 and 2.2.2.7ofthe RF'P)
Pro Code: f,nti : SeIf/Members:
Instruction Project
Title & nature ofthe pro.ject RJ-32-PI LSB 02
Category 5 3
2018-19
2.99
2019-20
Year-wise 6 108
executedandc€rti fi edbytheEn gi neer-in-
chargdlndepandent Engineer/Authority's Engineer,
and/or
(b) revenues appropriated for self construction rmder
PPP projects
Entity for which the projea was constructed 7 Shri Laxmi Lal Patel
Locatlon Udaipur
Project cost 8 Rs. 5 09 Crore
Date of commencement of prqect/ contract l3 08.20 t 8
Date of completron/ commi sstontns 9 12 06 2019
Equity shaeholding (with period during which equity IO 100%
was held)
For 6llRl tAxt',ll LAL PATEL

/t I
!
tf
l.
rL
\r{
H.R.JAIN & CO.

CHARTERED ACCOUNTATMS
310-313, Shri Arihant Plaza, Udia pole, Near S Bl, UDAIPUR-313001 (Raj)
Phone : 9785390875 E-Mail ; hriai nc:(4lAmail coln
CE T FROM E TUA AU R/ T ING ST CT wo
was/ is likely to be commissioned on 12.06,2019. lt is
Year
&nount
(Rs. ln Crore)
2018.2019 : 2.99
2019-2020 : 1.08
Total:- 4.07
For SlrRl LAxVI LAL PATEL
T
Y
)8 -17
tj ')1 o o) , /g -n
J I FFICE OF THE EXECUTIVE ENGNEER, P,W-D. DIVISION SALUMBER
TO tVI iCM SC EVER IT I!iAY CCNCERN

This rs ro certified lhat shri Laxmr Lar paterAA' crass conlraclor. Rrshabdeo
had executed the quantties of construction of reft out bridge under pMcsy
wr:r five
year maintenance Package No RJ-32-pl-LSg-02 is comDletely in time
& Oua.lly ef
work is good & satislactory
Agreement No. : 0g/2oi B-19
Amount ofAgreernelt Rs 50914056.00
Oatc of Cornmencement : 13 08 2O1g
Uale olCompletion : i2 06 2019
Actual date of Completion : 03 03 Z02O
irnancial Year . 2OiB-19
Aclual work done Rs 40/39996 O0
a tr..!h wfrrL ra m\ '199d5 51 Cum
&GSB-G-lllrRiver Shingte 2517 A1 Cum

C- wBM (Cum) t 574 3a Cum
D-Primer Coat 1C495 63 Sqm
E-Tack Coat 10495 63 Sqrn
F-BM 51B 19 Curn
G-PMC 10495.63 Sqm
H-Seal Coat 10a95 63 Sqn
,.cc(1 36) 295.C6 Cun
i-cc(i24iM20
K-RCC M25 310e.83 Cum
:-.RCC M30 449 18 Cum
lvl-ll R Stone Masonary 261 66 Curn
N-Pointing 197 06 Sqn
O-Bastering 0 0C Sqm 2 )
P-Coping 34 32 Sqm
Q-Hurne Pipe(Srngle Row) NP3 22 50 R.Mtr. ,y
R-Hume Pipe (Double Row) 3C 00 R Mtr
S-Steel 26e 99 I oir
T-Back tilling 865 46 Cum
--'7't:*
ExecultH {:;'ie.
P w Dqfopp4y6ififfier
u.ia.it.Uw-rgen
Fcr S11:l L i\l."11 LAL PATEL
il
PROi RIETOR
I
Arurex-lV
IA
ANNEX-IV
(Refbr to (llauses 2.2.2.2, 2.2.2.5 ond 2.2.2.7ofthe Rt'p\
Code: En Self/Memben:
Instrurtion Project
Title & nature of the ect Rl-32-277
Category 5 3
20r6-17
209
20t't-lE
Year-wise 6 l4l
executedandcerti fi edbytheEngi-n eer-i n-
charge/lndependent Engneer/Auftority's Engineer,
and/or
PPP projects
Entity for which the proiect was constructed 7 Shri Laxmi Lal Patel
Location Udaipur
Pro cost 8 Rs 3 78 Crore
Date of cornrnencemen t of contract 26 09 20t6
Date of 9 25 07 20t7
Equity shareholding (with period during which equity t0 t00v"
was held)
r SHRI
/< Lr1
TAL PATEL
T,
(
si" rH aR
i.tX
H.R.JAIIV & CO.

310.313. Shri Arihant Plaza, Udiapo le, Near SBl, UD.aIPUR-313001 (Raj)
Phone : 9785390875 , E-Mail : hrj aincai(lgmail.com
CERTI TE FR THE A AU R/ TRE RDI c0N CT WO
B
s
R
The conslruction of the p@ect commenced on 26.09.2
charge/lndependent Engineer/Authority,s Engineer R

Amount
Yesr
(Rs. ln Crore)
2016-2017 : 2.09
2017-2018 : 1.4'.1
Total:. 3.s0
[,
&"
F tI
For SHRt 1
AL PATEL
PROPRIETOR
I
OFF'CE OF THE
t7
EXECUTI VF Frur:rrr.-
_ _. ^
. v,rcc,.(, -
l,.w.D. Dlvlstot{ SALUMBER
No l59Lr,---<-t
'-- D6ll''l ))'
Date
l^/H OM S VE rr lvlA YC
ON CER
T hls is to ce(i fred thar
dev, iJdarpur had Shri t *.r,,,i Lar petel
execuled "ArA. Class
PMGSY Under the quantitles conlraclor
Pack ege No R.1-32-2r, In ol Const ol BT Road ,Jnder
Qrral,ry ol work is
g ocd & O,st! tJdaipur is c
satrsfactory ompietely ro trme g
Delair of ttJ wo* execuled are as
under
&reemenl No.
Amoun! o, Agreemenl rrtav tO-11
Date of Cornmencement
: Rs 3.78.1g.631/-
Date ot Compbhon
I 26.09 ZO1O
Adual date o,
: ?5 07 .2011
Compterion
: 07.0i ?O1Z
'Fi-^-^:-,
4drterdr .,
tear
Actual work done
r 2016_i z
: Rr. 3,50,3g,682/_
A.Earlh work (Cum)
' B€SB.G-III 91551 14 Cum
n
_ tr,.... .^ ' 9634.99 Crrm
.,ryr.vl {t_Uan)
O-primer Coat
: 5958 73 Cum
E-Tack Coaf
: 39724 66 Som
F-PMC
: 39724 6g Sqm
G-Seal Coat 3972a.66 Sqm

S9724.66 Sqm
H- CC (r:3:6)
6 t4.Sg Curn
@:
,.R_R. Slone
i{asonry
J-CC (M_20)
5417 78 Cum
32.73 cum
K-RCC (^[30)
I Ft^^ 0.00 Cum
r.nvu ..
-
(M-25)
',49.60
M-Poinling Cum
N+tastering 20i 9. 155 Sqrn
27a.00 sqm
352 50 R Mtr,
67.50 R,Ml,
82.50 R,Mtr.
6.21 Ton
--::'-';'';
-(-----.=.,'
Eru"rt,r"kiflro",
^. D Oivision
r.t|,/
dalt,mber
For SHR| LAXMT

/\' fr nerer_
PROF RIEIOR
ApBendixlA
Amex-lV
I
ANNEX.IV
(Refer to(llauscs 2.2.2.2, 2.2.2.5 and 2.2.2.70/ rhe Rt'p)
Code: En : SeIf/Members:
lnstruction Project
Title & nature of the Obri-Odwas (l2Km)
Category 5 3
2016-17
3.24
2011-18
Year-wise 6 0.00
(a)payments rec€ived for construction or work
executedandc€rti fi edbytheEngineer-in-
charge/lndependent Engrneer/Authonry's Engineer,
and/or
(b) revenues appropriated for selfconstruction tmder
PPP ects
for which the was constructed 7 Shri Laxmi Lal Patel
Location t daipur
cost 8 Rs. 3.25 Crore
Date of commencernent of contract t 0 04.2016
Date of cornml 9 08.12 2016
Equiry- shareholding (with period during which equiry- l0 100yo
was held)
,:'1. For Sr.lRI L PArEL

,t
\\ r flyrLAL
PROPRIETOR
Cr
H.R.JAIN & CO.

31O.313, Shri Arihant Plaza. Udiapole, Near SBl, UDAIPUR-313001 (Rqi)
Phone : 9785390875, E-Mail Itri il.com
CERTI TE T E STATUARY DTTOR i GA ING ST CT N WOR
b
certified lndependent
tion works. al estimated
the Applica the work as
ineer/Authority,s Engineer Rs. 3.24 Crore, during
below:
Amount
Year
(Rs. ln Crore)
2016-2017 : 3.24
201t-2018 : 0.00
Total:. 3.24
.+
\ FoT SHRI LAXMI
LAL PATEL
,\.
!Ro.*,r.0^
1/ I
t
OFFICE OF THE EXECUTIVE EiiGiiEER, P,hD. DiVISiON KHERWARA

No
Dale
WHOM SO ER IT AY N
This ls:o sen;lieJ thatSiiil Larriii Lri Feiei -A/i-
Cbss conlnador,
Rishabhdev, Udaipur had executed the quanU!i€6 of Stengthenlng
d Rishabhdeo
lo Masaro Ki ODir Road M8 Odwas (12 Km) Disn Udaipur is
comptet6ly in time &
Ouality of work is good & satistactory
Detail ot th€ work executed aro as under ._
Agreemem o1nol0-17
îo.
Amount of Agreement Rs 3,25,27.r54/-
Dale o, Commencament 10 04.2016
DatB ot Completion 00.12.20r8
Ac{ual dat6 of Completion
t-l 08.12 2016
Financial Year 201F.17
Aclual work done Ri. 3,?3,86,7r4r-
' A-Earth worl( (Cum) 43283.92 Cur
B€SB.G.III 5516.76 Cum
C- wBM (Cum) '11500.50Cum U)
D-Primer Coat a263t1.00 Sqm -tlL''-
E-Tock Coat 596E6Se.Sqrh t ?- C31 ."
F-BM 2i32.oo sqe- ut7
9'lt-
G.BC Weaing couroe 1750.009qe-11rr'
H- CC (1:3:0) 313.80 Cum
l-R.R. Stone Masonry 1515.41 Cum
J.CC (M-20) 07.80 Cum tt
K-RCC (M-30)
L-RCC (M-25)
450.00 Cum
0.00 Cum
w-
M-Pointirg 331.20 Sqm
N.Plastering 358.59 Sqm
O- Hume Pipe (Single Row) 0.00 R Mlr.
F-Humo Pipo (Ooubie Row) 0.00 R.irilr.
o-Hume Pipo (300 mm dia) 0.00 R Mtr.
R-Steel 8.02 Ton
+L-
_ *--1--
EXoCUllve Engtnoer,
P,W.D Division KheMara
For SHRI L oo".

)n]''o'-
-?FopRreron
Appendix IA
Annex-l V
ANNEX-IV
(llefer toClauses 2.2.2.2, 2.2.2.5 and 2.2.2.7ofthe RFp')
(lode: En ; Self/l\Iem bers:
lnstruction Prcject
Title & nature ofthe ect RJ-32-234
Category 5 3
2016-17
229
2017-lE
Year-wise 6 1.03
execxtedandcerbfi edbytheEngineer-in-
charge,/lndependent Engineo/Authority's Engrneer,
and/or
(b) revenues aprproprided for self construction mder
PPP
Enti for wllch the was constructed 7 Shri Laxmi Lal Patel
Location Udaipur
Pro cost 8 Rs 3 82 Crore
Date of commencernen t of contract 26 09 2016
Date of 9 25 07 2017
Equity shareholding (with period dunng which equity l0 1@%
was held)
Icr SrrRl LAXlvll LAL PATEL
I
sL
?
Dac
H.R.JAIN & CO.
v
310.313, Shri Arihant Plaza, Udia pole, Near SBl, UDAIPUR-313001 (R4l
Phone ; 978S390875 , E-Mail : hriainc {al8mail.com
RTI E FROM STA RY R TRE RDIN ST TION RK
Based on its
sHRt t-A,\ilt
Rajasthan to
its Oients for Construction Works executed by
e/lndependent Engineer/Authority,s Engineer, in
otal estimated capital cost of the pro.ject is Rs.
executed the work as certified by the Engineer_in_
charge/lndependent Engineer/Authority's Engineer Rs. 3.32 crore, during the prrt
nrL nnrn.-ai"11ur" a,
Amount
Year
(Rs. ln Crore)
2016-2017 : 2.8
20't7-2018 : 1.03
Total:. 3.32
F,I LAXMI LAL PATEL
il,
(\ v pRopatEroR
i)
.d'..--
b
OFFICE OF THE EXECUTIVE ENGNEER PWO WB OIVISION KHER
No.7/1. oare ,,iiolr"t'i

This is to cerlifled lhal Shri Laxmi Lal Pstol 'AA" Class contractor
Righabhdev, !t!3rp,.rr h:C eleaulod lhe qr-rantil,es of Const of BT Road un6er
PMGSY under Packagc No RJ-3?-234 in Distt UdaipJr is completely in trme I
Oualily of work is goocj & satisfactory
Detail of the vJo* execuld are as under :-
Ag,eemenl No 642016. !7
Arnoufit of Agreemenl Fis J,62,0J.106i,
Date of Commencernent 26 03.2016
Dale of Completion 25 07 2017
Actual date of Completion 24.07 _?O17
20r 6- 17
Actual work done Rs.3,32,55,002/.
A-Earth work {Cufir} 14636S 03 Cum

B€SB.G.III 9213 21 CJm
/r \Antlr,arr,6\
v- r !rr,,r, tee,t,, 56.9? 18 Curn
D-Primer Coal 37947 76 Sqm
F-PMC 37947.76 Sqm
G-Seal Coat 3794 7 76 Sqm
H- CC (r:3:6) 366.86 Cum

l-R.R Stone Masonry 4590.42 Cum
J-CC (M-20) 33.72 Curn
K-RCC (M-30) 0 00 Cum
L-r\\,V lrvr-.'iri C 00 Curn
M-Polnting 1gEG 56 Sqm
N-Plastering 337 00 Sqrn

l/
O. Hume Pipe (Single Row)
P-Hume Pipe (Double Row)
357 50 R.tvltr i
37 50 R.Mlr
<\l
Q-Hume Plpe (300 mm dia) 45 00 R.Mtr
R-Steel 0.00 Ton
Executive Erg,rec,
PrrD tJs Divisicr (he^,.,a.a
For Silit i-:.XMt LAL PATEL
Jlo.,..o*
! t6' a
{ tDw
o FFI THE EXECUTIVE ENGNEER, P
t-o wHo MS O EVER iT AY CON CER

This is to certified that Shri Laxmi Lal patel .AA"
Ctass cont aclor. Rishabdeo
had €xecuted t of Roads under pMGSy wjth 5 years
maintenanc€ in
Dislt. udaipur !s il""til;,Iil[t';"1,_]"X:;r"'
*,
Detail of the work executed are as under i-
Agreement No. :. 2gf2}1}_1g
Amount of AgreEment : Rs. 3,20,74,207.00
Date of Commencement : 31.0g.201g
Date of Completion : 30.(E,2O1g
Aclual date of Completion : 24.06.201g
Financial Year : 201g-19
Aclualwork done : 2g766544.00
A-Earlh work (Cum) 7066.72 Cum
B-GSB-G-lll/River Shingle 0.00 Cum
C-WBMMMM (Cum) 5828.38 Cum
F-PMC 1'19685.21 Sqm
G-Seat Coat 1'19685.21 Sqm
H- CC (1:3:6) 0.00 Cum
l-CC (1:2:a) M20 0.00 Cum
J-RCC M25 0.00 Cum
K-R.R. Stone Masonary 0,00 Cum
L-Poinling 0.00 Sqm
M-Plastering 0,00 Sqm
N-Coping 0.00 Sqm
O- Hume Pipe (Single Row) 0.00 R,Mtr.
P-Hume Pipe (Double Row) 0.00 R.Mtr.
Q-Hume Pipe (3oO mm ora)
R€leel
0.00 R.Mtr.
0.00 Ton
KL.
s-Rcc M30 460 98 Cum
1A
Executive-ffir€er,
P.W.D. Dlvision Kherwara
For SlrRrr LAL PATEL
A 1
v
(-
ROPRIETCR
l7t I--
ll {,tg d t we rx E c u,v E E N G N E E R, p.w. D. o rv rs ro * xx e nw aha-
TOW HOM SO EVE R IT MAY CONGERN
'fhis ls to certified that Shri Laxmi Lat patel .AA"
Class conlractor, Rishabdeo
had executed the quantities of Const. Of Various CC Road with Drain under GGp
Scheme in Disft. Udaipur under Package No. RJ-33-05/GGP-|V/2019-19 in Djstt
Udaipur is complelelli in tilre 3 Ouality- of work is gocd t satislactory.
Agreement No. :' 41t2O1B-19
Amount of Agreement : Rs. 2,'16,65,316,00
Date of Commencemenl : 14,09.2018
AclualdateofCompletion 12.03.2019
Year
Financial : 2018-19
Aclualwork done : 19546062,00
tuEarlh work (Cum) 6093.80 Cum

F-PMC 0.00 Sqm
H- CC (1:3:6) 0.00 Cum
l-CC (1:2:4) M20 357.79 Cum
J.RCC M25 0.00 Cum
K-R.R. Stone Masonary 0 00 Cum
L-Pointing 0.00 Sqm
N4oping 0.00 Sqrn
O- Hume Pipe (Single Row) 15.00 R.l.,,ltr.
Q-Hume Pipe (300 mm dia) 0.00 R.Mtr.
R-Sleel 0.00 Ton
s-Rcc M30 3346 50 Cum
ExecutivdtrJgrnoeT,
P.W.D. Oivision Kherwara
Fer gsql
14 xtfl;AL
PArEL
f,. fRornieron
gE )
OFFICE OF THE EXECUTTVE ENGNEER, p.W.D. D|STT.DN.rst, UDAIpUR
ct
WH MSO EVER T MAY
?1rw T ONCERN
This is to certified that shri Laxmi Lar pater "AA" crass contractor, Rishabdeo
had executed the quantities of strengthening & Renewar of ridi to Jawar
Mines Rd
Km.0/0 to 5/600 (Mining area) in Disn. Udaipur is compretery in time & euarity of
wEik ;s Eood & saiisfacto,l-.
Agreement No. :'17n017-19
Amounl of Agreemenl : Rs.3,65,6I,199.00
Date of Commencement ZZ.1Z.ZO17
Date ui Compietirin ?i.Al .ZAIA
Actual date of Comptetion : 30.06.2018
Financial Year : ZO[T-19
Actual work done : 37600218.00

B-GSB-G-llliRive. Shingle 0.00 Cum
C-WMM (Cum) 7575.00 Cum
E-Tack Coal 29172,00 Sqm
F-PMC 29172.00 Sqm
G-Seal Coat 29172,00 Sqm
H.DBM 1 515.00 Cum
t-8.c. 1166,88 Cum
J- ce (1:3:6) 228.09 Cum
K-CC (1:2:4) M20 U.UU LUrn
L.RCC M25 0.00 Cum

M-R.R. Stone Masonary 2943.76 Cum
tr--Poiniing a ,\an ,ln c--
I
.f-
'
v.v.ev vi{' i.
O-Plastering 0.00 Sqm

P-Coping 0.00 Sqm
ta
Q- Hume Pipe (Single Row) 50.00 R.Mrr.
R-Hume Pipe (Double Rorry) 0.00 F.,Mtr
$Hume Pipe (300 mm dia) 0.00 R irttr.
T-Steel 0.00 Ton
r.tRcc M30 788.60 Cum
r or
u*u"ffi,g,u"",,
SliRl LAy P.W.D Distt.Dn.l, Udaipur
lf\o'no'u.
r R
,^,
({
'-./.J
OFFICE OF THE EXECUTIVE ENGNEER, P.W.D. DIVISION SALUMBER-/-

'(?
' l\/a -/t -
,--..,
wt-.to SO EVER IT Y CONCERN
.'-a,fi?'to certified that Shri Laxmi Lal
quantities
Patet "AA" Class conlractor, Rishabdeo
had executed the of Rehabilitation of Various Roads in Oistr:ct Udarpu,
under Pac*age No- RJ-33-06/5054/RIDF-XX||UNon patchable/ptan/ 2017_18 in
Distt. Udaipur is co,.npletely i.r timc 3 Quality of lrrcrk is good & satisfectory.
Detail of the work executod are as under :-
Agreement No. 76t2017-18
Amount of Agreement Rs. 2,72,27,099.00
Date of Commencement 18.12.2017
Date of Completion 17.05.2018
Actual date of Completion 15 0s 2018

F.PMC 163032.96 Sqm
H- CC (1:3:6) 60 52 Cum
l-CC (1:2:a) M20 119.54 Cum
J-RCC M25 0.00 Cum
K-R R. Stone Masonary 628.12 Cum
L-Pointing 0.00 Sqm
Rl
\)
M-Plastering 1 132.06 Sgm
N-Coping 0.00 Sqm
O- Hume Pipe (Single Row) 7 50 R Mtr.
P-Hume Pipe (Double Row) 0.00 R Mtr. t:
I
R-Steel 0.00 Ton
s-Rcc M30 675.91 Cum
For S|]ni AXi,,l| LAL PATEL
/'1'
l7o ,G,
(\-
fo-6i61sao
OFFICE OF THE EXECUTIVE ENGNI ER, P.W.D, DIVISIOU TNCNWNE*'
TO WHOM SO EVER IT MAY CO NCERN

This is to certified that Shri Laxmi Lal Patel 'AA" Class contractor, Rishabdeo
had execuled the quantities of Rehabititation of Various Roads in Diskict Udaipur
under Package No. RJ-33-04/5054/R|DF-XX[UNo^ patchable/ptan/ 2017-18 in
Distt. iJciaipur ts compieteiy in iime & Quaiity of work is gooci & satisfactory,
Agreement No.
' 37t2017-18
Amount of Agreement : Rs. 2,87,51,054.00
Date of Commencement : 09j22017
Actual dale of Completion ' 06.07.2018
Financial Year 2017.18
Aclual lvork done : 29611087.00

B-GS8-G-llURiver Shingle 28?.44 Cum
C- WMM (Cum) 7187 .20 Cum
O-P;irnor Irart 0 00 .Sqm
F.PMC 161852.37 Sqm
H- CC (1:3:61 41.18 Cum
l-CC (1:2:4) M20 119.75 Cum
J-RCC M2s 0.00 Cum
L-Pointing 0.00 Sqm tl _
M-Plsstering 0.00 Sqm ()CN,

N-Coping
O- Hume Pipe (Single Row)
P-Humo Pipe (Double Row)
0.00 Sqm
40.00 R.Mk.
0 00 R.Mtr.
%
O-Hume Pipe (300 mm dia) 0.00 R.Mtr.
R-Steel 0 00 Ton
s-Rcc M30 284.40 Cum
rIt] -
_xecutrve-Efgf,ITeer.
E
P,W.D Divislon Kherwara
Fcr Sl.lRl LqXi/t L FATEL
t T,
PR.CF.R IEIOR
I
{
OFFICE OF THE EXECUTwE ENGNEER, P.W.D. DISTT.DN.lst, UDAIPUR
,.il -
l,7C laola
To wHoM so EVER tr MAY coNcERN
This is to certified that Shri Laxml Lal Patel "AA" Ctass contractor, Rishabdeo
had executed the quantities of Strengthening & Renewal of Tidi to Jawar Mines Rd
Km. 5/600 to 8/600 (Mining area) in Distt Udaipur is conrpletety in time & Quahty ot
work is gooci & satisfactory.
Delail of the work executed are as uoder :-
Agreement No. :' 182017-18
Amount of Agreement : Rs. 1.19,44.746.00
Date of Commencernent : 23j22017
Oale of Compietion 22.A6.2Ai6
Actual date of Completion . 22.06.2018
Financial Year . 2017-18
Actualwork done : 13223826.00
A-Earth work (Cum) 17066. 17 Cum

D.Primer Coat 3900.00 Sqm
F-PMC 0 00 Sqm
H-DAM 871.50 Cum
r.B.C. 697.20 Cum
J- CC (1:3:6) 63.26 Cum
K-CC (1:2:a) M20 16.33 Cum
L-RCC M25 0.00 Cum
M-R.R, Stone Masonary 1254.26 Cum
N-Porntrng 505.52 Sqm
GPlastering 0.00 Sqm
P-Coping 0.00 Sqm \
Q- Hume Pipe (Single Row) 0.00 R.Mtr.
R-l-iume Frpe (Doubie Row)
S-Hume Pipe (300 mm dia) 0.00 R.Mtr.
T-Steel 0.00 Ton
u-Rcc M30 0.00 Cum
-ExecwvgEngtneer.
--a%>---
P.W D. Distt.Dn.l, Udaipur
1,
,.1- t I
C\
''('h
OFFiCE OF TiiE EXECUTiVE ENGTiEER. P.W.O. DiViSiON SALiJMBER
t^..
J
No
\'rl [,,\ ,., Date
TO WH OM SO EVER IT MAY CONCERN

. it6 's io iitai Siiii Larmi iri patel .AA' Chss @ntractor,
c,&,-iii,€q
Rishabfidev, Udaipur had executed the quantities ot Const of gT Road uMer
PMGSY under Package No RJ-32-272 in Distt. Udaipur is comptetety in time E
Ouality ot work is good & satisfactory.
Detail ol the work Bresuled are as under i
Agroemeot No. 81nU6-17
Amount of Agreement Rs.3,42,63,901/-
Dele of Cornmenc€ment 26.09,2016
Date of Complstion 25.07.20't7
ActriBl d.te of Complelion 08.07,2017
Flnancial Year 2016-17
Actual work done Rs. 3,06,05,8s0
A-Eath woik (Cum) 57870.40 Cum

86SB-G- 8676 12 Cum
C- l4/MM (Cum) 5365.61 Cum
E-Tact Coal 35770.29 Sqm
F.PMC 35770.29 Sqm
G-Seal Coat 35770-29 Sqm
H- CC (1:3:6) 543 70 Cum
l.R.R. Stone Masonry 507'l .05 Cum
#
J-CC (M-20) 38.06 Cum
K-RCC (M-30) 0.00 Cum
L-RCC (rVLz5) 87 00 Cum
M'Ponting
N.Plastering
2124.01 Sqm
140 00 Sqm
@
G Hume Prpe (Single Row) 335.00 R.Mtr
P-Hurne Pip6 (Oouble Row) 52 50 R.Mk.
O-Hum! Pip6 (300 mm dia) 52 50 R.Mtr
R-Stcel 3 19 Too
Executve E ngrneer.
PWD Division Salurnber
FOT SHRI LAXMI LAL PATEL
A )
?
6
OFFICE OF THE EXECUTIVE ENGNEER, P,W,O. DIVISION
SALUMBER
No r G-?.a;"\-,,,\,-" Daie
TO WHOM SO EV ER IT MAY CONC RN

This is tc cedified that Shri Laxmi Lal patet ..An. Class
conriactoi.
Rishabhdev. Uoa pur had executed the ouantifies ol
Consl of Bl Road undcr
PMGSY unoer Pac*age No RJ-32-270 rn Disrt_
Udaipur rs comptetety tn tmc &
Ouality ol work is good & satisfactory
Detail of lhe work executed are as under ._
Agreement No 79i2018- 17
Arnourri oi Agleerrrerri rls 4,Yo_uJ. /J5r-
Date of Completion 25 07 .2917
Aclual date ol comprgl;sn 06 07 .2017
Financial Year 20r6-17
Aclual work done Rs.2,61,11,96A^
A-Earlh work (Cum) 63247 .21 Cu.r'

B-GSB-G.III 7213.86 Cum
D-Primer Coat 2976S,6a Sqm
E-Tack Coat 29769,8a Sqm
F-PMC 29769.6a Sqm
G-Seal Coal 29769.64 Sqm
H- CC (1:3.6) 401 27 Cum
[R.R. Stone Masonry 37,l1.10 Cum
J-Cc (M-20) 24 47 Cum
K-RCC (M-30) 0 00 Cum
L-HCC (M-2s)
I
177 60 Clar
o./v
M-Pointing
N-Plastering
1350 3l Sqm )t
296 50 Sqm
I co'j rY
O- Hume Pipe (Sing{e Row) 187 50 R.Mk
P-HumB Pipe (Doubte Row) 90.00 R.Mtr
Q-H.rme Pipe (300 mm dia) 180.00 R Mlr
R-Steel 4.41 Tcn
*'- .*.i,
Execul,ve Engrneer
P !,' D D;v;sic;r Sak:rber
Fcr SHRt
[AXMI tAL
PATEL
A,
I
.i/ETOR
7
OFFICE OF THE EXECUTTVE

ENGNEER, P.W.D, DIVISION
SALUMBER
Nr.r
I Dat€ tjtir-t7
TO WHO M SO EVE IT MA YCO CERN
axmi Lal pato, "AA,, Cless conlrircto.
q!-,ar!i!r--s cf Const ol
9 l- Rcad undcr
rn Ois( Udarpur is completely In
lrne E
Undcr
Agreement No 75t2016_17
Amount ofAgreemenl
Rs 2.88.15.796/_
Dale of Commencemenl 26.09.2016
Date of Comptetion
25 07 2017
Aclual date of Completion
06.c5.201?
Financial Year
2Q16.17
Actual work done Rs. 2,53,.13,812/-
B-GSB-G-III 6984.38 Curn
C-WMM (Cum) d1t q q) ..,-
D-Primer Coal 28793.45 Sqm
E-Tack Coat 28793 a5 Sqm
F-PMC
28793_45 Sqm
G-Seal Coat
28793 45 Sqm
H- CC (1:3:6)
295 54 Cum
l-R,R. Stone Masonry
3977 C0 Cum
J-CC (M.20)
35 47 Curn
x-Rcc (M-30) I
L RCC (trt.25)
M-Fointing
N-Plaslering
0.00 Cum
1977 65 Sqrn
s
114 00 Sqm
O- Hume Pipe (Singte Row)
217,50 R.Mrr
P-Hume Pipe (Doubte Row)
15 00 R,Mrr
Q.Hume Pipe (30C mm dia)
90.00 R.Mt,
R-Sleel
0 90 Tcn
For SFrR I IAX
/4',
)io"o"'
OFFICE OF THE EXECUTIVE ENGNEER PWD WB OIVISION KHERWARA
uo.E J(i "l-latJi,

This is to ce fied that Shri Larmi Lal patet .AA" Ctass contrac:cr
Rishabhdev, Udarpur hao executed lhe quanbnes of Const ot BT Road uitder
PMGSY under Package No- R.j-J2.Za4 in Drsii Udaipur is compie:e,y in iir.ie &
Qualiry of work is good & satisfactory .
Detail of the work executeci are as under
Agreemenl No 61t2016-'17
Am^' Int nf Ad/eF.nc^t Rs 2.68.76.625/.
Date of Commenceme.tt 26.09 2016
Date of Compiet on 25_07.?017
Aclual dale of Completion 25 07 2017
Financial Year 2016.1 7
Actual work Cone Rs. 2,37,07,687/.
A-Eafih wort (Cum) 1 13905.48 C,rm

B.GSB,G.III 4997 39 Cum
C- Wi\,lM (Cum) 3971 09 Cum
D-Pimer Coa( 26273 88 Sqrn
E- iacP. Ccat 25.4,/3 8a Sqm
F^PMC (Plastic) 26473.88 Sqrn
G-Seal Coat 26473 88 Sqrn
lr'CC (1:36) 257 19 Cum
l-ii R Slone Masonry 3184 41 Cum
J{c (M.20) 27 60 Curn
K-RCC (M-30) 0.00 Cum
r
L-' oarrr /t, ,r\
rVv trrr !vi 0 00 Crlm sA
M-Pontjng 1729 03 Sqm a\
C- tlume Pipe (Single Row) 285 00 R l/ltr
P-llume Pipe (Doubie Row) 67 50 R Mlt
Q-Hume Pipc (300 mm dia) 18C 0C R Mr
R-Steel 0 0C Ton
Executivc E
PWD V'vB Dryrsrr.;:i r(i'erwer.r
'/4 9L crreL
PRar E
B
OFFICE OF THE EXECUTiVE ENGiiEER. P.TT.D. DiVISiOii i(i{ERWARA
No Oate :
TO WHOM SO EV ERITM AY CONC ERN

This is io €d;fie.i ih6i Shri Lixmi Lai p.tel ..,iA. Ci.ss co'liractur.
Rishabhdev, Udaipu, had executed the quantiti€s of Const of BT Road undcl
PMGSY under Package No RJ-32-238 in Oisn Udarpur is comptstety in time &
Quality of work is good & satisfaclory
Delail of the work execuled are as under :-
Agreement No 65n016-17
Amour( ol Agreement Rs 2,65.58.993/
Date of Commencement 20.09 2016
Date of Completjon 25 07 .2017
Actual dat6 of ComDleton 21 07 2017
€ Financral Year 2016- 17
Aclual work done Rs.2,17,28,058/-
" A-Earth work (Cum) 97346.26 Cum
B-GSB.G-III 4622 80 Cum
C- \a/MM (Cum) 3707 60 Cum
D-P(imer Coat 25067.34 Sqm
F.PMC 25067 3a Sqm
G-Sesl Coat 25067. s4 Sqm
H- CC (1:3:8) 220 15 Cum
l.R R Slone Masonry 2889 81 Cum
J-CC (M-20) 21.35 Cum
K-RCC (M-30) 0 00 Cum
L-RCC (M-25) 0 00 Cum t (
M-Pointing 1648.36 Sqm {E
G Hume Pipe (Single Row) 3?5 00 R Mrr
P-Hume Pipe (Doubie Rowi i5 00 R.Mrr
Q-Hume Pipe (300 mm dia) 22 50 R.Mtr \
R-Steol 0.00 Ton
\
Executrve Engineer.
P W.O. Division Kherwara
\
\
,n"
-..-./
OFFICE OF THE EXECITTIVE ENGNEER p.W.O. DlSTT.DN.t, UDAt
No.Q5r. Oate g I rhqg

TO WHOM SO EVE R IT MAY CONCER N
This is to certified that Shri Laxmi Lat patBl "AA" Class conlractor,
Rishabhdev, Udaipur had execuled the quantiljes oI Const of BT Road r:nder
PMGSY under Package No RJ-32-185 in Distt. Udaipur is comptetety r,.: trme &
Ouality ot work is good & satisfactory.
Detaii of the work executed are as under -
A.1rPFmanl N.r 185t2016-17

Anrount of Agreement Rs. 25881427/-
Date of Commencemenl 23.01.2017
Oate of Completion 22.112017
Actual date of Completron 20 11 .2017
Financral Year 2016-17
Actual work done Rs. 2,32,83,73?-
A-Earth work (Cum) 58064.74 Curn

B-GS8.G-rii cEeE EO /..,-

D-Primer Coat 27316 63 Sqm
,711A A1 e^6
G-Seel Coat 27316 63 Sqm
H-CC (1:3:6) 408.92 Cum
lR R. Stone Masonry 3821.38 Cum
r-ec /h,t-20\ 20 92 Cum
/-+, {.c
K-RCC (M-30) 0 00 Ctrm l:t
L-RCC (M.25) 284 00 Cum l
N-Plastenng 232.00 Sqm
O- Hume Pipe (Srngle Row) 180.00 R Mtr
P-Hume Pipe (Double Row) 50 00 R,Mtr
Q-Hunne Pipe (300 mm dia) 60 00 R.lr4lr l
R-Steel 5 994 Tc1

S-Coping 0 00 Sqrn
(Sftailender Chouhan)
'Ex66utrva E ngt::'eer
t\, PWD Drsi, [),r ; Udajjur
z-'l'
l-
s
OFFICE oF THE EXECUTTVE ENGNEER, pWD otSTT.OlV. tsr, UDAIpUR
o,
lv TO WHOM SO EVER IT MAY CONCER
tz-Huzo
This iB to certilied thal shri Laxmi Lar paterAA" crass contracror, Rishabdeo
had executed the guantities of Const. of BT Road under pMGSy under package No.
RJ-32-1EB in Distt. Udaipur is completely in time & euatity of work is good &
satislactory.
Agreemenl No. fi4n016-17
Amount of Agreement Rs. 3,05,80,749.00
Oate of Commencemenl 23.01.2017
Date of Completioo 22.11.2017
Actual date of Completion 10.02.2018
Financial Year 2017- 18
A.Earlh work (Cum) 77525.45 Cum

B€SB€-llURiver Shingle 6518.49 Cum
c-WMM (Cum) 4383.06 Cum
D-Primer Coat 29220,33 Sqrn
E-Tack Coat 2S220.33 Sqm
F.PMC 29220.33 Sqm
H- CC (1:3:6) 526 125 Cum
l-CC (1:2:4) M20 26.25 Cum
J-RCC M25 119 97 Cum
K.R.R. Stone lliasonary 5104 84 Cum
L-Pointing 1945.735 Sqm
M'Plastsring 456 56 Sqm
N-Coping 0.00 Sqm
O- Hume Pipe (Single Row) 240.00 R.Mtr.
P-Hume Pipe (Double Row) 77.50 R,Mtr.
R.Steel 15.35 Ton
S.RCC M3O 42.93 Cum
--7,
r*es!tft;66in.er,
P.W.D. Distt.Dn L Udarpur
I ls
o)
OFFICE OF THE EXECUTIVE ENGNEER. P.W.D. DiViS|ON SALUI.ISER
\ c.'r''
No ' .:_.1i, 1
Oate
TO WHOtil SO EV ER IT MAY C o NCERN

This c€riiiied ihdt Sir.i Lax,tl Lil P-lol "A4" Class c4,/rlraclor
E lo
RrshabhdEv, Udaipur had executed the quantities of Consl ol BT Road under
PMGSY under Packags No RJ.32-279 in Oistt Udaipui B complelely in trme &
Ouality of work is good & satislactory
Oetail of the work executed ate as under :-
Agreement No 87n01A-17
&nount of Agreement Rs.2,81,17.780/.
Date of Commencement 26 09.2016
oate of Comptetion 25 07 .?017
Attual dale of CcrnFletron 11 07 .2017
Frnancial Year 2016-17
Actual wort done R!. 2,40,87.5431-
A-Earth work (Cum) 62604:87 Cum

6851.82 Cum
G WMM (Cum) 4263 27 Cum
O-Prime. Coat 28421.635 Sqm
F.PMC 28421.635 Sqm
H- CC (1'3:6) 392 65 Cum
l-R R. Stone Masonry 3621 51 Cum
J-cc (M-20) 24 75 Cum
(-ena /M-'lnr 0.00 Cum
c-l
L.RCC (M-25) 57 75 Cum
J I..
N-Pla6lering 178.00 Sqm

O- Hume Pipe (Single Row) 187 50 R Mlr,
I P.Hume Pipe (Double Row) 3750RMr
Q-Hume Pipe (300 mm dra) 97 50 R Mtr
R-Ste€l 18C Ton
/''-----,
(.. !
ExecutivS?',fgi;rcc:,
P.W D Division Salumber
I For St.lRl LAX lrt PATEL
IAL
PROF RIETOR
DIVISION SALUMB
.-lo
No
il" l'r
Da !e
TO WH OMS O EVER IT MAY CONCERN

Thi6 is lo certrfred lhal Shri Laxml Lal patol .,M.
Rrshabhdev. Udaipur had execued lhe qyg611iss
Class coiltractor.
01 Consl oI BT RoaC uoder
PMGSY under package No RJ-32.ZEI in
Disu UUarpJi r, rn lirne &
Quality of work is good E salisfactory "o.p,",",,
Oetail o, the work executed are as under -
Agfeement No 892016- 17
Ainoijot of Agreerneni lls 2,40.60,40 i,,
Dale ol Commencement 26 09.2016
Dale o, Completion 25.07 .2017
Aclual date of Complehon 10 07 .2017
Financiat Year 2016-17
Aclual work done Rs. 2,1r,59,046/.

B.GSB.c-il1 6023.84 Cum
3
D-Primer Coat 24893 28 Sqr:r

E-Tack Coar 24893.28 Sqm
F.PMC 24893.28 Sqm
G-Seal Coal 24893 28 Sqm
H- CC {1:3r0) 184.37 Curn
l-R.R. Stone Masonry 27 34.7 4 Cum
J-CC (ut-20) 27 56 Cum
K-RCC (M-30) 0 00 Ctrm
L-RCC {M-251
fi
0 00 Cu.n
M-Pointing 1075.585 Sqm
N'Plastering 207.0C Sqrn
O- Hume Pipe (Singte Row) 172.50 R.Mlr tE:a
P-Hume Pipe (Doubte Row) 30 00 R. trilr.
O-Hume Pipe (300 mm dia) 52 50 R.Mrr.
R-Steel 0 00 Ton
P 'yV D Divisior Salunocr
For Slr:11 LAX!"ll LAL PATEL
/1
/\
OFFICE OF THE EXECUTIVE ENGNEER
PWO DISTT.ON,I, UOAIPUR o
Dale , r, c-i, ;-.r I
TO WHO MSO EVER I TMAYC ONCERN
This rs to certified that Shri Larmi Lal patcl .AA"
Rishabhdev. Udarpur had execulecj the quanlilres
Class cor,iaclor
of Const ct BT Road Jnder
PMGSY uncrer pacxage \o RJ.SZ-199 rn
Drstt Udaipur is con,pletely rn I me &
Quality of work is good & satisfacto.y
Detarl of the wcrk exccuted are as under -
Agreement No 17i,201b.^17
AJnounl o! Agreemerl QE ) 1) ti'1o/ t
Dare of Com..nencemenl 17 01 .20i7
Date of Comptetion 16 1 1 .2017
Actuat date of Completion 15 11 2017
Frnancial Ycar 2016-'t7
Adual work done Rs.2,02.83,959^
A-Earth work (Cum) 91 105 39 Cum
B-csB-G-ilt 5423.56 Cum
C- WMM (Curn) 3350 37 Cum
D-P.imer Coat 22335 76 Sqm
E-l ack Coat 22335 76 Sqm
F-,rMC (Piasrrc) 22335 75 Sqm
G-Seal Coal -_'=-\
22335 76 Sqm
H- CC ( 1:3.6) I
27 4 19 Cum
l.R R. Stone Masonry 2857 E9 Cum ')\h- I
J.CC (M-20) 21 51 Cum
K-RCC (M-30) 10.89 Cum
sI Il,l^/r ,r, .E\
rvv \rrr .vi
M-Pointing 1518 00 Sqfn
I
O- Hume pipe (Singte Row) 160 00 R.t\rrr
P-i,ume Pipe (Uoubte Row)
63 75 R Vtr
O-Hume Ptpe (3OO mm dta) C00RMtr
R-Steel 1 25 Ton
Execuitve E lorrc,cr
PWD Drstt Dn I r.roa,rL.
: .. . ill
/\ '\
l.
NA
OFFICE OF THE EXECUTIVE ENGNEER. P.W.D, OIVISION SALUMBER
,,....\ -,? \
t.) ) -i."-!r6\ t 7 \r+ \.-
Dare
6
TO WHO M SO EVE R IT MAY CON CERN
This is to cerlrfied that Shri Laxmi Lal p6tot ,,AA, Ctass contraclor.
Rishabhdev, udarpu, had executed the quantities of Const ot BT Road under
PMGSY unrjer Fackage No- Rj-JZ-ZtiB rn Drsn UdaFUr ts comptetety rn lme &
Ouality ol,./or( ts good & satislacton/
Detail ol the wod( execuled are as under .-
Agroemenl No. 77nO16-17

Amount of Aoreement Rs 1 73 83,378/
Dale of Commenccment 26.09 2016
Dale ot Compblion 25 05 ?017
Actual date of Complerion 03 05 2017
Financial Year 2016- 1 7
Actual work done Rs. 1,49,56,465/.
A-Earth work (Cum) 26&40,17 Cum

B.GSB.G.III 4 223.55 Cum
I
C- WMM (Cum) 2612 49 Cum
&Primer Coal 17a16.51 Sqm
E.Tac* Coat 17416.51 Sqm
F-PMC 17416.51 Sqrn
G-Seal Coat 17416 51 Sqm
Li- ca r l a\
l-R-R Stone Masonry 2196 20 Cum
J-Cc (M-20) i5 63 Cum I
K-RCC {M-30) 0 00 Cum
L-RCC (M-2s)
M-Poinling
60.00 Cum
1135-15 Sq'n
8
O- Hurne Pipe {Single Row) 180.00 R.Mtr.
P-Hume Plpe (Dot ble Row) 0.00 R.Mtr.
n r r. .-^ rr.- -
lerrv II tI uto,
R-Steel 0.00 Ton
-Z:- -
{ -- , *'
r.../
Erecutive Fngrneer-
PW D Dlvis,on -S6rtlmllr
For Sl.rRl L,lXMt LAL pATEL
ll."
rc,
--i+ o l- RI
OFFICE OF THE EXECUTIVE ENGNEER,
P.W.O. DIVISION SALUMBER
Cale.l:-?-:.,r.t'
b
TO WHO MS OEV ER IT MAY C ONCERN
This is to certfied that Shri Larmi Lal patel .AA.
Rishabhdev, Udarpur had executed the quan Class cortractor,
FMGSY urxjer. par:jiage iio RJ-SA"269
res cf Consi
-J,i",rJ, ot gT Roao under
,,, A",i i"- in trrne &
Quality of work rs goorl & satrsfactory "o_pr.trfy
Detail of the work execuled are as .rnder ,
Agreement No 78t2016-17
Amount of Agreement Rs 1 76 60 0i5/.
Date ot Commencement 26 09 2016
Date of Compietion 25.05.2017
Actual date of Completion ?4.0s.2017
FinanciaJ Year 2016-17
Actual work done Rs. ! 5t,gjrqgf -
A-Earth work (Cum) 12602,03 Cum
B-csB-G-ilt 4248.13 Cum
C- TVMM (Curn) 2654 68 Cum
GPrimer Coat 17697 73 Som
E-Tack Coat 1 7597.73 Som
F-PMC 17697 73 Sqrn
H. CC (i:5:6i 266 54 Cum
l-R R Stone Masonry 1798.89 Cum
J.CC (M-20) I 13 Cum
K-RCC (M-30) 0 00 Cum
L-RCC (M-2s) 238 4: Cum
M-Pornting 594.65 Sqm
N-Plastering 396.10 Sqm
O- Hume Prpe (Slngle Row) 30 00 R i\rtr CL
P-Hume Pipe (Ooubte Row) C.00 R Mtr
1u
Q-Hume Pipe (3O0 mrn dia) 000RMlr
R-Steel 14 14 Ton
r-1' r'>
Fxecutrve l-^cirec.
P !V D Division Sair.rr,ce,
il0. /14
l/lqn.Lo
OFFICE dF 'rVe-exec urtvE ENG NEER, p.w.D. DtvtstoN KHERw a "\
RA
TO WH OM SO EVE RITMA YCO NCERN

This is to certified that shri Laxmi Lar pater "AA'crass
contractor. Rishabdeo
had executed the quantities 0r const. of gr Road under pMcsy under pact<age r.lo.
Distt_ Udaipur is compterety in time & euatity
:-r;::-3.2:.*
- salr)rav(u,y. of work is good &
Delail of the work execuled are as under :-

Agreement No. :' 6,112016_11
Amount of Agreement : Rs. 1,g2,24,012,00
Date o, Commencernent : 26.09.2016
Date ol Completion : 25.05.2017
Actual date of Comptetion : 14.04 2018
Financial Year : 201€-1l
I
Actual work done : 15961048.00

B-GSB-G-lll/River Shingte 4146 69 Cum
D-Primer Coat 'l7t I R 75 anm
F.PMC 17418.75 Sqrn
H- CC (1:3:6) 176.74 Cum
t-CC (1:2:4)MZO 2135Cffi--
J.RCC M25 0.00 Cum
K-R.R, Stone Masonary 2546.53 Cum
L-Pointing 889 64 Sqm
M-PlasterirE 64.00 Sqm
N-Coping 0.00 Sqm
O- Hume Pipe (Singte Row) 172.50 R.Mtr.
Q-Hume Pipe (300 mm dia) 45.00 R Mtr.
R-Steel 0.00 Ton
S,RCC 0.00 Cum
ng eer,
P.W.D. Divislon Kherwara
For SrrRl LAXi,rlt LAL pATEL

1
/
l-
ile,-/t{u
t 67
lr 2) 4')
DIVISION KHERWARA
.TO WHOM S O EVER IT MAY CONCERN
This is to certified that shri Laxm, Lar pater "AA"

crsss c-ontractor, Rishabdeo
had executed lhe quantities of Const. of BT Road
under pMGSy under package No.
RJ-32-22t in Distt. Udaipur is comptetety in time &
auatity of work is good E
safisraclory.
Oetail of the work executed are as under :_
Agreemenl No. : 6Zt2O16-1?
Date of Commencement : 26.09_2016
Oate of Complelion : ZS.OS.ZO17
Actual date of Completion : 06,04.201g
Financial Year : 2016-17
Acfua! 'yYo* done ra^rq7,r.r
^^
A-Ear{h work (Cum) 55850 48 Cum
B'GSB-Gill/River Shingte 4364.94 Cum
F-PMC 18220.00 Sqrn
Gseal Coat 18220.00 Sqm
u arrr /..r.^r
r r- \,v
I r.o,u,, i61.34 Cum
l-CC (1:2:4) M20 24.64 Cum
J-RCC M25 0.00 Cum
K-R.R. Stone Masonary 2035.10 Curn
I -Pninrina
M-Plastering
N-Coping
Irvnl ,r .r, c.--
'r gr 1,rqrii
71.00 Sqm
0.00 Sqm
#
.127.50 R.l\Ar.
P-Hume Pipe (Double Row) O OO Q tltr
Q-Hume Pipe (300 mm dia) 67 50 R.Mtr.
R-Steel 0,00 Ton
S-RCC
0.00 Cum
executivg$pne[r.
P.W.D. Division'Khenvara
For Sl-r. Rl LAXtr,I\LAL PATEL
(-
r-ts
OFFICE OF THE EXECUTIVE ENG}JEER. P.*J.D. DT.,,SICN
i+r
No. \', lr'. , "O.-U'"=OU
r tr \ ii oate :
O WHOM SO EVE IT MAY CONCE

This is !o cadifielt that Shri L.rmi !=at p.!el ,.AA-
OtasF contraclor
Rishabhdov, Udaipur had execuled the quanlities oI Const of BT Road under
PMGSY under Psckage No. RJ-32-278 in Disrt. Udaipu/ is comptetely in thle g
Quality o[ work is good & satisradory.
Delail of the work erecuted are as under:-
Agresm€nt No. 65,20i6-i7

Amount ot Agreemen't Rs I,73,50,798/.
Oate of Commenc€ment 26.09 2016
Dato ot Cornpl€lion 25 05.2017
Actual date of Completion 24.05 2017
Financial Year 2 016-17
Acl.ual work done R3. t,5s,Ss.099/-
A.Earlh work (Cum) 48565.71 Cum

B-GS8€- t 4492 67 Cum
C- WMM (Cum) 2796.'19 Cum
F"PMC 18528 76 Sqm
G-Seai Coai j6526 76 Sqm
H- CC (1:3:6) 146 35 Cum
I'R.R, Stone Masonry 2097 68 Cum
J{c (M-20) 19.85 Cum rii- 4--'1
I
K-RCC (M-30) 0 00 Cum
L-RCC (M-25) 0.00 Cum
N-Plastering 1 14 00 Sqm
G Hume Pipe (Single Row) 45.00 R.Mtr
P-ilume Phe (Ooubie Row) i5 R.Mrr.
'lri
GHume Pipe (300 mm dia) 67 50 R.Mk.
R-Steet 0 00 Ton
,tt''
- .(- ---.-':
EXeCUtlve t.ngtr']eer,
P.W.D. Division Satumber
For SHRt LAX

neret
|tlfL
PF,OF RIEIOR
OFFICE OF THE EXEC UTIVE ENGNEER,
P-W.O. DIVISION SALUMBER
No 'rt1?Jc\,"\,'-- Oaie
TOW H OM SO EVE RITMA Y CONCERN
This is to ce.litied that Shri Larmi Lal pat€t ,AA,,
Rishabhdev, Udaipur had cxecuted the quantrttes Cless contractor
PMGSY under package No. RJ-3?_2?3 ,n
oi Conri of BT Road under
Oon Uoripu iJ in time &
Oualily of work ,s good & salistactory "o-rr,",",,
Detail of lhe work execuled are as vnder -
Agreemenl No. 9u2016-17

.A.m!Unt Ol .A_g'gg,'T_.enl P.
.lv- t, |-J?aO c4 r.^,
iJJt\,!.1-
Dale of Commencemenl 26.09.2016

Date ot Comptetion 25 05 201?
Actual date o, Comp,etion 24.05 2017
Financial Year 20'16- 17
Actual work done Rs. 1,40.82.158/.
A-Eanh work (Cum) ?682't.42 Cum
8-GS8€- t
3329.63 Curr
C- WMM (Cum) 21O7 .72 Cum
D-Prime, Coat 13978 98 Sqm
F-PMC 13978.98 Sqm
G-Seal Coat 13978.98 S_om
Il r vl, .. ..-r
^^ t r..r v,, 224.80 Cum
l-R.R. Stone Masonry 2370.05 Cum
J-cc (M-20) 20 10 Cum
r(-Rcc (M-30) 0.0C Cum
L-Rcc (M-2s) 29 82 Cum
M,Pointing 1084.05 Sqm
N-Plastering 85.00 Sqnr
O- Hume Pipe (S;ngle Row) 90.00 R.Mrr
16 75 R Mtr
Q.Hume Fipe (30C mm dial 45.0U R.Mtr.
R-Steel
0 00 fon
/_
E xeculi ve fng rnggr
,v,rtvrr uorJriroF i
For SllRl tAX['ll LAL PATEL
I
Rb F RIETOR
/-r+
OFFICE OF THE EXECUTIVE ENGNEER. P,W.D. DIVISION SALUMBE
''1.
No lifi ---,' t .lI car:
o(lrol
This is lo certrfred lhal Shri Laxmi Lal Patel "AA" Ctass contractor.
Rishabhdev. Udaipur had execuled the quanlities ol Const. ol Bi Road under
PMGSY under Package No, RJ-32-280 in Distl Udaipur is comptetely rn time E
Quality ol work rs good & salis{actory
Detail of the work cxeculed are as under '-
Agreemenl No- 88/2016-17

Am^,,ht A^.ooha^t Rc I a7 O, a l'l/
^t
Date of Commencemenl 26 09.2016
Dale o[ Completior 25.O5.201?
Aclual dale of Complehon 24.05 2017
F:nancial Year 2016-17
Actual work done Rs. 1,38,68,570r.

B-GS8-G,l 3864.38 Cum
D-P.imer Coat 16076.08 Sqm
E.Tack Coat 16076.08 Sqm
F.PMC 15075-08 Sqnr
"-evuJq,,
l-R.R. Stone [4asonry 1954 83 Cum
J-CC (M-20) 12 96 Cum
K-RCC (M.30) 0 00 Cum
L-RCC (M-25) 88 20 Cum
M-Pointing
N.Plasterang
O- Hume Pipe (Single Rovj)
1019 95 Sqm
89 88 Sqm
1:2 50 R Mtr
30 00 R.Mtr.
$
tcvv rllrli ulaJ 75.00 I Mir
R-Sleel 0 90 Ton
.,.'.;
.,..7
f /-..
Exec ulrve-Ergrneer
P W f] Birric,aa qrl,,-',^,
Fcr srlRl LAXM/i LAL PArEL
/\.1 '
\
PP5PairroR
OFFICE OF THE EXECUTIVE ENGNEER, P.W.D, DIVIS'ON ê.
l)
SALUMBE
No , orj ua\,, ,', Dale
'
TO WHOM SO EV ER IT MAY CONCERN
This is to certifreC that Shri Laxma Lal patel ,.AA- Ctass coDtractor
Rishabhdev, Udarpur had execuled lite quantilres
of Const oi BT Road unde(
PMGSY under Pac,(age No RJ.32,275 tn Dis Udaipur is
comptE(ely rn tirnc E
Quality of work is good & satrsfactory.
Detail of the work execuled ar,e 8s under _
Agreement No. uno|a.17

A-^, inr
^f
^Yrca".l:, 'r iis i.20.99,9s r r-
Date of Ccmmencemenl 26.09,20 i 6
Dale of Completion 25.05.?017
Actual date of Completion ?4.05.2017
Financial Year ?0',6-17
Aclual work done Rs. I,19,35,052^

B.GSRG-III 3131 .90 Cum
c- WMM (Cum) 1938 50 Cum
D.Primer Coat 12923.17 Sqm
E-Tack Coat 12923 17 Sqrn
F.PMC '12923.i7 Sqm
G-Seal Coat 12923. i 7 Sqm
ii- CC (1;3:6) 112 20 Cum
l-RR Stone Masonry '1861.13 Cum
J-cc (M-20) 14 65 CLrm
K-RCC (M-30) 0 00 Cunr
L-RCC (M-25) 29 82 Crrm
O- Hume Pipe (Siflgie Row) 127 50 R.Mtr
P.Hume Pipe (Doubte Ror4 22 50 R.Mtr.
Q-lrume erpe (300 mm dia) 67.50 R Mtr
R-Steet 0 90 Ton
Execulrve Ergrnec:,
P w.D. tirvtston Salumber
FoT SHRI LAX LAL PATEL

'h
I
OFFICE OF THE EXECUTIVE ENGNEER, P.W.D. OIVISION SALUMBER
No t t-,'.i ,r-f],.r- \i \ o"t.

This is to c€rtified lhal Shri Laxmi Lal Patel "AA- Class contractor.
Rishabhdev Udaiou. had executed ths quantilies of Const o, BT Road unde.
PMGSY under Package No RJ-32-256 rn Distl Udatpur rs complelely,n time E
Quality ot $rork is good t satisfactory.
Oelail ol lhe work execuled are as under -
Agrcement No 69/2010.17
Amount of Agreerneni Rs i,23,02,580r.
Oate of Comrnencement 26.09.2016
Date of Completion 25 05.2017
Actual date ol Cornpletion 19 05.2017
Aclual work dorE Rs. 1,15,64,046r-
A-Eadh work (Cum) 20248.07 Cum

B-GS&G-Il 3266 71 Cum
E-Tacl Coat 13766,50 Sqm
F.PMC '13766.50 Sqm

H- CC (l:3:6)
l.R,R. Slone Masonry
'1
1
37 E6 Cum
564Cum ,(l.-
J-CC (M-20) 12 46 Cum
K-RCC (M-30) 0 0C Cum
L-RCC (M-251 148 80 Cum
M-Pointing 1008 a7 Sqm
N-Plastering 129 00 Sqrn
O- Hume Pipe {Single Row) 67,50 R.Mtr
P-tlume Pipe (Double Row) 30.00 R.Mtr
Q.Hume Pipe {300 rr,m dia) 45 00 R.l,{lr
R-Steel 0 C0 Ton
ExeculNe
T VY l. L4VrSrUr l)A'l,rrruEr
For SrlPl LAXttl LAL PATEL

.,
/l
r v
OFR EI CR
OFFICE OF THE EXECUTIVE ENGNEER, P,W,D. OIVISION SALUMEEre
No t 51'1, ,6\,"jr1 oate \-l
This is to certfied that Strri Laxmi Lal Patcl 'AA' Class contraclor.
R:shabhdev, UCaipur hari executed lhe ouanlrlres of Const Ot Bl Road unacr
PMGSY under Package No RJ-32-271 in Distt Udaipur rs complelely in lrme &
Ouality of work is good 8 salis(actory
Oetail of the work e;ecuted are as under
AgteemBnt No 80/2016-17
Amounl o[ Agreement t<5 l.rz ,. ob.ai.
Date of Commencemen! 26 09.2016
Date of Completion 25.05.2C17

Actual dale of Completion 23 05 2017
r llrdrlscr i gdi 2016- 17
Aclual work done Rs, 1,03.97,960r.
A,Earlh work (Cum) 26405 33 Cum

B-GSB.G{II 2885 i7 Cum
c. '""'r,,$.r (cum) 1796 02 Cum
'1
E-Tack Coat t 973 38 Sqm
F.PMC 11973.38 Sqm

'I 1973 38 Sqm
G-Seal Coat
H- CC (1:3:6) 128 32 Cum
l-R.R- Slone Masonry 1736.02 Cum
J.CC (M.20) 15.33 Cum
K.RCC (M-30) 0 CC CL,m
r-Rcc i,.,r-25) 0 00 Crrra
M-Pohting 853 03 Soor
N-Plaslering
5-00 Sqm
75 00 R Mtr
&4-
P-Huma Pipe (Double Row) 000RMtr
Q-Hume Pipe (300 rr,m dia) 000RMl,
R-Steel 0.00 Ton
Exeeutive f ngrnee:.
I
P.',^JD Di';tsron Salumoer
For SHRi LAX

oot.t
flfot
I PROPRIETOR
OFFICE OF THE EXECUTIVE ENGNEER, P.W.D. DIVISIOITI SALI'iIBER
No
Date
TO WHOM SO EVER IT MA Y CONCERN

ThE is to cerlifieC that Shri Laxmi L.l patel -AA. Claes cont aclor,
RishabMev, Udeipur had executed lhe.quantities ot Cgnst of BT Road
under
PMGSY under Package No RJ-3?-2S7 in Distr. Udarpur is completoty in
ljme E
Ouality of work is good & satisfactory
Dotail of the work execuled are as under :-
Agreement No. 7onu8-17

Arnount ot Agteement Rs.2,21,49,641r
Oale of Cofimencemenl 26 09 2016
Date ol Completion 25 07 .2017
r Financial Year
vurrrPrEL,url
2016-'17
Actual work done R!. 1,06,73,171/-
iru | ,.oa ieijtn
C- WMM (Crrm) 3408.59 Cum
F-Pt4C ?2263.97 Sqm
G.Seal Coal 22203.97 Sqm
H- CC (1:3:6) 285.85 Cum
,-R.R Ston6 Masonry 2372.72 Crrr,
J-CC (M-20) 13 60 Cum
Ik-o^^
r l v /tr alt\
ttr. vwi
L-RCC (M-25) 223.85 Curn

,^t
M-PointirE
N-Plastering
O- Huore Pipe (Single Roiv)
1117.29 Sqm
8.50 Sqm
150.00 R,lvttr.
\r
P-Hume Pipe (Doubte Row) 7.50 R.Mtr.
Q-Hume Pipe (300 mm dia) 4500RMk
R-Srse! 3.96 Ton
..;-.-\
|-.1.,.
Executlve E6grneer,
P W D. Diviston Satwnber
I For SHRI LAXMI PATEL
P
P
OFFICE OF THE EXECUTIVE ENGNEER PWO WB DIVTSION KHERWAR c'-
\)
No. ,a7'. Oale ,li,11 ''t
TOW HOM SO EVER IT MAY CONCERN
This is lo certrfied that Shri Laxmi Lal Patsl "AA' Class ccnlractor
Qiehahh.rau ll.laihr,? had pre.r,lcd lhe oUanlilres of Consl. of BT Road unde'
PMGSY uoder Package No. RJ-32'240 in Distt Udarpur is completely in ttrFe E
Ouality of work is good & satisfaclory
DBtail of lhe work execuled are as under l'
Agreement No. 66/2016.17

Amounl of Agreemeill Rs. 1.91.99,7991-
Date of Commencement 26.09 2016
Date o{ Complelion 25 05.2017
Actual date of Completron 22 05 2011
c:^-,G î^l v6-. 2016- 17
Actual vrork done Rs. 1 ,60,29,128/-
A-Earth work (Cum) 75961 .18 Cum
8.G5B-G-lll a606 62 Cum

r^ r^^rll \vv...,
v- . rrrnrr /r+,,a\ 2531 78 Cum
D-Primer Coal 16E78 55 Sqm
E-Tsck Coat 16878 55 Sqm

F.PMC 16878.55 Sqm
G€eal Coal 16878 55 Sqm
Fi- CC (l:3:6) 171 80 Cum
l-R R Stone Masonry 2196 3a Cum

J-CC (M-20) '!2.41 Cum
K-RCC (M.30) 0 C0 Cum

l 6'i.r,rr..,<\
L'rwv 0 00 Cr,rr.'
t.rr-.e,
M-Poinling 625 84 Sqn:
N-PIasleri,,lg 168 00 Sqrn

,i
O- Hume Pipe (Single Row) i20 00 R Mtr
P-Hume Pipe (Doubte Roiv) 30 00 R Mtr
Q-Hume Pipe (300 mm dta) 45 00 R.Mrr
R-Steel C 00 Tcn
I (
t --Executive Engtncer
r vvlJ rvo
i-.r.SrlF,l LAXMI LAL PATEL
/\,
th 0tnrEron
!:,#",a#, XECUTIVE ENGNEER, P.W.D. DIVISION KHERWARA /q{
\\
TO WH OMS O EVER T MAY CONCER
N
This b to certified lhat Shn Laxmi Lal patel .AA.
Class contrector, Rishabdeo
had exocuted the quantities of const.
of BT no"o rni"r iilLsy under package No.
RJ-32-230 in Distt. Udaipur is comptetety i^ iii"-a
satisfaetory.
Or",,,, o, work is good &
Detail of the work executed are as under
:.
Agreement No. :. 6jf2}16-17
Date of Commencement 26.09 20i6
oate of Compteton : 2S.Oi.2O1l
Actual date of Completion : 26.03.2018
Financial Year : 201&17
Actual work done : fiIOZ4OZ.OO

B-GS8-G-ilt/River Shingte 3601 79 Cum
E-fack Coat 15098.65 Sqm
F-PMC 15098.65 Sqm
H. GC (1:3:6) 87,99 Cum
LCC (1:2:a) M20 12.87 Cum
J-RCC M25
0.00 Cum
L-Pointing 1014.94 Sqm
M-Ptastenng 0.00 Sqm
N-Coping
0.00 Sqm
O- Hume Pipe (Single Row) 62:50 R,Mtr.
P-Hume Pipe (Double Row) '0 00 R.Mtr.
Q-iJun-re Pipe (300 mm ciia) U.UU K.MiI
R-Steel
0.00 Ton
S-RCC
0.00 Cum
execrtiv6&-ee,
P.W.D. Division Knenvara
For SHRI LAX \aL eerel

ft
r-
PROF RIETOR
No
OFFICE OF THE EXECUTIVE ENGNEER P.W.D, DIST'I"ON.I , UDAIPUR
Date
t,
"?3J. )1 r lg "l?
TO WHOM SO EVER I T MAY CONCERN
This is to certified that Shri Laxmi Lal patet ,'AA" Ctass contraclor
Rishabhdev. Uciaipur haci exesuied iire quantities of Consi. of BT Roari under
PMGSY under Package No RJ-32.194 in Distt Udaipur is comptetety in time &
Qualrty of work is good & satislaclory
Detail of lhe work execul,ed are as uncier :-
A^.ooma^t N^ 170A016-11
Amounl of Agreemenl Rs 13674032/-
Date ol Cornmencement 17 01.2017
Oate of Complel!on 16 09.2017
Actual date of e ompletion 15 09.2017
Financral Year 2016-17
Actual work done Rs. 1,18,29,763I

B-GSB-G-u 2ti99 65 Cum
D-Primer Coat 11268 75 Sqm
E.Tack Coal 1 1268.75 Sqm
F-PMC r rzoo ,? Jqfll
G-Seal Coat 1 126E.75 Sqm

,l89
H. CC (1:3:6) 99 Cum
l-R R Stone Masonry 1933 72 Cum
K-RCC (M-30) 0 00 Curn

L,RCC (M-25) 90 00 Cum
N-Placlarinlr 70 96 Som
O- Hume Pipe (Single Row) 60 00 R Mtr
P-Hume Pipe (Double Row) 22.50 R.Mlr )
O-Hume Pipe (300 mm dra) 0 00 R.Mtr
R-Steel 0.58 Ton
S-Coprng 0 00 Sqm
(Shailendor Cltoulri tt.

€'xecUi ,.., :.I -i r ,. r'
D\^:if r;,qlr : , |:.1
i-
For SHRI L.' Nli LAL PATEL

X
l,I 1
{
(u PRAfRiEI OR
oFFrcE oF THE ExEcurvE ENGNEER, p-w.D. DrvrsroN .ALUMBERfA\
\ \:-
No .,..\
\L" '16\r.r\\\ Dare
TO WHOM SO EVE R IT MAY c o NCERN

This rs to cerlified that Shri Larmi Lsl pctel .,AA" Class contractor.
Rishabhdev, Udaipur had execuled the quantit.es of Consl ot BT Road
'rnJor
PMGSY under Package No. RJ-3?.263 in Oistt UdarDUr rs completely in tirie &
Ouality of work is good & satisfactory
Detail cl the wgrk cxocuted are as under -
I
Agreement No. 74t20't6-'17

Arnounl of Agrecrn€nt Rs ,'.?3 00.7991
Dale of Commencemcnt 26.09 2016
I
Date of Cornplelion 25.A5.2017
n ctual date of Compietron 02.05.2017
Financial Year 2016,17
Actual work dore Rs. 1,07,36,768^
A-Earth \rerk (Curn) 14530.68 Cum

B€SB.G.III 2966.37 Cum
F.PMC 1222-r.88 Sqm
IrJ
r_ vv a!
â 'r.,l
t..e.v,
l-R.R- Stone Masonry 2029 45 Cum
J-CC (M-20) 19.48 Cum
K-RCC (M-30) 0.00 Cum
L-RCC (M-25) 0 00 Cum
M-Poinling t 180 82 Sqm
N-Plaslenng
O- Hume Pipe (Srngle Rorv)
97-00 Sqm
45 00 R Mtr
I
P.Hume Pipe (Double Rora) 000RMtr Kt--
r\ Ll..-^ 6:-^
rPE \Jvw l|x'r !r:d,
R-Steel 0 00 Ton
Executive Enginee,,
PWO f)ivrsion Sahrmher
For SHRI LAX I,1I LAL PATEL
lt
,?---.._
OFFICE OF THE EXECUTIVE ENGNEER, P.W.O. OIVISION SALUMBER
.. .. l, <'
No I ^,1
I
1-' u6 \ ! ul r't oare .

This iS to certifred that Shri Laxmi Lat palel -AA., Class contraclo,,
Rishabhdev. udarpu. had execured rhe quantitres of const.
ot BT Road under
PMGSY under Package No. RJ-32.27 4 in Oistt Udaipur. ;s
completety in lrme g
Quality ot wort is good E satrsfaclory
Detail oflne work execulod are as undcr -
Agreemenl No 83/2016-. 7
Amount o, Aoreemenl Rc. I 1q 1? o,ro/
Date of Commenc€ment 26.09.2016
Oate ot Completion 23.05.m17
Actual daie of Complelion 0105 2017
Aclual work done Rs.'1,03,40,651,-
A-Earlh wofi (Cum) 57904.08 Cum

&GSB-G-III 2895 48 Cum
c- WMM (Cum) 1789,93 Cum
D-Pnmer Coat 11932.84 Som
E-Tack Coat 1 19 32.84 Sq m
F.PMC 1
,,
932 54 Sqm
G-Seat Coat 1 1932.E4 Sqm
,l{t a^ /l.r,a\
vv t,.e.w,

J-CC (M-20) 8 09 Cum
K.RCC (M.30) 0 00 Cum
L.RcC (M-2s) 59 81 Cum
i4-Pointing 577 52 Sqm
N-Pisstering 150.26 Sgm
O- Hurne Pipe (S,ngle Row)
--_:-\
90 0C R Mtr.
P-Hume Pipe (Doubte Row) :5 00 R Mrr /o
Q-Hume Pipe (3OD mti] dral 45 00 R.Mrr (
R-Steel ?.61 Ton E
Executr ve E ngineer
P !4r. D. Os,isicn S3,u..nbe:
For SH,qI LA
PATEL
PLAL
r"
OFFICE OF THE EXECUTIVE ENGNEER P.W.D. DISTT.DN.I, UDAIPU R
No J< 3C. Date :

) Irl
TO WHOM S O EVER IT MAY CONCERN
This is ro certified that shri Laxmi Lar patel "AA" crass conrracror.
I ldainr rr .is:
Richahh.lpv L.e-;i_.u; h:rl a-.
=,,-ecuteC thg quenlities cI Const. cf gT Road undei.
PMGSY under Package No. RJ-32.18G in Distt. Uda jpur is completety in time
&
Quality of work is good E satisfactory
Detail o{ the work executed are as under :-
Agreement No 1692016-17
Amount of Agreement Rs 10616503/-
Date of Commencement 17 01.2017
Dato of Completron 16.09.2017
Actual date of Completion 30 r0.2017
Actual work done Rs. 1,01,98,509/-
A-Earth work (Cum) 27855 31 Cum

a nQE-a: lll aTea 1^ a,,-
D.Primer Coat 11473 88 Sqm
E-Tack Coat 11473,88 Sqm
F.PME 11473 8f Snm
G-Seal Coal 1 1473.88 Sqm
H-CC (1:3:6) 190 99 C:rm
l-R.R Stone Masonry 1729.86 Cum
J.Cc (M-20) 9.94 Cum
K-RCC (M-30) 6,23 Cum
L-RCC (M-25) 58.25 Cum
M-Pointing 818 00 Sqrn
N.PIastering 163 00 Sqm
O- Hume Pipe (Single Row) 52 50 R.Mtr
s1'
P.Hume Pipe (Double Rowi 30 00 R lvllr
Q-Hume Pipe (300 mm dia) 22 50 R.Mrr \
R-Steel 3 18 Ton
S-Coping C C0 Sqm \
\
:.t)
.{Shlilender Chounan)
r:Executive f ngrneer.
PWD Dtstl Dr: I Uoarpu'
FoT SHRI tAX;,.:I LI,L PAJEL
I
L,
P'
OFFICE OF THE EXECUTIVE ENGNEER PWD WB DIVISION KHERWAR
&)
No g'r9 Daie 1lj"ll
TO WHOM SO EVER IT MA Y CONCERN

Thrs rs lo cerli'Ed thal Shri Laxmi Lal Patel "AA" Class conlracior'
r?!!hahh,ra\. ll.l.;^"r hed FrFcuted the ouanhtes of Cons( ol BT Rcad under
PMGSY under Package No RJ'32'2{6 in Dislt Udaipur is complete}y in trme E
Quality ol work is good & salistactory.
Delail of the work exeEuled are as undel '
Ag(eement No 682016-17
Amounl ot Agreement Rs 1,14,45,5361.
Dale ol Comrr'encement 26 C9.2016
Oale of Complelion 25.05 2017

Actual dale o( completDn 23 05 2017
rll 2016-17
rdr
'\,rdt I Ea,
Mual work done Rs.98,9{,tl29r-
A-Earth work {Cum) 611 11.30 Cum
E-GsB.G-lll 2784.12 Cum

\,_ tllltlrY, lvur r, 1721 09 Cr_!m
E.Tack Coat 11473.88 Sqm

F.PMC 1 1473.08 Sqm
G.Seal Coal 11473 88 Sqm
H-CC (1:3:6) 65 38 Cum

J-CC (M-20) B 25 Cum

K-RCC (M-30) 0 0C Cum
L-rlrvv lrvr-u,.r,
N.Plastering 104.00 Sqm

I U-
O- Hume Pipe (Single Row) 120 C0 R.Mtr
15 00 R Mtr
8F
P.Hume Pipe (Double RowI
Q-Hume Pipe (300 mm dia) 0 00 R.tu1r
R-Steel 0.00 Ton
Executive Engineer,
pWE VVE Drvrsioir Kheiu,ara
PATEL
-^. CIIE.I LAXMI LAL
{,
OFFICE OF THE EXECUTIVE ENGNEER, P.W.D. DIVISION SALUMBER
,t -9
r;:
No \s.l..n4\r-\r). D3:e
TO WHOM SO E VER iT MA Y CONCERN

ThiB rs to certitied lhat Shri Laxml Lat prtet .An,, Ctass cont.octor
I Rishabhdev, Udarpur had executed the quantilies cl Const o[ BT Roac urder
PMGSY under Pactage No RJ-32.26? in Oislt Udaipur is comptetety in time
&
Quality of work is good & satistactory
Detail of the work executed are as under ,
Agreemenl No 73t2016-17
,\.ncunl ot .Agreelner! q. q7 1A 1A1t
Date of Commeocerrent 26 0S.2016
Date of Completion 25.0s 2017
Actual date of Comptelion 02 05.2017
Financial Year 2016- r 7
Aclual Y,rork done Rs.94,00,95.r/-
A.Earth work (Curn) 17297 34 Cum

&GSB-G-ut 2461.44 Cum
C- WMM (Cum) 1522 ?7 Cum
D-Primer Coat 10148 39 Sq.n
E.Tack Goat 10146 39 Sq.n
F.PMC 10148 39 Sq,n
H- CC (i:3:6) IZ:', UUM
'J
I'R.R Stone Masonry 1387 25 Curn
J-CC (M-20) 12 82 Cum
K-RCC (M-30) 0 00 Curn
L-RCC (M-25) 29 855 Cum
M-Pointing 794.29 Sqm
G Hume Pipe (Singte Row) 67.50 R.t\4rr
P-Hume Pipe (Double Row) 0.00 R-Mrr
Q-Hume Ftpe (300 mm dra) 15 0o R Mtr
R-Sleel 0.00 Ton
_/;_
-t-'__
r-^- ).'
Execurivb Ef,g,neur.
F \al D Orvisiotr Salinrter
rot 5i1ill i,L PATEL

'-A\lYl '/t
1
I
P
OFFICE OF THE EXECUTIVE ENGNEER, P.W.D. OIVISION SALUMBE
I No Dale
TO WHOM S O EVER I T MAY CONCERN

This as to cerlified lh6t Shri Laxmi Lat patel "AA- Ctas5 contractor.
Rishabhdev, Udaipur had ereculed rhe qua'tilres c, Cons(. ot BT Road
under
PMGSY under Package No RJ-3?-?59 in Oistt. Udajpur ts comptelely in
lrmc I
Quatity ol work is good I satisfactory
Detail ol the yrork erecuted are as undef -
Agreement No 71t2016-17
6 a ^r,Fr 6
^, ,ry,-.^^-^^.
eLr. r!r 'r o-
r
oo a^ q^^,
\., voivJ, r actr,
Date of Commencemenl 26 09 2016
Date ot Completion 25.05 2017
Ac1ua, date of Contptetron 01.05 2017
Financial Year ?0'r6- 17
Aclual work done Rs. 77 ,97 ,01 -
A-Earlh work (Cum) 1 1243 75 Cum

B.GSB.G.III 2236.78 Cum
C' WMM (Cum) 1383 59 Cum
F.PMC 9223.88 Sqm
G-Seal Coat 9223 SO Sqm
H- CC (1:3:8, '147 36
Cum
l-R R, Stone Masonry 1231.23 Cum
J-cc (M-20) 8.2 7 Cum
,(-RCC (M-30) 0 00 Curn
L-RCC (M-2s) 120 00 Cum
M-Pointing 535 70 Sq,.n
O- Hume Prpe (Singie Rowl
P'Hume Pipe (Oouble Row)
90.00 R Mtr
15.00 R i\4 rr
,L
&n
rlJ.,-
q-Hwne Prpe (30e mm dia) 90 0O R Mtr
RSteel 1.80 Ton
,-:A'
_z;_A,
Executive Engiocer.
P.'vV D. Divisien Saiurrber
H.R.JAIN & Go.
CHAR.TERID ACCOUI{TANTS 13
3 t 0-3 13, Arihant Pl8z4 Near State Bank of hdia, U 313001
TO \THOM SO EVER IT MAY CONCERN
We have veriEed the books of

accounts of Shri I*AXMI LAL PATEL, CONTRACTOR,
RISI{ABHDEV, Tehsil Kherwara, Distt: Udaipur. On the basis of our vedfication of books of
accounts, we certiry that the total turnovet during the last Five financial yeat of the above 6rm was as
fo[ows:
S.No. Financial Year Contractual Othcr Turnover

Turnover (Rs. In Lacs)
(Rs. In Lacs)
1 2015-2016 Auditcd 3000.62 Lacs Nil
2 2016-2017 Audited 4424.15 Lacs Nil
3 2017 -?078 Audited 4656.95 Lacs Nil
4 2018-2019 Audited 2813.70 Lacs Nil
5 2019 2020 Audited 2522.42 Lacs Nit
Place: Udaipur For N{/s H.R. Ja.in & Co.

Date : 30.70.2020 Accountants
o
UDINr 2040045944AAGE6871
Pattnet
ForsHRrtIryL*"'
Pt(oF R'IEIcR
22
r\
H.R.JNN & CO.
310-313, Shri Aritrant Plaza. Udia pole, Near S Bl, UDATPUR-3 1300 r (Raj)
Phone : 9785390875 , E-Mail : com

we have verified the books of accounts of shri LAXMI LAL PATEL, contractor,
Rishabhdeo, The. Khenrrrara, Distt. Udaipur on the basis of our verification
of books of
accounts, we certify that the total tumover during the last five financial year
of the
above firm was a follows:-
S.N. FINANCIAL YEAR TURN OVER

(tN LACS)
1st 2020-2021 Unaudited 3000.00
Znd 2019-2020 Audited 2522.42
3rd 2018-2019 Audited 2813.70
4th 2017-2018 Audited 4656.95
5th 2016-2017 Audited 4424.15
AVERAGE:. 3483.44
c; Sir i,l LAXt,!l LAL PATEL

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I
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I
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l{ttun ol
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ftE UOAJPIFI Petrr V';,
UD'N 20*na5e!!r^Fr2858 Llrhrrrf xo. .00{b-
For SHR| LAXilt LAI_ PATEL

lwldr tr. dl.t.trlc R.rrr of tr{t. b lrc'r III-t AsscEsltrmt yEs]
I
rS{HAJ), tTR-.!.I.t R-.1.
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I
PAS A,ZPP5718M
i\asrr LAXMI I.AL PATEI.
I 'Â Ct l55 CONTNACIOR Villag€ : lHANt, p6r

, ffISHABHDEV. Tehsit: RISHAEHDEV
Addr.is fiAJAsIdAtt 313802 RISHAAHD€V, uoAlPU&
I
strtos lndivid!.i Form lri!mbtr

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DO N OT SEN D THIS A cx N
OWLEOGE I'iiEtd T
,
f9rt)t;lilrot
/
For SHRI LAxrrlHrL PATSL
/-1 'l
Name of Assass€€ TAXMI LAL PATEL
Fathe/s NarE KANJI KALAL
Addr6ss
S CONTRACTOR,Viflags :
Tfl4!.IA,pcEfi
UDAIPUR.RA,JAST}I,AN,31
E-Mail 3S2
Status
Ward
PAN
Resdefltal Status
Naturo of Business
Mehod of Accounting
GSflN No. 08AAZPP5718M1ZN
Filing Status Original
Retum Filed on
Las1 Y6ar Return Filed On
Aadhser No:
Bank Narne
Tele Mob:982849E3i 7
of Totat lncome
lncome trom Houle property (Ch6pte,
tV C)
-57E29
Self Oc€upied
sceclor 3 UDAIPUR
lnterest u/s Z4(b) (57829)
7829
lncome from Buslnola ol proiesslon (Chapter
M) 1015145.1
Profil as per proftt and Loss a/c
Add: 10151454
Depreciation Detited in p&L A"/c
Total
Less: 301901 37
Depreciation as per Chart u/s 32
200 38683
20038683
10151 454
Grosc Totrl lncome
10093625
Lerr: Doductions (Chapter Vl-A)
uls 80C
House Loan
1 73495
1 t-' ,fu
A\ /v' ''
Totrl hcom€ t)" rcsril,
Round off u/s 289 A 9943626
Deduction r.r/e toAA, 35AD, AoH to BORRB (erc€d
B€c.Bop) not clrrftad honc€
AMT nor aPplicsble
I For SllRl LAXNII LAL PATEL

L,
MME OF ASSESSEE TAXMI LAI. PATEL A Y 2020-2V21 PAN AAZPP5718M
fuel 149
Tax Due
Surcterge @10% 2795589
279559
H€allfi & Education C€es (HEC) 3075148
@ a.m96 123006
T.D.S 3'198154
5566558
-2368404
Rofundabtc (Round otr uts 28EB)
236&100
T..I calculation on Nonnrl lncdn. of Ra ggalE26,.

ExomFioD Limt :250000
Tax on {5@000 -250fin1 = 25g0e
95% = r 2500
Tax on 5O0O0t To 1OOO00O = SOO0OO
@20% = 1OmO0
Tax ofl 1000001 ro 9s43625 8943625
= @3004 = 2683087
T.D.S./ T.C.S. From

Non€alary( as per Annerure) 5566558
Due Date for filrng of Return Sedember 30.
2020
Due date extended to 30/1 1 t2O2O 35t20?0tF
.No. g7O14ZtZgtzO2O-TpL DT. 21.ffi.2020
H€ad,rsourcG o ncoms Cirn9nt YeEr H,our! Ploporty Erilnls Lolt

lnconq ot Oth.r Sou.cos Currgnl Yolr lncomo
Lott ot ti. lfto Cunurt ys.r Lolr ol tha
CuIrrtt Year Ser
Remaintng rftsr S€{
S.t otf Cumnt Year S.t
ofl o{t
Loss to bo dil,stsd otl
HcJs€ Prcperty NIL
BtErinasr NIL NIL
10151a54 NIL
57829
Sp€c1rlatioo Bu3itl3s8 NIL 10093625
NIL NIL
Siort I€m C€pital Gain NIL NIL
NIL NIL
NIL
Loig bm Capitat Garn NIL NIL
NIL NIL
NIL NIL
Otrer Sourgs! NIL
NIL NIL
N'L NIL
TdEl Lcs Sat ofl NIL
Laa R-rat ng tRtr N L NIL
8l oll NIL NIL NIL
-.-=_.-<
Panlculrts Ol.nhg
Rale o.r L.r| Tot l S.h! Salat
rhm tto lhr! tfo La. Thln
Ealtnce Depaseidflor u,Dv
oay6 Oayr (Short Gsh) Cl€Ing
plart 15% 1'! fiZz It0 dry!
0
I 13PJJ22
I
292'500 0 t333dt 2 2e{409 I t$osra,
COI,IPUTERS 10% 3e893 0
I
EIEC EOUIPE TS r5% 14078 0
0
0
3?893 0 0 08s 13t57 ,973A
Tdt 0 0
136,{6390
3
0 0 r3€a8390 a,276oo 0 133f,38,40
211 1 7
20038€83 11?.{g71m
l1
3
3
S{o lldr|o ollhe Oodurto. Tar deducUon Afio0nt Pridrcridi&d

AiC l|o. ., the Totat T.r
.Huctrd
I EXECUNVE EiIGINEER PUBIIC
JDH601159€ 1,€8271
IA'IJRKS OEPAfi TUENT DISTRIC 85707 85707
\z hs-
Psg.e2
For Sf i(l tAXl,ll'LAL PATEL
lr
NAME ASSESSEE ; LAXMI LAL PATEL A,Y,
1 PAN AAZPP5718M Code :1149
2 BECUInIE ANGNEEF R'&.rc JOriEC0282C .r16a&a
U,EE(S DEPTT 5&r74495
1164838
3 EGCUI]IiE ENG#IEER PrryD OMSIOX JOHEff)I75A
K}€RIIIARA 488938{ I gf7a77
9778?7
. EICI BAIII( LIMfTED MUMtl52l0g
5 Fi,ID EIECUTTVE E IGINEER .429100 8E582
JOfrPol705E EE582
6 SleenrderogrrrnoNEen JDHSOfftsO
t 7500579 35qr1t 35m1r
7 SYISICATE s,qM( BrRS5959SC
1228€4A5 2.57@l 2167€(J7
E SYIE,ICATE BAfiK
7322ffi 44458
JOH500614 {645E
TOTAL 395368
262917879 556555E 5s5655a
on TOS
Hoad Section Amount As por Location of lncome ror
Paldr'C rdited Ag TDS
Computation Comparl3on
per 26AS
Busin€ss 194A 3953838 2293V2870 (Total of Salev Gross
395388
rec€ipts of bustrl€ss ard
Gross receida ,rofii
Professiofi in Tradino
Account + To{at ol oiher
rncome ) ifl prdt & Loss
Nc 2293AZa?O
Business 194C 252242U1 as above as abov€
NA 194N 5036130
6752@0
135040
Detail
S.NO. GSTIN
1 Turnovet
O8MZPP5718M1ZN
252242U
1
TOTAL
25224204
1
nk Oeta il
S. Ho, Bank
Accor,rtt
1 q/ndlrats 8.d( 84501 2500002 24
NO tFsc Code Typo
Crh
2 SlrC Bafi o, htr 51 0a8m11976
Cred(Pltl3y)
3 SYi@'CATE BANK sRN003122s Cl.r|url
E4502?0@0a586
I rctcr BArfi sYN&XDS.(So S'!tE
69396s0063 lcrcooooBg Ctrrafil
Schedule AL: Assets ancl Liabi lities at the
end of the year
SNO Descli)lio.r Address
HOUSE Pro c4de AA.!OUNT
1O ASrtO[( vtltAR.sAirTA
NAGAR,SECTOR 3 HIRAN
MA@I,UDAIPUR. 3r300t 2280m0
HOIJSE RISTTAAHOEV THAIIA,THANA.T}IAM,RIS,HAAHOEV,IJOAIPUR
3 PLOT REA{ABHOEV 3 t 3802 70000
IHAI'IATHANA, IHAiIA RtSHABHOEV.UDAtpuR
1 PTOT 3r36@ 2000
SAVIfiA.R TTSING{I X' BARI,USECTOR
I3,t.tr)A] RJR.UOAIRJR 313m1 39mO0
5 PI.OT JEEVAN TARA J€EVA'{ IARAOEVALI.GOVERDHAN
VII.AS,UOAIR,R UDAIPUR 313oOt
6 PLOT J€EVAN I'ARA 2 GEVAT{ TARA,DElr'ru,GO,,ERI)IrAN
VILASI.UOAIPUR UDAIPUR 31$0t
.,
l
\c\
;*i);)i.lLlJl:
\Qr Page 3
L PATEL
D
NAME OF ASSESSEE ] LAXMI tAL PATEL AY.?9r?O.2 021 PAN , MZPP5718M
Cod€ :1149
Signatrre
(LAXMI LAL PATEL)
oat*27.10.2020
CompuTax 1149 ItAXlfl LAL PA
Gdl6flted d [E ti[rE ol Retl,n Fit€
L PATEL
lt",^
/.;
CR
Y
Page 4
SHRI L.AXMILAT PATEL. COMIRACTORS.
RISHABHDEV
CONTRACT AND PROFIT & LOSS ACCOUNT
FOR THE YEAR ENOED 31 O3,2O2O
To Op.lvl0 liUP & m*8rid rt Cc.

llatah_ Gross
lrtlo'l( h prDgre3s
9.34S.4sO
ES:9,{O,20S 65,285,748 GST m abqi/c
r -221.111.053
- 26,893,327
Of|olE' ih 26A5
'M$rbl 100,377.327
1.237.661 252242.U1
" L$our.t S,e - YVIP E mabrial
'PeuAtrt 42,35S,983 8t srtB_
'Rrbs E Tsxeg
3.1.719,000 Oosing Sto(* 7.014.A3O
" Pdy C.,rfsd
12.633,541 \'t/ort f| prcoross 75.7S,200 82,7U,830
" GST pridro,frd 5r0.000
26.8C1,327
' R€p.irE lfsintrEncr
'' frslapotbtoo 1,2*,215
" 1,490,332
OthoG in 2gAS not lesi r,237.661
" Grgss PIofit
1E.199.751
' Bs* dlaoEs 237,572

' By Gro8s Protit
Esrd( Guifrr&e cqnmi93ro{r 1,828.624 " lntgrssl lnclane 48. r 99.75 t
' $Efi Srlry ,,203.r94 3,9Ar,156
: PF exp. 93.36s
" 6nrl Fee
2,5,18,008
/ti|.mO
alp.
" 16,10€
5,800
' RTO Tea
"R6|1lep 820,690
136,000
" Stai A LaDqn t/htkE 193,090
" S€rvtoe l.x
" Stamp ep
5,934
" TG|€Ohordnffi erD 326.6s0
'lntsrst6@- 2.890
14.701-775
' DefiBddiofl 20.038.683
' tlgt Prolit r0,'r5t.454
ln Terms ol Audil Report even dalc

ForHR
For sHRt LAXlit LAr. n6!t cthii*rc ron s
t.
I
PAR I
PROPRIETOR
PI.ACE UDAIPUR
OATE: 14 lO 2O2O \'o
t.
PATEL
LI'(t'hLAL
t or Srri'l
,,'' .-., o
-'.. r't::
?P''i
iil
\?; -/.
:;) ,/
SHR' TAXTIILAI. PATEL, CON1RACIORS,
G
RISIIAEHDEV
BALANCE SHEET AS MARCH.202o
I FHED ASS€TS (vlDvi

142,816,4S0
IIIVESTUENTS
38.193,796 2,0€3,2{8
5t3,48r CURRENI ASSETS:
0.7$,042 1 30,4{H}.3 t 0 SoqDspGn FDn pu/D
yl{P t Maeriat .t ritc 47.379,349
OJRfiET{T L!{EIL'NES & PROV 92.722.83A
35,07a,791 Suftdry Oabtofs A^JD
TDS Peyabb 55 763 rO2
55.{X) lDS
GST l'Ed grl 5.540.806
2,787,930
PF Psyabte
11.4SE SBBJ CD A/c
22.370
Syo{rixtB SB tuc 15.723
lCEl A/c 2.871zgj z9@,373
C83h h HarE
4,18.843
h Terms of
For
For SHRI LAXMT LAL pA-EL. CONTM3TORS
INTANTS
Ix A
PROPRIETOR
PIACE I
DATE. 14.10.2020
.1
l,
-
..-..-
fi-
cr'i
\o'
PA_EL COmTRACTRS Rr{iH^&iDEV
1.4 ?0r9 i!_Gtm !r.g,all

R 3! !20 31320 3!.S.19
!00t9 30919
IaAfU??OBSI !@oo o o 0 30000 r59t 15907 ta 359.
OriTar RJ ta 14! 7D a,
{clbr qd RJcl lI
G t 100ooo o 0 !0m00 19f 99t76 4? EATA 275 315
{Cal 120@ o 0 0 rm00 ts.a lrsr a 11{5i l! 3e
IoC. a EqeirEd. 122W 0 0 0 ID00 rsta !1t53 t7 tt980 2t7
lta-nRlilr.Er 7@0 o 0 o 70qlo . 00
210
206 200 -
c 76! ?oqI
Pbl n SG*ra
0 0 0 00 C 2@O 2000
li<iD d ljdrir,
99fi06 0 0 0 !80m . 00 c &000 !0000
22t@0 0 o o Ielmo . 00 c @ 2IO@O
Jaa.r lra Lt i lGl.t3771 0 o 0 t&!/*t7r't - 0o ! t6J+t7t
JBi t Tra t n42) rcl5lm E3a:mt
c 0 0 r02Gt00 - 00 0 tc25s6 lgEs000
aEooo
2tu'l)
0 0 0 25000 t5!6 24416 Z2 4t7a 11n 141
,317ltt
0 0 0 2SO,|!O r5.^ 24630 t 1 2,lt€U 2rta 24F
0 c 0 !31?El t5!t rt16a23 a 1ttt47! rat6
C,r, m.r.. r,c . 3at00 0 o 0 taafi.rfl 342€t * !llo2 IE
t605
R.{ E-r e!!
O{ErF tu
t4(roo0
2tto00
0 0 0 !a@oo 1s6 1385A0 e1O lra7rr 1724 1q
6 hir 2a-! Ea
27 G lO75 0 0 o Ig1000 l6lt 20a0l? e13 2L525 3rlr5 .qla
JeB
l,C|'th RI 27 7u 4352
l550ar9a 0 0 0 15!0595 i6rra !531€it7 6ta r6tB1 3Sa t9at
3agait 0 c 0 Ert2 r5t !et51 89 !€aao 5&r 3Cr
Ar.d |o..r 2!O@ 0 0 0 t6000 r39r rt5't?
taE d. 3{HO 0 3!6@ r$r t7't0t
040 1?61fl2 3€2. @
rrctdc
o 0 1a 37311 cm att
ertpar
36000 0 0 0 311000 15ts 354&1 177 3a{Ea G 'lr!7
7c4plp 0 0 0 lu@ 15'l 73915! n4 7tzar 2r rra 24,l,2
7f,ll{o 0 0 o 76a@0 rstt 73!lr58 3726 7a21M
xcld.0i.I) t6tm 21it6 20ai)
0 0 0 lara@ 19]| 1a7553 293t 1$t4? .16q)! t',n
JC6 r5t.fr 0 0 0 157a2@ 15rt t3&871 26f{9 1al24m rarTro l$ul,
z*d. zt 0 B(,lh. lasoo o 0 0 iEtt(m r5* !5e.618 7at57 !6ttr5 .zqEE
Ira c.iA. t(l6lqr {gal&t
20O E 0 0 o ,HlsrfiO i5t 7na57J ('a?2 stoairE rEOS gnan
JCB OF, 3S{fiO 0 0 0 3950000 i5!6 38E570 91715 3lo2t1t 5llr15 61lalo
taamo o 0 0 l5am@ r5!a 2!&035 lalgS 3rIt4zto &7m
rlrll!4 547X5
I 0 0 6 116?0!{ 15!t 971760 2&t90 101t1076 16€@! lglsoa
ar2!000 0 0 o 11?llxD 1# I112fi93 r?lAtB !4347!O awgr
gfto J-p fi752 0 o flP754 3{,1nO t7tFr7
el2r07
0
tHlmo r!*
t5',1 102167 sstr 11wz
for
r550000 0 0 o tr5s3r, 5@2 1217919 3!C0Et 3t(t6!t1t
zsia t2l L20tfr 0 I 0 Jtt20000 15lr !}30s94 tGrr 11 3473035 E48C65 r r 14078
LBT ROttER Ir29000 0 o 0 2r?5000 ,59t J8E3t5 &t4? t86ta?I
Cr S-rlCrE
r
at52t3 ti5815
4r50000 0 4?i5na 172?!0t rt!5 :e9+0r2 re27J
1at!@c o
o
0 rq}l@o r l/i:rl.!
3r0345 619215 t lttE!
0 15ta lE30 122{l8l 4stCar2 53trt2
J9$ g) alztooo 0 0 0 a1:6mo 1s9a 280!301 lrto5 300r76 117r7Aa !322tiC
IIPPER- O) 367r$t 0 0 0 3573U!a 15L 2a!1690 r7?t0! 28{13603 $mi1 1r4?lao
II9P€R-3 el6aoot 0 0 0 zrr&0r 15!6 t60g33r tflat7
CAIETPIT'E
17?lJ410 6i15631 7531{
52EO(E 0 0 0 (,2SO@ r5t 3504ra7 :Ealat 3o4af:t rt*ttlt
IAD€T 2toce 0 0 0 z'r(8000 r5t t{267tt l@982 r5:l7t o 57?,5, rxur2
eallnFlurn t{to00 o o laao 15* .aao!.ril *fl,a rst2ta
8fi.CO PrcTOR 3a8tol6
4ecotlG 2r$r5t
,IUPER. 0 0 Lt50!t! 15* r27tx,3 7?tr! taaB!
(A !l'lmo 0 0 0 !1700@ 16!E 2 ntoa rostita
r
zurs6 ta@12 ttoSata
,DtER{2) Eoo 0 o 0 lltaom 15t 2oltolz r?t2a!
rfPEn{2) zv&l1 oaTra t l taaa
iJ:7
a!40000
2*mr?
0 0 0 !910000 r!a]r al,!536 105n0 2.t7ttc ro!2fr4 tnniEa
UB 2.aO o 0 0 &llltr2 ll* 1€06'gt .taaliz 17lItAtrO ,;,,azl t7{raa
9lRA?hY CWlcrCt 25t ?ro 0 o o t$aeao lt?t 1to6?t t{tt99 '17f'58a0
IFPEn€a5t68lra 4tt0000 0 0 4l2S@ tttE
!3!4€0 tTasl
gO.EiO JEEP aooooo
0 !oo?1a0 27lt7t lz,iill t5at5t81 1E17tE0
xo{aTsu Pc ?10 5A25m0
0
0
0 0 6C0q)O 15 1737!0 3!9arr aoi65a 1tzL6 ??5290
o 0 56?5000 15!6 3r!03534 3riU2O 3t?175a
PAI/ER Ftr}IEtIEF !t70874 rE{E}246 2rtlir66
0 o 0 rra667a r2t711 1761217 9a$9t t11l9a
XGTATBU PC 2IO
x6l
5ailEo00 0 0 0 5G:tS@0'r59! 3:1t6348 rl.ac $aa.r rs2356
nIJ PC 2r0 1530000 0 0 0 5531x)C0 3280336 taaaito
236E65.
TFER (.) t7!a6a{ 0 o 0 5018803 7Et0o
36007!€ 19192r. z,,ffia
TArlffiz 3tt€78 0 0 o !s67!t6 r6!lt4oa itarEc
572r7tE Its:lt15 ,rsttoat
l$ftdn PC (3) r5'!25000 o 0 0 159i5tX'0
l906itti 2n8t t!: 2446]ln
cAr 320 (2) l!10(,@o
81.50€.! t48dil 7gtEa51 63uL9 9rTttao
JCB(?) at82GO
o 0 0 r3?@o00 .!4t16 t!1t234 tG€lttao 7iL1660 u5aaa
o 0 t) i82oto t6i612
clr a24D (a) soltE 0 0 0 s00000 5* !250533 tG2a.t9
a$atB 2r r306t 2f7W2 s269ttt
Bo5.o (a) 2El!t9e o 123?,57 550?O{:t 06a9aa2
0 0 2816r99 s34098 2tEr5
Ro*krEls. r20qm 0
l21!(1t ,5S978 lc&r0r
T]0pc|l6ll (10) lr&o@
0 o 12000@ 5* 35oa6 r2!2t6 51t92t GE1'7' 8r373
o 0 0 l7t{t0ooo 5tt 5ts 03A
l*lgrE . r7:troo 0 0 0 i?36000 575410 rr,&A
tru.a8a r!tt432 10r r !tot r rt9t!x?
GEIE tziroo ,agt39 qt6t6t lt€orio
m 0 o 0 1n& 546679 7Eqt97 1(Btztr3 11612!
,E{Saa2 o o o 1!,r3$2
rhrs 2518{4) a% 617115 '7701!
1amZ, lo11a2 1Uin29 'lxBeaT
t 16alt000 0 ! 0 !t61830 GIB
h.c.df, lI'00000 0 0 o
1ro.o00o
rlso(Do 15!6
5%
.lo797$
476a53 Qinl$a f3?:8.t70
Road Rd.. 24@aao o 5!r2793 4s720, ttzlaru
ra*irt bno{z) altoo000
o 0 2&a6 nr,oTg'z3lti7
zatlrz r03r970 'rEo20 1fl(r.t12
o 0 0 tmEm t5tl ile30$ . a2n !s lBi4t?t
Ib!.|{4} 4.a17 lA,rcOm 0 0 zrt6tTa 2EG9r2
oo 5* (2) l8alt3{t 0
92560@ r6!6 zl303so B2iXA Itor69i 5a!3!!? 9600€50
370!i25 o
0
o
EBSO llort8 raLa(,i 205 raz 59l6tt 8996:tit
Pt d{.dtEry(t 7J! rI0li25 l tci 7915., a3€ru 1?2a27t
71E6(pt o 0 ra60G t5!a 10516r aG7! 210fit51 utaag 23rstl
PLd{a.llrtcry{1&t 0 15375ta€ o 0 .1917v
Ebrlrodc t5975ra6 r5% !!91608 202530
ftui!firts lE l.l,16 0 0 lE4,Ul ,5% 1?6&1 21tIt
3914138 , r,€raot
TagE u7u r 1g60a
0 f al67 ao9t ail074 rIi? 56X11 lgr$
(.
u#a
-..rt' 1
iUr Larmi Lal patel
o
Sundry Credito.s
Grotp Sumnrary
1-4ff-?019 to 3l {tar-mzo
Par licqlais
1
Cto.ing B.hoce
PEITY COIITRACTOER Oebrt Clgdir
AedhFthd lnfasuucure O2ag 1r,09,920.00
Agmd B.T. t SoGe 98.22.094_OO
AGRAWAL IRADERS & INDUSIRIES
84.57.538.00
ASI-iAPURA MOIORS (MTHU
S DEVRA) 28,?0,211.00
Bhajat Diesels
79,E50.00
1.59,050.e0
9.06,614.00
'r.3E.453.00
6.00,001.00
49.827.00
CI.ASSIC AUTO EI-ECTRC
17.200.00
CLASSIC HYOROLIC
5,r3,392,00
SISPURIA ,+1,602.00
27,55,499.00
15,00.000 00
GANESH. STONE cRushER (SMRMA Jt) 21,934_00
GAYATRI EQU'PMENT r,49,101.00
GR INFR,APROJECTS LTD 3,44,643.35
tlaripriya Fi[ln g Strtiirn 2.@,000.00
HIGHWAY'IYRE RETREAD P LTD 3t.57,083.87
Hin&rt8n Coh3 Ltd. 2t.653.00
r.rPcL oIRECT Saus ssu 14.047.20
l-lydreu " Mln 64.766.96
Indhn O0 Corrorrtion Ltd.
2,31,148.00
JAI BUILDCON PVT, LTD 1.03,825 62
JATNAI INOUSTRIES PW LTD
5.00,000.00
JAI PI.ASTCS
27,,10.s50.00
JWAI.A ASSOCIATES .l
,.61.98s.4
lGbra M6I3 Serv :e
1.10,400.00
I(ALPTARU FILLING STATION
31 .64,327.3 1
l(3marl Crushing phnt
3 19.5e7.00
KAROLI MM FILLING STATION
10.91,459.1/t
Kbhrn Ld Sdhar
KRISHNA ENGINEERU.}G WORKS 2.99,696.52
7.28,763 0o
MADHAV GTRI (CRUSHER)
IIA}iAKru ROADWAYS 62,123.40
20.00,000 o0
Mahahrni Roedrmys- AAHPH53SSA
Mangalirm Ston€ Crusher 5.81,786_00
10,53,993.00
8,55,117_00
36,757.00
7,04,50t.00
56,83,334.47
7,54.513.00
1't.68,173.,12
25,3@.00
6,49,E98.00
36,62.760 0o
s,00,@0.00
Ctrrlcd Ovo,
1,741n,1fi.ls 4,07,84,645.19
For Shiil LAXr'ri LAL FATEL

t
I
qB
U/t Larmi Lrl palel

S$*f?ffi,f,ogp_s,,mrn!ry .l]-APl:z!l!-q.!ld!t?qzo _ Pase 2
ClotinC Balancc
g.ouOht Fo rward
Debil Crgdit
1,71,1a,7r0.7a 4,07,8+6a51e
hgh Ssl€B Corporation
PMVIN HYDRAUUC PIPES 20,52.817.00
PunARa@oI! 1..3E1.40
Rejarfian Oiessl Sabr & Service 45,9r6.40
RA]ASTHA SALESCORPORATION 34,954.10
R.icndra ltulTlr Kdd 4,*.228.22
R.tan Al"(omoubs 4,60.000.co
RAT'UI MOTORS 10.25 .O28.CO
SAIFEE GLASS TRADERS 26,166.00
SANTU VAAASPATI BHANDAR 9,676,00
SIIANKAR IRAOERS & CO. 6,08,893.7/
Sh€eh PBt€l 12,40,5€3.00
SHIV SHAKTI ENGINEERS 51,32.797.62
SHREE NATH CRUSHING pr.ANT r.60.834_m
SHREE MTH MINEMLS 9,/r0. , 99.00
SHREE RA,I, EARTHMoVEES 6,70,000_@
15,393.00
1..fi6.0c
7.OC
2,9S,928.00
21.51,0't5.00
SHUB+IAI4 TRADING CO, 13,45.604.76
SHYAM MAHINORA MOTORS 2,5E.197,13
Sit Exp. Pafabb r,51.652.00
S-S. EARTI{ UOVERS 10,32,7n 46
SUMAN AUTOMOBILES 1.99,803.00
SUPREINE TYRE REIREADERS 1,28.660.00
S]WATIK CRUSHING PLANT 1 ,52.107.30
TI{E COMPU IIUE 3,76.05r_30
rIE IND|A CEiiENTS LTD. 63,212.00
TIRUPATI TRADERS 3.45,0@.00
TRACKSTAR INDUSTRIES 5.19.900,00
UNIVERSAL SAMPOO GENE INS GST r.00,000.00
VIJAY I.A)(MI FIII-ING STANON 92,819.84
Vil€s AgEIwd (Hu0 2't ,81 ,011,22
craia rorii 1.54.600.00
2 140.55
$.yr+r lel rarcr-
s
\\
H/r Larml Lal patet

Sundry Dehtorr
Group Summary
1-Apr-2019 to 31{tar.2o2o
Perlicular! PagE 1_
ClGing Balancs
Credrt
MD: Pl iD
SD: PI.IJD
O.r lrd Tot.l
PArEL
[rrL
/\/
/
FONM NO.3CB
Aodt' rcptrr urdcr !.{iotr rlAB

"f
,h^tr*#r.fltflLr h ,ro or. p.rer r.re,.d .n ro
cknr31b) ofrub-rute (t) ofrule 6C ".r.
). Et hr1.c a*urritt!{ thc bslarEe slE t ai
rt l atrd the Pmnr rrd tEaq rccootrr for thc prdod t'e$nnmg from
/0.lxl0l9 to oding on tt/0-1,l0t0 Cl
t \l P\tlt
2.lAr crniry
headolEcear irh &E took, ef sccoulr E intriDcdattc
I tratlch€s,
3- (s) Ur rE?frr dlc followi[g obsanariera,c.m.m.rddi$rFiEics./fucoflsi6tcrlcicri
if a[y:
lll.
(b) Sl$jrcl to rbow,-
,^r*O,nTffiSilhT*,- *tlpr.|uriooc wh;ch, lo u,e bcst of qE tmlDqE aid bctic€ wlrc rcclqry
(B)ln Olr opiniorr,
Fropcr books of account have btcn the head ojlice and brancher of the atsessiee so far
from 0w tnowldge and belicf, wt'rc necelsarl, for ar qFp&B
the examinarton o,' rhc book!.
(c) ln QlI oIriDiofl and ro rhc be$ of
ejlr information and acconfing io the explanatiotrs giver (o
!& the s6id sccounta. .ead
with uxcs thereon, if any. Erve a true
(') in the case o,-the bolancc shcel o,'
(ii) io [he c8sc ot'fic as :!t ll st Msrch. :4:ll rand
lbr rle yar eodrd oIr thet date.
,l- ItG rl.rfgrtr€tl of p,srticulars
44AA hersx.itfi in f'orm No. 3CD.
to givea to Ut givl'n in the sard
ate true lo ifany:.
sl
\o
audifiEdilType-l ----ffi;uq*-iiTiEIi6---
Place
Dale
utt rP{)l.t'.
Dt
Eor SHRI LAXtnl LAL PATEL
P;i IE I CR
,t6
-tl
*{
DU
B(}n*r NO.3CD
[S€B Illle 6G(2)]
Sarerl.at ef prr{csbrr rE{olrld h b* altrtfd Erdcr.r.rfloo {4AB of rh. ttrcotlrc.,tsr Actr 196l
I LAXMI LAI- t_L

'AA, CI,ASS CO:irXACrOn. \'illrJtl**\;;F;FEiSEi
BHDEV, Tchrll: RlgtlaDHDE\., RJSHABtIDEV. (ItdtPUR. R
AJASTHdI, JI.T$2
Pcnnanent Accounl Number (PAN) {AZ-PP5?I E\I
.1 ro lr6y inditEot tar
duty, rervice lar- rdcs tax, goods ard Eft/icas taxietEtoms
duty.et. if yes. ples. fumish the .egisrrdion nurrher or,OST
numh€r or my other identilicatkro matlber atlodcd fq thc
sdne
sl ]?e Num
No
I end Trr I
SrlGtvATfirI RAJASTIIAIi 0tl0-1q504 |5
lndirrdurl
6 Pcvio{rs yaa, from
t0:tl-21
I the rclevanl clause of under whioh l,hc audit bceD
sl Rclcrilnl .l3,rsc ofscrtion 4{ \U odcr tr hich rudit hn< 5ruri r{)nJu!tcd
No
rdlios l! case
\
IU I
tl W}etbcr
Li ol at troots of accoints arc

arc maintaincd rn a computc! syilem. rDqfltton thc lrooks of aarount gcnef,ated
eccounrs are not hepl !l orte locarion, plcasa fumisb the addresses
of location$ a
maintarnd at crch locrlion ) Samc as l1(a) abore
5 matnlatDe Line I t Line: ot TA\*h or
L JO L I-,\ T:I rh obhrEpurr R
TIR\AL COIIIPTITI,RIZED omrr
{(
l! L's books o nalure o rclc\,snt do€umcnts
ned
R\ AL COTI fi,Rr/t l)
rhc 3all
alnoun lot) (4itA D. \E. .I4A I: 14B, 1{ ts8. .lJ Cbqtrer Xlt-C, Firs Sc
uny other relevanl ).
lArn
il I Ylo\rs vear
Fc r SHRI L{XI'iI LAt- PATEL I

tl
tl
lhL-rc any tn cmltloycd vis-a. vts the mcthod
\or
loycd tlt
(hc immcdiarclv
I 1!r ir) &bove rn
t Bny adjustrncnt i! to b€ m6dc to the profits or locs for q.irh

lncomc slardards ootific.d undcr sr-ct )
e answcr Lo ( ls tn
ICDS ]ncrgaie ) )
I f f)isclosurc as
Disclosurc
valualion
l4 b the r seclron 145A, aod
the ;noln or lo$'t. fumish:
lncrcdsc
rv,n8 til rnlo slLrck-in
) i .rt,
) Drtc (c (d) Atnotllll at
acquiltion vrhich rhe a$set
k convcned rnro
stocl-in rsdc
IT[
{; lo thc It anr,l
I 3 IN
Amounl
b prolomrr c or scrvic€ lrx; oa re

tar., wherE !-u{h crcdib, as duc authorili€s e(xrcemed
\it
rl An1- othcr rtcnr ofinconi
I
unag )IA ()f
b to or 50C, plcaoe furnirh
ls
proF."q, "l Ina
rctcircd
Valor adopr({
I
I
or asses$ed or
accrued assaslablc
I as per ncome-ur cr. 196l in rEspccl o o
Eey b€, in rhe:,
Ralr G Open ,\dJ Dcducrt r&nne+
IOlr OJ dcprecio wDv (A) Su lotal (c) Allowable Do*n Valuc
Block hon (lD .VAT
AsscLv
Valuc il) in R8r€ Vakre o (D) rt thc cnd
Clrss
PcrEcrtt- (2) oi Er. Purchases thc )-ear
a8e) change (B) {A-u{.lJr
Assats
(l) (l*:-J+4)
lPbot & ll5./. I I t0
It
V.chln€rr
ta)a
l0 0 0 0
Mrctl!€r) l5l Tt9736
{0%
unJer oos i
Amount dcbitc{ to Amorrnls le per rhe

plofit und rhe nconrc-hr ,\ (1. 196l r
loss lirl rils th condition f Jq,, sDecr uhder $€ rcleva'lt l4pror isions
o1' nco[]c- la.\ Ru lc i, I 962 or a,ry other gu de I I ncs.
IN!
circulsr, flc., issued i! thts b€hai I
v.'_./\
For SH itl L^
t,
)i, Lrur,l i-r i' Surn Due Thc ,atua! The actual
rcccived paymcnt amount pnid ol paync lo
from rh.
Proriderr frod 64"',|
I I'und
ideol Furd I I l9
Providetrt Fund l9 I
P.orident u
und t5 t 0' 1019 tl/t 9
t5/l I I t.t r 1,.'0 ttl
nd l 09/l!e0t9
-t:6 l5?01,2010 l5 0I :!l1l
'826
Prorident Fund I: ltt l0:,r ,.t35
P.oridcet Fuod la .l ltrlt'
-----1fr
Pror lderl slzs. l5 o5 t0:fl
ish thc detnik of arnounE debited to f
I advc(isefient cipendrturt et€
C.pital erpenditurc
h.
I5
Expcndilure incir s bci
r-=-
rci
at.-----]
lb
mefll
-J
Dsle ol Namc o thc Addrcss ity or

payec,if Lin( I the lrown or
pEylreflt
lo*rr"n, lpryn,"n
a'. a liuble
payee
lu;"o
z
lDiroi",
(B) Delails o fBlrmenl on w h ttrx har beca drducted brn has not n paid during thc prcvious year or in thc srbse{Gcnt r.,ctr
hcl_ore (hc ex ie oitimc Fl!.rib€d undcr sccrion2oo( l)
Datc oflAmount ture of Nome PAN of ICrty o(
paymEnr paymcnl thc peycc the I ine I L lTn*n or of E!\
payce.if lotr,ri", cJcJ
avzhablc
(iii ai pe)mcotreferred to in sub"clausc (ia)
(A) De ls ofFayment on which u.x is no! deducted
Date o Nature ol Nune o rhciPAN o t Cityr}r
psymcnt of pa-!"mcn1 tla!,cc lrhc Linc l or Disrrict
payee,if
lPrymen
I avaliablc
(B) Delails of pqyrneflt on ,r'hich rax tras trccn hu hos oor bccn piid oo or befoft tb€ datc speci t
*'l
sub' seotroh ( l) ofsection 139.
Datc ol Nlnre or'lP.AN Ciry or Pircode
pa]mcEr ior thc F{ycr ith€ lLiac I 2 lTovn ori of tu iof I\ I;
I
i
lLnle
lpym"nr lrrt"'ir
L-t
i{rr
I
!v{liflble
I
l''*" I
dcdtrcted
ldgortucd
3n\
F (A) D,clails of pslment on '*Iich lcrT is nor dcducred:
\X!II LAL PATEL

FOT SHRI i
7
R
{
PAN ef Addrc$$ Linc I City or
of lp"y*r*r fiE or Disficr
plymcn{ prytc,if
avalirblc
payrBcnl on but datc spr:u
I) ofsectioa l19
AmoLElt Nature PAN of Addrers Adlrcss City or Pincode iAmounl
o1' lP!:,/nre l I
'lhe Lioc I Lrnc ? To\*_n or of lc-r y
psymsDr
Piycr,it District deducrld
l1/atisble
b(nc llr undca su l(
(r) tli, un.l.r sob-clitusc (iinl
( . hacni.' l,_t. ,ic.rt,icE sub-c (I ).
a l|on residmr w l sub- ,
Amotrnt lnlc o PA o Lrne I
paytnelt Itay('t thc Liae 2
avnlitble
etc undea
loyer undgr (!)
(c) Amoult: lo and loss accoun( being, rnBrcst. larl
hereof;
deb Allrounl
i'1,\( lc' Ifladmiesrble
( ) errred income
) baris of the
) D eqcour p{yec chcquc dm\rn on a bsnk
, pleose ls:
Ntmi, o ['ennanent
Pa)
I lNumbtl of rhc
LI
I l(B) Onrhc basis of s relevcnl
refeflts{i tr, rn sccriotr 40A(3 wrlh aute chequ€ Jn a baok or accounr
payet bnnl lI ll- not, oI be the profits goins of lrusincss or
profesriol {\
of the pqce, i
lL'
I
surll
I
(I) Amourr tem5 (lf l4A in (Pcndlture trcufied tn rekl
do€6 nel of th€ tolal income
reC L
.\ mount
(I IQ )
llllrrcil I u llo rcru.
:(D6.
?l lo p(.nons AI
I( Nature Payrncnl
trirsaclio'l
?4 Amounls deerhcd to be and ns under sr.c{ion 32AC 32AD or 3lA or 33A
25 Pro to tar under section 4l and computatto$ lhcrro

Nanre of
on rl an\
l6 lJfilny sum rrcd lu tnc lau.:c (a).(c),(d ). (c),( t
?(t lirrt lllc prcvlous yc6r but was not ln thc a0y prev IOUS J"ear
2tr (iXAX6) ihc lolJs ycSI
Nalure o
I
\ot paid the
For SHRI LAXMI LAL

PATEL lr -..1 at\
I
lr
<- RIEI CR
N
\it
26 was incurrcd in
:1, on or betilre rel m r)
(ixB{b) nor p.id oo or bcfo(e dllc

Narure 'lrrrhilrt-r
tsx, goodg -l
0I. cu! om5 .I
I
duty. ercisc dfiy or eny o$e. irdircct u-r. lev,y, rqts,
rmI6.r, ctc-. ts passcd th.ough Or pmfit zod hsr
e8c0ml.)
lValue A la.r I a\ ol
8rd irs trealnrnt in profit and loss account and trcatrEnt ofoutst{rding Ceotral Valrr
, ear Tax Creditd
Input Tar CEdi(lIC) Lr accounrs
C Amounl tn
rat
--i
(
Bala ce
b Io
Tyrx, to
i lre later{Y snr in )".v) ) -
\il
thc \hare
companl in which thc publ ion or for iD{dcqullc considadtion sc
reffied lo in secrion
I rm. of o, ol A|noultt of I
pcrson
which
I(racL\ e(l cons r dcrrtion value of the
slu es
narkct r8
of the sarre
No
[or raluc f rh('
shares
received
Ala) aEy amou tS to Lndcr

lo i\ o r lclllon (b) rr'
Sl \o
A) nEy amount it trl
tlfaocd to tn clause (r) ofsub-scrlioE csNo)(b)
any amoull on or lny amount ( rnterclt on the \rL{) ll\o

than p€yee ch S€clion 69D)
ddrers Addrcss AmouDt Datc
th. the Line ol
I LirE 2 Torvn or borrowed Borowing duc
pcason perron, i repsid Repa)
District ircludiog
frofii available
whom
I inlerqs
amoLlrt
bonowed
or r€tatd
on hundi
\
l:-)l
i
I
For LIHRi LA\l,,lt LAL PATEL
/1^
I-t- i.iE IOR
{-
1l
pnr ury lo sccllon
lhe
cs, ils
ndlr Y
no, ttle anruunt
No. iclause of sub-lnr.) uvnilablc the erce6s Rs,) of impurcd intcrest
section (l) "fi thc iissoci8rcd nrofl€v ba5 income on sush cxccss of money
soclion 92CE bcen repalrisred mqreJ \r hrch hss nol
pnm{r}' rqunEd lo bc rrithin rhe been repJtBated $rthrn
adjuson€nt is ro lndir prescribcd rime. lhc pr.s.ribcd urtc
as pc, lhe provtslons
of suEsrr-rion (2)
sectior 92CE
lBh) lure tht po.r'ious year by $ay o rnlercst or

one ctoft a$ referred to in sub-section (l I ofs(ction 948
) sh thc
lllt ln mount (in Rs ) r)
ol erpadiruro by mttIt$l, hi, expend llure o! tf&y expcndirurc broughr
wir) ofinleresl dcprccitrioo rnd 1Ilt(tcsl of simil.rr [onvsrd ss DGr !ub-
I
ol sir lsr nsture smorti?arior nElurc Bc pc' (i) rbove (4) of section
illcurtEd (EBITDA) during
lhc )'ear EI-}I TDA rs pcr (ii) Asr€srment lAmount
I (nr Year (ro Fis. ) R5
{) lo $ctiofi .
rlurr {hi rllli
(b)
Amount (in ) ot tax r irr rhc
previous ycar &ising. in aggregote. ro
lrh! to ths arrsngemrnt
:it
3t o tn an arpuDl the I
durrng
lllc
calc t
thc
loan or dcpo.jrt
\lan tslctr or
OI occ.{trcd hr
cbequc chr4lE rrr bank
I
bunt drafl drrJl, crh€thrrthc
sernc *ar talcn
,'j a or aEieptcr.l b],
an account poy*c
dcpositot or
I aR
ycitr il psyec
banl account. bsnk drari
ll b ofcach spi'c sum rn an amount crceeding ed in or aceepled durfitE
the
Narnc ol' thc PtfmEncnl
prlsor| Eotrr uhoe lpocifi€d $[n
AInount Itt cE€. th€
is lp.cilied $m sp*ifid rm war
rcceivcd Nunbcr (if spe.cified rY!! taker {rr tllcn fi aoceprgd
avEilsblc surt takcn accrpted by by chcquc o. bsnl
lvidl rlle ('t ci,rguc or bEnk dra[, rrhefter the
es:orse+) ofl Eccepted draii or usc $!ur( 1*-.rs tlkcn
rhe person i ol clcclronre or octepred by
tiom *hom I
clcsring system En sccoullt pay'ir
speclfied lhlough a b{nk cheque +r 0n
tum gccount e((oqn( p.,\
rccuircd blal
\ir drdft
be giro ia rhJ cofirPan). a conrplDv ot a
AcI.) r.hrJ
lt ol ,.:afh reccrpt ln
tn tmount limit spr.ei
r day or I
rn respect ofa single traDi{ctiqr or r.t rBpefl ofl.aniocliofls relatint to one wen(
For Si-];tl t,iXUi L,cL PA'lEL ?€;

.\-.
tv
T
r \\
durillg thc preyiou! year. lrhrrr ssch reccipl ir otherwisa thsll by u chequc or berk dIan or use
syslem through a b{tk acco.rnt
.\ildress of the Paver Pern!Fn
Pryer Accou11t rericrJrl
Number (if I
rvrilsble
rYith the I
&rJ.s3€e) of
th. Payer
lit
l Ponrculars of esch reccipt rn ai EmGiot excc.dirr8 th€ timit qrgcifisd in sa{rioo 2695T, in aggr€g*e from a petron in
a day or ir respcct of a silgle tEnsaction or io rtspoct of lrarEacdans r*urg
ro one elent or occrsion fom e pcrson,
r€crwtd b) a chrque or brnk &!n. nol being 8n sacount pryce cbcque or 8n acc{{rnt ta}Ee b{Dt dnn duiDg thc
pIlyrorrf ycal :.
s. No, Nstr* of dE Payer Addrcss of thc Puycr Pelmarelll Accaurt Anroun( of rc.eipr
Number (if rv$labE uith
thc assc3sEc) ol thc Payer
\;l
I uleach payme ma/c in nn smoul cxceediog th. limil T, ro agBregrte to a person
iE a dayot in rcspccl ofa sinlilc lransiction u in rcsped of rransactios rclaling l(} ooc evcnt ot @cesi{n to a person.
otherwi$ 6an by a chcqE or bark droftor use ol cler:troBic clcrring systenr lhrough { bant flccount durint th€ Jrre}iotrs
Pa-vcr
i.Aecuunr iuunilcito(l';r),r,rrrr
I
iNurnb(r iri
a';rilublo
lrr rrh Lht
,;r;.csrcr. ) r,l
L
I
ithc Plyer
lNt
icular of eac IIl l|l -l in r{criL\n 169ST. in sggregaL b r pe'soo in s
Pa
dty or io respcct of r oi ro one eyent L occssiotr lo a t€rsm. m6d(
ue or brnk drrr drit" tht
e
I
n,, (;overnmenl cornprt|}. u
bl,h. s r rafrrred lo io re$ion :6955
of Juh
ll Particu lars amolnl €xcdbg
tn secuo'r
S.No
p3_vee Account of (lc rtpfl\lncnl
\[?6 made by chcqw or
NL,mbe(i rn8 ro \r&5 made hank dfsfi, whether thc
BYrilablc lhe ac.oull at by clreque sanE $"s rcpaid by ai
*rrh the any tim durirg or bark rcco{rnt pgyct chcque or
$€ prcvious draft ot usc an &coont payec brnk
I the payce ygsr of eleclronic dreR.
charing
systenr
thltlq8l a
L_
i\ir
bmh account.
3r d hnic ulrrs of rtgayment o t lo.rn or d$osir or a rD. .xL.ceding

269T frceived olhcnrire rlar by a cheqrrc or banl drefl rr use of el€ctronic clefiirg ryrtem thrqtgh r b,tttk uccount
drring thc prcvrous year:-
ihu ress lcnder, r Pcrmancnt AccJunt N
or dcpo*iior or pcmon Cepositor or persoo fro.fl amilablc with tJrc ass€ls€8lof the oi lora or deposil or
from rvhom specilred whom spccificd advance lcoder. or delo6itor or frc:lon any rpecificd edrancc
adYance is rcceived is reccived frqn whoo ep.cificd advaNc is rettivd olhcrwke rhln
received by a ciequc or balt
draft or !!s of elecEoflic
syEtcm rhrouSb a
F" -
t,
L-.-
tNt vtous yeaJ\_./
lr rcpaymfit 6 ao)
269f :eceivcd by o cheque or which is not an iccount payoc chequc or accoun( pr],6e bsnk
drBft dunng the
ytar.
Address of 6c lel<E, or Pcrrneaort Accornt- tii;E-?iT AmouDl
or depositor or pafion depsiror or 5rcrsur from sYaibble wirh rhr ais€ssechf the of loan dr depcir or
I frorn *'horn spaified whorn gpccified advsnce lcnder. or depositor or pcson any specificd advance
ndvqnce is rccerved is recciyoi lrom rrhom ryccifred sdvanoe is roccivod 64lE.c',$q dra,
I receivcd by a ctepe or banl
dnfi or us€ of electronic
I
sYstcm thrc'ugh I
I I
b!flI acaosr* during rhe
rot bc Sivcfl in 6e 'mcnt ofanl loan or d:p

t*ro or accepted 'cmrtrcnt company. banking company or { cotpoc ion e
or Provimiirl
or I manncr. to
AJs6smcnt NatlEc .,\!nounl AmouDt
S and
relurircd
b ln I Applicrblr
th" lc.es incultld Fbr al lo\! Ed bc camed fqrward ln
c rh(
ye!, ple$!r:
dcrrik belo$
d \t hljlhi:r lha ,r\sr'\see uared any Jd rn rL-sp€ct
d tlc prcr ious
.r ts, $ltlre
(lfite
l
lo..
i Is.No I
a
VII-B ol EJ
Natura Tola Amount Attoonl

palnrent amount of tEx alnount of Irt
I I
pa.rnrenl on whichirn whrch deductcd cn *'ttich dcdu ed
I or rccciPt &x wasitax was or
I ol' lrcd dL"luc tDd collEctEd deducted colloctcd
to bc o, ou of(6) ot or (t)
spccificJ dcdrctcd callected collGrcted dcposned
tn colurnD or ar 156 [o lhc
(3) colLected than lof
our ol'(4) sp.cifi€d (le,ntra I
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(r)
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Form if fumished contatnt rntbrmalron abqrl
--,i'IAL?ATEL
Ltr^"" -
For Sttiit
l
Ap$iareron
fr-
lAccount Nuolbcr (rurssctionc
(' rt(,
(TAN)
rthich are requrred to bc which rrE ffi
reporied.
I JDHL0irEd---m- ET
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and Arnorlnt Amount ofpEymcnt
collectior Actount mleres{
Numbcr (TAN) s€cl'on
20l( t A)c2o6cf )
is payable
I JOHL0 t-r6{c l-i I t5 IJIIS
a tradtn o pnnrc of Eoods
Item Nahc l,'nrr Openrng C-losing $ock Shortage
rtock cS .iunng cxccgB,
duridr Ihe il .rn!
t---j--- , I iV€Er i
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l 5,bA
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I
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I
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\ , lercesr,
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ln thc,:ast ofa
under
(a) Total amount (b ) Amount (c) Amouni J id) Toral rar
of dislribucd!rcduclior tcduction paid rhereon
pmfirs
lrcfcnrd to in refe.rrd to ifl
Dates
payrncnt
lscction llJ-O(lA) scclion I llo0 A)
i(ii ( ri)
A(i I iWhelh(.r rhe rn ihe nafurc

cl.usc (2:) ofrection 2 lf yes. ple&se fumidh the followin snFchusc (c)
I detoilst
Amourt recciv ed (in Rs I
r aoy cosl audrt rvas caried out

\ot
vc rhc
bils. ifany, qf disqualili.atlon or di sagreemcnt on any ,\ lc
mitler,,iteEr./v6lu€y uantity as may be rc identrfied by rhe cost auditor
y sudil wts cood uctcd under I he
Erc$c Act, t
r"ol
lf yes. gile
details, ii an y, of disquali fica(ion or rJ isagrecm
I he Applic, l(
mattE/iten value uaolily 8s nu y be rcfronedtrdenrified cnl on allv
by the suditor
l-19 tltcr sfl v audtt \r.as cond uctcd urdcr seclioo
7 lhe Iinance Act.l994 u rc ia tro, to viluat ron o
ber bl thc audrtor
,oraH*''^tltt
y.rr grlc
olr alry
he tbc audrtor
hrmo!et, JI
rn8 prev
tumovcf
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b Crors prufir r I
Tunrowr
c
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or
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Finatlcislytar to Natlrc cI (
*hich denand l'ax la..r
rEft[d rElses [o
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F nol.
tunrishrng, coqtarnt
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sll
oI tl\
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cnr(y
c) I dur - lil(asc cnl(r dntc the

4J rcal-rtp of or nol regrstcred undt G ts kept rn abcr rncr
lill I lsr lUarch. :02 l)
\r undc: GST trpenditurc
N Ir R lst lo Rshing lo ing ro othct 1-otal pa!'mcnr to
d entitic$ fallinB rcgisterEd e ilics
rh .'" empt fr1)m uader
(; composition
sakme
Placc I \ lll Pt R Name

Dstc r9 I I t{r:ij
AtA\oJ JAlt\
Mcmbershrp Nunrber {[tiSD
FRN (Firm R.egrsustioo Numbtr) Oma262C
-l ['J .1i-1 l'l It
I t]-\
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Irt
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o, l
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+----=.LflIIi!!_q.e:__1
r5%
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oLri
Priat \o. lt)

st , lc, clc.
I ,,2019 .'9275ito
:92?500
been srgnoC by MAtiOJ N navrng

on 204:19-tQl2i2IQQ-0
Dsc Sl Nc and iAl qlast-2 2014pU.SubCA.O.Sifu
ies Lim itcd,C=lN
For SHRI LAXMI LAL PATEL

Ln
,
/t I
ffopntelon
J €
Yr-r rci .v
INDIAN NGOME TAX RETURN AGKNOWLEDGEMENT Assessment Year
[ttlhere the data of the Retum of tncome in Form ITR-1 (SAHAJ), tTR-2, lTR-3,
lTR4 , lTR-5, ITR-5,tTR-7 ftted and veritied etectronicaflyl
201gr20
\ ame
LA.XMI LAL PATEL
AAZPPiTI SM
Flat/Doori Block No Name Of Premiscs/Building/f illryc

2 'AA' CLASS CONTRACTOR ViIlage
Form Numbtr.
1a TTiAiiA ITR.J
Flrr Rordlst EcL/Post Otfice Ars{./t o(8lhJ'
*s Post: RISI{ABHDEV- Tehsil RISHABIIDE\T
RIS}IABHDEV St&s lrldi\idual
lLl
2i^
,z Toh-n/Cit)y'Dlst ri ct Sta(e Pi,,lZiltCode Filed u/s
ZY
6< RAJASl HAN
I -1t3802 139( I )-Or or bcforc duc dale
Asiq\xing Ollirer D€tails (WErd/Circlc) ACITiDCIT CIRCLE.I, UDAIP
c-,ilitrg A ckn oli l€rlgemetr t Nombcr t 612t t97 I t7t$ t9

I (;m$r total inconE 1 r 1.4236i9
Total Hucliois uDder Ctaprcr-Vl-A li00(x)
3 Totel lucome 3 t2273660
3r Dcrmcd Tot{l lncome undcr AMT,MAT 3n 12273660
I
3h CurrtrI Ycrr loi9, if rn!.' Jb t)
=6
r'& t Nel tar palablc .t 4179i40
oFr
zl
o 5 Ialer$t atrd Fee Pc! ablc a 0
iE
tr
6 Tot l tsn, irtcrcst and Fee pay&ble (, 4t79510
s Ad\-!!rceTflr
&z 1 Tarer Paid
U
h TDS
l7b ('lBA91('
c TCS
lr" 70595
d StlfAssersment Tax 1d. 0
c Total Tircl Paid (?r-r7b+?c +7d) 1e 6159571
It T8n P{table (G?c) t {)
t) Refund (7e-6) 9 t980030

Agriculturc
l0 Eicmpt lDconrc l0
Othcrs
Income Tax Retum submitted elecronically on t7-{B-2019 l5rl7:25 from lP address lr2.l96.l52.r0t and verified by
L{.XMI LAL PATEL having PAN AAZfPsTltM 6a l7-lD-A)19 l5r 17:2-5 from lP address
I| 2.r96.1i2.r 08 using Digitat Signature Certificate (DSC)

2.i*ialSiiiii+J$rticli-Sr]tftnF rtriFci tto. RCAI Chi! .:.fi+O{;=iLCA,.Htr TrriloirAb i,iriri,C=Iii
DSC details
DO NOT SEND THIS AG KNOWLEDGEMETTIT TO GPG. BENGALURU
r X[llI LAL PATEI ^l

6"
I
Narne of Assess€e
FatheFs Name
TAXMI LAL PATEL
KANJI KALAL
.R
\+)
Address LAXMI tAL PATEL,'AA' CLASS CONTRACTOR,MIIage : THAi'|A'P
RISHABHDEV, Tehsil:
RISHABHDEV,RI SHABHDEV,UDA PU R,RAJASTHA}'I,31 3802
E-l\,4ail hrjainca@gmail.com
Status lndividual AssessrnentYeat 20192020
Ward ITO WARDl(l) UDAIPUR 0 Year Ended 31-3 2019
PAN AAZPP5718M Date of Birth 19/05/1960
Residential Status Resident Sex Male
Nature of Business CONSTRUCTION-Construction and maintenance of roads' rails. bridges.
tunnels, ports, harbour, run\ rays etc.(06(D5)
Method of Accounting Mercantile
GSTIN No. O8MZPP5718M1ZN
Filing Status Original
Retum Filed On 17l}gl2}1g Acknovvledgement No.: 1U211971170919
Last Year Retum Filed On 24ngl2}1A Serial No.: 304633821240918
Aadhaar No: 22265904197 Passport No.:
Bank Name syndicate Bank, , Fr'C NO:845012500(p224 ,ryP: cash credit ,IFSC:
sYN80008450
Tele Mob:982&498317
Computation of Total lncome
-75884
lncome from House Property (Chapter lV C)
Setf Occupied Property

sc€.tor 3 UDAIPUR
lnteresl u/s 24(b) (75884) -75884
lncome from Business or Profession (Chapter M) 12239661
t,, ?OAA 4
Profit as per Profit and Loss Ey'c
Add:
23610152
Depreciation Debited in P&L A/c
Total 35849813
Less:
Dep.reciation as Pe.r Chart u/s 32 2361D152
23610152
12239ffi1
259A82
lncome from Otter Sources (Chapter lV F)
259882
lnterest From lT Refund
12123659
Gross Total lncome
Less: Deductions (ChaPter Vl-A!

u/s 8OC
150000
L.t.P.
House Loan
252919 L/-
d
For SHRI LA MI LI'L PATEL
I
PROFRIETOR
NAME OF ASSESSEE LAXMI LAL PATEL A.Y - 2O1*2O2O PAN:AAZPP5718M COdE:1,149
Total 402919 6*
\'?\\
150000
150000
Total income 1'1273659
Round ofi u/s 288 A 12273660
Deduction u/s 10AA,35AD,80H to &)RRB (except sec.SOP) not clairned hence AMT not applicable.
Tax Due 3494598

Surcharge @ '15% 524190
4018788
Health & Education Cess (HEC) @ 4.00% 160752
417g5/,O
T.D.S 6'159571
-1980031
Refundable (Round off u/s 2888) 1980030
Tax calculation on Normal income of Rs 122736591-

Exemption Limit :250000
Tax on (5000@ -2sttffiti = 25{t{tw @5an = 125ttJ
Tax on 500001 To 1000000 = 500000 @20% = 10ffi00
Tax on 1000001 to 12273659 =1127Yi59 @30% = 3382097
I .u-tr-, | ,u.J. rt(Jr

Non-Salary(as per Annexure) 6088976
T.C.S.(as per Atnexure) 70595
Statement oI Current Year Loss Adiustment
Head/Source of lncome Curlent Year Hous. Proporty Business Loss ot Other Sources cuEent Year lncome
lncome Loss ot the the Curr€nt Year Loss ol the Remaining after Set
C{rre YGar S€{ Scr.af Crsr! lcir Ser olt
dt otr
LN to be adjusted 75884
House Property NIL NIL NIL NIL
Busine6s 12239661 75884 NIL 12163777
Spocubtion Busincss NIL ML NIL NIL NIL
Short r.em Capital Cait
Long term Cadtal Gain NIL NIL NIL NIL NIL
Olher Sources 259@2 NIL NIL 259482
Tot6l Loss Set off 75884 NIL NIL
Loss Remaining aftet NIL NIL NIL
$et off
Detai ls of Depreciation
Part-Erl,ars Rate OFhing llqe Less T&l S*s Salcs Balanca OepEciation wov
Than 1& TrEn lto Less Than (Short Galn) Clo3ing
Days Days ld) days
danl 1504 fi147AA$ WQ stf8lil 1508(;lm 0 0 15S85m 235633A0 1?6.29022s
3 o I
COMPUTERS 1U/n 51621 0 0 5ilII21 0 0 54a21 21928 328S3
ELES E{2UIPTMIE 1vh 16!tP5 0 o 1a'ffi 0 o 1E625 24844 144 /81
T&l 144@G, g04GIt2 5&4611 16iJlno5 0 0 rExrr405 Zfi1O'152 '136.163903
I 5 5
Page ?
q
/1
PATEL
For SHRI
tAxMl LAL
n.
/''fu FRIElOR
NAME OF ASSESSEE : LAXMI LAL PATEL A,Y 20192020 PAN ]AAZPP5718M Code:,I149 1
Oetails of T.D.S. on Non-Sa AS lmport Date:15 Seo 2019)

S.No llame o{ the Deducto, Ta.x deduclbn Arnount Pail/caed rted Total Tar AoEUnt olt ot (O
cldfiEd tl, ijiis Fa.
dcdrEbr
EXECUTIVE EI.,IGINEER PTJEIUC JOHEO1159E 380S142 753491 753494
VVORKS DEPARTMENT OSTRIC
2 EXECUTIVE ET.IGINEER PTJBUC JDHEO{T282C 1}2tr70527 26290&t ?62946a
WORKS DEPTT
3 EXECUTIVE ET.IGINEER P'IAO DIVISION JDHEOOlT5A 47089332 941788 s41788
KHERWARA
1 P\M) €XECUTIVE ENGINEER JDHPOlTG5E 27An@ 55/56 fi75.,
5 SAI{OAL BIJILDCON PRIVATE UMITED JOHS15188F 1652517 16625 166z,
6 SUPERINTEND€M ENGINEER JOH5000660 5SO80155 1181683 1181643
7 SYNOCATE BANK JDH500063A 5106/05 510666 510666
TOTAI- 2ffi477160 6088976 6084978
Head S€clion Amount As per Location of lncome for TDS

Paidlcredited As Computation Comparison
per 2645
Business 194A 5106705 2567ffi74 Ootal of Salev Gross 5'10666
receipts of business arYd
Gr.r<. rF.Eints 6'nm
Profession in Trading
Account + Total of olher
income ) in profit & Loss
Nc:2576A674
Business 194C 241370455 as above as above 5578310
Details of T.C-S.(26 AS lmpq4 De!e:15 Sep 2ql9l

S,No Name of the Colkctor Tax Huction and Tar Tohl tax colH€d Arrlounl out of (4)
Collection Account cbinEd du ng the year
Number d tt|e Collector
1 CASE IIEW HOLLAND CONSTRUCTION BPLLOO34SG 49108 491@
EAUIPMENT (INDA) PR
2 WAKEN MULITECH PRIVATE UMITED AHNIWOO4ATE 2145t 21447
TOTAt. rolrqt ro595
Bank Account Detail

S. No. Bank Ac.our lio lrllcR NO IFSC Code TYpe
1 Syndcate Bank 84501250000224 sYN80008450 C6h
CredqPrimary)
2 Stde Bank of lrxfa 51088011976 sBlN003'1225 Cunent
3 SYNE'CAIE BANK 84592200003586 sYNErO00a450 Saving
4 tclct BANK 693S05500S3 tctc0006s9 Cunent
Signature
(r.AxMr LAr_ PATEL)
CompuTax : 1149 [ LAXMI LAL PATEL]
I LAL PATEL
"'t"^T':)[
--FRO PRIElOR
ly
B!r* arrirgaa
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'RTO Iaffi
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!rB. I 75 {00
' Adear*!ant6., 76 (m
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EHILWARA SqLES CORPORAT IOII
BSES ilNtut. Evr lTD
C}IARBHUJA COI.TSTRUCTHCN
CHAREHUJA Cfl US}III*G PLANT
C},IARAHUJA MITITfiATS 8 CRUSHING PLANT
C!.'ETAX TYREE
clAss5 euTo gaaarRta
clA,sslc HYtrfiOuc
GALi CIiA'tO {:}A|fffi C}iAND $ISPURIA
Blww KrJtiAR fcRutlER)
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GAYATRI EQUIPiIENT
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lE6€n od corptr3tsEn Ltd
.r'r.'iiriAhi r ii8u:iTREti l,\rr LTD
JAI PLASTICS
}(iFe lrotds Saryrcc
i(AtPTARU FlLLlrlE 51 ATtO{t}
XAROLi MA^ FILLI,T*G STANON
Xr$hsr tri SufiA
KRISIiNA Fr.l(irt$EFR!rrG WORf4g
Iit{O,{AV ORI (CRUSHER}
ila*}€4a*mr Rded'*s's- AAJ{F?i535S\
lrenglat6m SUrr€ Crurh€r
$ETEO STEEL TTTADERS
MSHD HUS$ruI{ ?OBWALA t SON5
,\*s ASrlO{( FrF€ ttlOusTRtEs
iiunern Crurrmg PEnt
Mut€S+r STO}IE cRusHlNG co
|'iî(OOA AUTQ PAfiTS
il6r) Mulsfh Eufdtno ft&nat
firSK PFa tn*.rtlrEg
PADTIAVATI TFiD}iIG CO
PA'fiA' SAI-ES CORFOR ATIf}III
prit6i srer cqForstofl
PITAV'TT HYDAA|IIL}C PIPES
P$!dbRsWg
4qps|tar DhBeEi Sd€s & 561rEe
RAJAST HAN SALES CORPORATIO
Rqf ndri, Xumff X.Ae! \
C.rriGd Or *r 49.
11t' (
Pi'lEL
For Sli,1l LAYtll LA'L
lv
h..r-_...
i
lffc Larmi Lal Palol
1O-SAI,iATA }'IAGA ASHOK VIHAft H
Suedry DebtcE
I.I S€C 3 UDAiPUR
( f'
Grolp Sut r{r:Sf
1.4$'a01C lo 11'[&.']0 1 E
Partrculrti Clon|R 6drno.

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PAlEL
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tctct k37111171 FerNAlfrE t T il36tr_
tctct Ac 371111w ffiFrArlrvcE dr 52764 t.
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tctcl Ac 37a{;I2A7 REF j ru([ jr.r 69:i"{E:
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ttrcr, 4fia,', r,r}laE:a) /i(.o
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,(M8( 6177?5 CASr r1A7 AMf !136fi Qi
tlrti8/- 61t?31 CA S€ t 107 /4Uf , tiSSO t j
x*rEL 6781ES COIUC€rE i/,iEF.4A{ r'" Jwzcl. t2J
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KIffiL CE.5Z27 tA CRESiiUR 17597/-

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to(
R\t oR
FORM NO. 3CB
tS." rule 6c(lxb)l F t\
Audit rrport utrder section 44AB of th Incomltar Act, 196l tn the c6€ of a persott rtferfed to lr <t;1
dausc (b) of ruLrule (l) of mle 6G
I . \rye have examined the balance slrcet as at 31st March 2019 and the Pro8t and lo6s account for the period beginninB
/nl/,,nte r^ ^-.lin^ ^ ^f I Ar.rrl I /rl DATET 'A A ar A(( rrlf,,"rD A a'r^D r/!ll---. TrrAN
2da.lt,,.-l 1,116\;r},
442P5?EM-
2. ll{c ce.rtify dlat the halance sheet and thc Prdr and b e<tnom are irl aBree[x]nt with tte books of account mainrained at the
head olficc at LAXMI LA-l- PATEL !'ILLAGE THAiiA RISHABHITEV UDAIPUR 313802. ard I brdnchcs.
3. (a) ]|ft report thc following obsewationJcomrne.nts/discrcpancieJinconsigencirs: ifany:

llIL
(h) SubJeo to abovc,-
(A) \lle have obtained all the infrrnratlorr and uplarntions which, to the b(]st of Qs knowledge and belief, were necessary
for the pu.poses of the audit-
(B) Lr OE opinion, proper bools of account have been kept by rhe head oftice and bra.nchei of rhe assssee so far as appeaB
from ftr
lnowledge and belief, we.re ne.essa4r for the examination of thc books.
(C) ln @r opinion and to the best of Qsf informalion and acco.ding to the explanations glven to l& the said accounts, read
with notes thereon. if a[y, give a true ard fair view:
(i) in the cas€ of the balance sheer, of the state of the allairs ofthe assessee asat 31sr March. 20!9 :and
(ii)in the cas€ of rhc Prodt and 16 *corrDt of the ffgit
ofthe assessee for the year ended on thal date.
4. Thc statcnrcft ofila-.ticulars rcquircd to bc funrishcd undcr scrtion 44AB is anncxcd hcrcrritt in Form No- 3CD.
5,InQuf opinion and to the best of @

information ard acf,ording to explamtioirs givelt to !! the particulars given in the said
Form No. 3CD and the Annexure thsEto arc true and csrect subject to followi[g observatiorls/qualincatiors. if any:-
SI Qualification T)?€ Observati ons/Qual i fi catior$

No
Place ll{DIPUR Nanre MANOI IAIN

Date l6i/og20r9 Membership Number lol59
FRN (Firm Registration Numbed m262C
Address 310 313 ARIIIANI PLAZA- IJDIAPOLE.
UDAIPTJR. RAIASTIIAN. 3T3OO1
CL
,r'r,.P
^{\
fc,rSSFJtn' A, --',8
-l
f
s";"';'\-
il- )r'
FORM NO. 3CD
ISee rule 6G(2)l
Statemena of pardcul.rs requir€d to bG furnkhed under s.ctlon 44AB of the Iflcome-tax Aca, 1Sl
1 Name of the asscssee I-AXMI LAL PA'IEL
2 Address 'AA' CLASS CONIRACTOR Vilbgr : TllANA, P6r: RISHA
BHDEV. Tehsll PISHABHDEV. RISHABHDEV. I-TDAIPUP. E
AJASfiAN, 313102
3 Pc'rmancnt Account Nurnber (PAN) AAZPP5TTEM
4 Whether the asscssee is liable to pay indircct tar like excise Yes
duty, s€fvice lax, sales tax, goods and sefviccs tax,custo[s
duty,etc. ifyes, please firmish the regisFation number or,GST
number or any other identification mrmber alloned for rhe
same
SI Type Rcgistration Number
I
No-
I fus and Scrvked Tar RAJASTHAN OtAAZPP5TItMIZN
2 SalcsVAT/Tax RAJASTHAN 0t1039501t 5
5 Sratus IndiYidual
ti lPml,i^,,. vD,r fr^m Ot lo4zfiA io 3t nitlz0lq
7 As.sessment Ycar 2019-m
8 lndicate the relerant clause of se<:tion 44AB undcr which the audit has been conducted
SI Relevant clause of sr:ction 44AB unde.which rhe audlt has b€en conducted
No-
I Clarue 44AB(alTotal rates/tudrover/grors r.ccipts of busimsr erccedin8 specincd Dmtt-'
t) Persons. indicate names ofpanncrs/members and their profit sharing ratios. In case
If firm or Association of
of AOP. whether siares of members are irdeterminetc or unknou,T ?
Name Pm{it Sha.ing Ratio
(%'l
Nit
b lf thcro is any changc in the partflers or members or in thcir profit sharing ratlo since thc last date of the
pmceding yea-r, the particulaE of such change-
Dare of cirang: rtanle ot rar(te?lvlcmttr Type of Old proftr Ntw l(eluarl(5
change sharing profit
ratlo Sharing
Ratio
1 0 a Nahre of husness or profession {ifmore than one busin€ss q profession is caried on during the prcvious year, nature
of every bustftess or profession) .
S.*tn.
CONSTRUC'NON Colllfu.tioa rnd trrainr.n ffi ofmadr! ..1k, bri 06{rc5
tlDrrrB, porB. hf,rbour, rutrsays .1..
d8cs,
10 h lf thtre is any change in the nature of husincss or pmfession. tIrc particulani of such changc No
Business Seclor Sub&,ctor Codc
Nil
1l Whether book of accounts are p.escdkd under section 44AA, ifyes, list of books so pres.riM l\o
Liooks prescribe-d
lr l) List of books of account maintain€d and the address at which the books of accouns are ke.pt- fln case books of account
are maintained in a (Dmputer system, mention &e books of account generated by such computer qlstetn. If the book of
acmunls are nol kept al one locatjon. pleasc furnish the addrcises of lmalions along with dre details of books of accounts
maintained at €ach location-) SarDe as l1(a) above
Books maintaincd Addre.ss Line I Address Line 2 I City Town or Srate PinCode
I
I
I CASH BOOX I,EDGER JO LAXMI LAL PATEI, shobhagp[ra bramh UDAIPUR RdIASTH 3t3ml
URNAI- COMPUTERIZED ofEce AN
(Con pur?rized)
l1 ( List of books ofaccount and nature ofrelexant documents exanrined- Same as 11ft) above
Book Exanrincd
CASH BOOX I,EDGER JOURNAL COMPUTERIZED
I Z Whether th€ pmlit ard &:,ss accoum irrctlk any profit* gairts on Pr(xl,mFive y€!i. irdkal0 the No
anount and rhe rElevant section (44AD, ,l,lAE. {4AF. 1,t8, {488, 44BBA, 4{BBB, Chaprer XII-G. FIrEr Sch€dule
or arD. othe.r rclevant s€ctlofl) .
Stt'tion Anount
Nil
l3 a l prevlolls year systeDr
L
Fo
rt;
'' --
PROFi{IETOR
^-
3 b Whether rhere has b€en any cltarlge iD the rncthod of accounling employed vis a vis the method cmployed
the immcdiate reccdi rous
l3 If answer to (b above is in the affirrnative. details ofsuch change , and the cffect thereofon lhe or loss.
Particulars Increasc in profft(Rs-) Deoease in profir(Rs-)
I d her any nt is required to be made to thc pro coIIlp wilh prov6lorls
I
income computation and discllrsure staldards notified undcr seclion 145(2)
IJ c ans$tr lo abo!-e Ls rn tIIe d€tarls ol srrch
IC Iocease in pofft(Rs) Dc.crease in proff t(Rs. ) Net effet(Rs.)
Total
I as Per
losure
14 Mahod ofvaluation oI closing stock employed in the pfirvious year- T
1'1 of \alaar;on Fi-s{rib.d and.r sc{rion l+5,\ thcrool on
ihe profit or los:s, ploase fumish:
tn ln
T 5 G ive particulars of the capital asset converted into stock-irFtrade
(a) Description of capital atset Date (b) of (c) C6t of Amoun( at
acquisition acquisitlon whici the asset
I is convenP.d into
I stock in rrade
l6 A$ounts not creditcd to the t and loss account

l6 a The it.ms falling $ithin thc ofsection 28
plion
lo b pmlonna credits. dmrrtEcLs, .eJmd ot duty ol cllstoms or excise or servicc tax, or rcfund of sales hx or value added
tax. where such credits, drawbacks or rcfurd are admided as due the aulhorities concem(d
Description Amount
l6 claims accepted during the previous year
Arnount
1C
Description
l0
I Descriptios
or ot ts p(Fnio{rs year a cons va adopte.d or

assessed or asessable by of a State Governmenr r€fered to in se.lion 43CA or 50C, pleae furntsh
Details Address Line Addrcss Line State ration Value adopted
property I 2 rcc€ivd or or assessed or
accrucd asscssablc
I8 P wable as per tax I in respect of each asset or hlo{:k of assets, as thc case
may be, in thc:
l(ale of Additions Written
ion (A) (c) Allou,able Down Value
Block tion (In Valuc (l) VAT ifl Ratc Grant Value of (D) at the end of
Assets/ PerceDt (2\ of Ex (4) Purchases the year
Class of age) change (B) (A+RC-D)
Ass€ts (3) (l+2+3+4)
Plant & 150{, !53?5!1€ 0 5 !0
MachiD.ry
@ t50/"
Plart & 40%, 54821 0 0 0 0
Madrlnery
@ 1VX,
Tables At rhe End ofrhe Pag.
19 Am^,,nr-..tni(.iltl-.,n.|-" "-^, i ^--
-
o Amount d€trited to Aftro.rnts admissible as per pmYisiofti thc 1961 and

Plofit and l6s ako fulfils thc conditions. if arrv sp€.ified under the relevant l4provisions
accqlllt oflncome tax Act, 1961 or Income tax Rules.l962 or any other guidelines,
cirorlar. etc., rssued in this behall
Nil
EL
F ,l
/1
20 a Any lium paid to an employe€ as bolus or commissioD for services rendered, where such sum was otherwise
to him as or dividend. ISc.rion 36(r)(ii)]
20 b
Description
DetailsofcontribUtiorLsreceivedfmmemployeesforl.ariousfundsasreferred@
Amount f\
Naturc of fund Sum Due date for The actual The actual date
received Payment amount paid of payment to
fiom dre concemcd
erqlqyecs i authorilies
Providenl Frnd .163515/05/201t {635 r4l05/20r8
ProYidcnt Fund {516 15106/20rt 4s,t6 lz0{i/2018
Providcnt Fund 1779 15t07 t20t8 4779 09t07 /20t8
Provident Fund 4407 l5/08i 2018 440? l4i08/20r 8
Pr(wldent Fund 454? 15/09/2018 4547 I l/N/2018
Provid.nt Fund 4$92 l5/ r uzol t tEl2 0!yl020lt
Provident Fund 4t46 rt 1l/20r t 1t{6 tatti20ta
Provid€nt Fund 47t9 r5/r2120rt 47t9 t3ltumta
Provident Fund 4716 l5/0li 20t 9 4716 l4l0r/20r9
Provident Fund {992 l5lo2lz0t9 4#2 15102120t9
Providenr Fund t732 15t03t20t9 1732 05/0312019
Provident Fund ,tt53 l5/01/20r9 4853 14t01/2019
2l Please furnish thc details of amounts debited to the profir and los acrqrnt, beinB in the nature of capitdl. personal,
advertisement expenditure etc
Capital expenditurc
Paniculars Amount in Rs.
Personal expenditure
Pan ir:ulars Amount in Rl
Advertisernent exponditue in any souve r, tract or ikc itical rty
Particulant Amount in Rs
Expendihrre incuned at clubs bcing ent ance feqs and suhscriptions
Partirula.s Amounr in Rs.
Expcnditurc incuned at clubs being cost for club services and facilities used
cula-rs tn
Expendirure by way of penalty or fioc ftr violation of any law ftr dF time being fcce
Amount in Rs-
Expenditure by way of a{f other Fnalty or fine not covered above
Parti.ulars Amo nt in Rs
Expenditure incuned for any purpose which is an offence or which is prohibtted by law
Particulars funount in Rs.
Amounrs inadmissihic urxier sectron 40(a):-
(i) as pa).mertr to no, resident referred lo in suLcJause (i)
(A) Details on which tax is nor deductcd:
I
Date of Amount of Nature oll Name of the PAN
of Address Address or Pincodo Ciry
payment payment payment payec rhe payee,if Line I Line 2 Town or
I avaliablc Districr
palmcnl on i|hic] lEx has bccn dcCuacd bur ha. not bccn paid dding thc p.I:rious ycar or in
trcfore the expiry of time prescribcd under s€.riorzoo(l)
Date of Amoont of ahlre of PAN of Address Addr6s City or Pincodo Amount
payment PaJmrcnl Pa],,mcnl lhe F)'ec the Liac I Linc 2 Toun or of rirx
payee.if Dist ict deducted
avaliable
(ii) as paymcnt refeflEd to in sub-clause (iaJ
(A) Detafu of payment on which tax is noi aeduaed
Date of Amount Nature of Name of the PAN of Address Line 1 Addrest CityorTown Pincode
payment of payment Payee the Line 2 or District
Falmenl payee,if
I avaliable
of paymenr on which iax has hllr not paid on or befo.c the due date specified in
sub- s€.tion (1, ot sfftion 1:19
Date of Amount Nature of Name of PAN of Addrnss Addrrss Ciry or Piflcdc Amqlnr Amount out
paymcnt of paymenl the payer thc Linc I Lijl.e 2 Town or of tax of (w
payment payea,if District deducted deposited, iI
avaliablc any
(iii) as paymcnt referrei to in sub-clause (ib)
(A) Dctails of palneaa ar lr'l*i l€r,y ii noi d€dua€di
L ^'rEl d
F
I
Date of Arnor.tnt Nature of Nanre of the PAN of Address Line I Address City or Town
payment of payment the Line 2 s District
paynrcn
Payee
payee,if
avaliahle I
t\Y2
@) Details of paymenl on wfiich levy has bcen dedr:cted but has not b6.en paid on o. before the doe date specified in
sub- section (l) of section 139.
Dale oI Anxxrnt Narue of Nanr of PAN of Addrcss Address City
or Pincodt: Amounr Amount out
PaFncnr of P4firenr Ih Flrt tlE Line I Line 2 Town or of lery of (VI)
I
Pa)amcnt peryee,if District deducted deposited, iI
atraliable any
(iv) fringe benefit tax under sub-clause (id
(v) we.alth tax under sub-claus€ (iia)
(vi) rolralty, li.'eme fee, service fee etc. under suFclause (iib)
(vii) salary payable outsidc India/to a non resident without TDS erc- under sub-clause (iii)
Date of Amount of NarE of the PAN
of Addrcss Line 1 Addre5s Ciry Pincode
I psyment paymenr Payee the pa)ree,if Linc Z
I
I
I
avaliable
(viii) paymcnt to PF /other fund etc. under srb claus€ (iv)
(ix) tax ,aid by cmployer for perquisites undcr sub-clausc (v)
(c) Amouns debited to Fofit and lcs accurnt being. inlerLrt, salary. bonrls. comrDis$im or rermrneralion imdDislble urder
section 40(b)/,r0(ba) and computation thereof:
I
Particulars S(:(tion Amount debited Amosnt Amount Relnarks
to P/L A"/C Admisslbte Inadmissible
(d) Disallowance/de€med income under se( tion 40A(3)
(A) On the basis of thc examinatjon of hloks of acclufl and othef relevant documentJevidence, whether thc Yes
expendlture coveled urder sectiD! 40A (3) read with mle 6DD werc made by account payee cheque drawn on a bank
or account payee bank drafr. If rct, please furnish the details:
Datc Of Payment Nature of Afiount in Rs Name of the payee PeJmartmt
Account
Payment Number of the pavee, if
available
(B) On thc basis of tho examination of books of accoun( and other releJant documents/evidence. whether the pq.ment Yes
rcfcrrcd lo in scction 40A(3A) rcad with rulc 6DD rvc.rc nradc by accourd paj/-cc chcquc dl-al+n on a bank or account
payee bank draft If not, please furntsh rhe dehits of amoont d€emed to be the profiLs and gaim of hrsiness or
Fofession u!&{ section 40A(3A)
Date Of Payrnent Nature of Amount in fu Name of the payee Permanmt
Account
Payment Numbe. of the payee, if
available
(e) Provision for parrnent of gratuiqv not alowa6le a;Aai s{rtion 40A(7)
(fl Any sum paid by the assessee as an employer not allowable urder s€ction 40A(9)
c ulars any ofa Dature
Nature Of Liability Amount in Rs.
(h) Amount of deduction inadmissible in (emls of section l,lA h respe{t of the expenditure incurred in relatim to income which
does not form part of the total incorre
Nature Of Liability Amount in Rs-
(i) E;oun-inadmissiblh undm ihEpmviso to section 36(t)(iii)
22 Amount of inter€st inadmissi ble under section 23 of the Micro, Small afld Medium Enterpis€s DeveloprDent Acl, 0
2006
2:l Paflio ars of ary payment made ro persons spe(ified undcr section 40A(2) (b)
Narne of Related Person PAN of Rclatr{ Person Relation Naturc of Payrnent Made(Amount)
trasaction
24 @or33ABor33AC or 33ABA-
Secrion Description Amount
N"il
25 Any amount of profit chargeable to rax undcr section 4l and computation thereof
Namc ofPcrson Amorrnt oI income S(:Ction Description of Transaction Computation if any
I Ntl
26 (i) * In respe{t of ary sum refered to in dause (a).(c).(d),(e).(0 or (g} of section 43 B the liability for which:
26 (ilA p.e-€xisted on thc firs day of tlE previqrs ],ear hx tE6 d
allowEd in tlE assessrnern of ary FEc€ding previo{rs year
and was :-
26 (iXA)G) Paid during the previous year
Secrion Narure of liabiliw Amount
Nit
26 (il(AXb) Not paid during the prcvious year q-1
PATEL
For SHP!
Laxr'itlAL
S(rtion Narure of liability Amount
26 (i)B was inorrred in the previous year and was

26 (i)(B) (a) Paid on or before the due date for furnishing the retu.n of income ofthe previous year under s€ctio^ 139(1) _.
S.'ction Naturo of liability Amount
I
pmvidrot,superannuatio[.gratulty,oth.r fund PF r0408
Tax,Dsty,C.snFd €t TDS {200
26 (il (B)(b) not pairi on tr befire E afo.6.id dafe
Srtion NaturE of tiabilit-y Amount
NiI
(StateMcther sales tax. gmds & servicr Tax, customs Yes GST 2g'69779 ROYALTY 7652211 LABOUR CESS ?7G6538 R
duty, excise duty d any other indirect tax, levy. cess, OYALTY 58756t
impost etc., 'rs passed through thc profit and loss
accqmt.)
27 a Amount of Central Value Added Tax Cre{its/ lnput Tax Credituc) availed ofor urilis€d during the previors No
year alld fts treatmclt in profit and loss account and tseatmenr of outstanding Central Value Added Tax Cr€ditJ
Input Tax Credit(lTC) irt accounts
CENVAT/ITC Anrount Treatment in Profit and
[,oss/Accounts
Opcning Balancc
Credit Availed
Crcdit Urilized
C losinyoutstand ing
Balance
27 b Particulars of income or expenditure ofprior period cro-dirod or debikrd to thc profit and loss acq)unt :-
Tvw Pruliculars Ar (,unl Prior period to which
itrelates(Year m yyyy-
yyfrrrna$
Nil
28 Whether during the pre,vious lrear the assess€e has rEceived any property, being share of a company not being a
company in which the public are subotartially interested, without considemtion or for inadequate corsideration as
rcferr€d to in section 56(2)(viia)
Narne of the PAN of the Name of the CIN of the company No. of Shares Amount of Fair Mark€{
person from persofl, if company fmm Receivcd cusider"tion value of dre
which shares avaihble which shares p6id shares
received received I
Nil
29 Whethcr during thc previous yea. thc assessc{ rcccived any consideiation for is.sue of sharcs which exceds the fair
market value ofthc shares as refernd to in scction 56(2xviib). Ifyes, please fumish the details of the same
Person
I .Dnsidcl-at ion value of
I
lreceived
il
A(a) Whethcr any amount is to be included as income chargcable under lhe head lncorre hom other sources as No
roferred fo in clause (ix) of sub,s€crion (2) of section 56? (h) tfyes. please fumish tho folkF,/ing derails:
Sl No Natr.rrc of lncome Amount
tt B(,)
Nil
Whether any amounf is to bc tDduded as income chargeable under the head Income hom other sources as No
refened to in claus€ (x) ofsub-section (2) ofsecriofl 56?(Yes,t'Io) (b) Ifyes, please furnish the following de{ails:
Sl No Nature of Incomc Amount
Nit
30 Details of any anount borrorred on hundi or any amout due the.eon (including interest on the amount bonowed) No
repaid,otherwise than through an ac.ount paycc cheque,(Section 69D)
Nare of PAN of Address Address City or State Pin.od( Amount Datc of Amount Amount Date of
the the Linc I Lirle 2 Town or borrowcd Borro'.r'i n6t due repard Repaynrent
Person petson, if Districr induding
I
from available I
interest
whom
I allxxfltr
borro\PEd
or repaH
on hundi
I I
I
tt
For :t
A-
I
:TEL
ilE iwn
+ \---
"fl€
A(a) Wrctho prirnary adJustfle.nt to trandef price, as refe,rred to ln sub-serdon (l) of secfion 9?CE, hre been rnade
I
durlng the previous y€ar-
(b) [f yes, please fr.rmish thc following deBils
Y,^ 9
SI Under whlch Amounr (in Whether tle excess If ycs. whether If no, the amount (in Expectld-da€
No. clause of sub- Rs,) of money available lhe cxcess Rs-) of imputed interest of repatriation
srction (l) of prt nary
I s€ction gZCE adjustnent e eerise
primary
adjusufttrt is
wiG the associated ,nonga has inaome on such exce.ss of monsv
is been repaftiat€d inoney which llas irot
requirEd m be widrin $e been rEFtriated wilhi,
EpstriaEd m Irdia pesoibed time. rhe FescriH time
npdc ? 6 pe-r 6e p.ovisk ns
of sub section (2) of I
sc:ction 92CE.
Nit
B(a) Whether the arsessee has incurrci expcnditure during the previorrs y€a. try way of lffEr€st or of sturdhr ndulle No
e-xceeding one crorc rupees as referred to in slb'srction (l) of s€.tion 948.
ft) Ifyes, plmse fumlsh the follouiag derails
Sl No Amount (in Rs.) Fflings before mount (in ,) of of interest Defails of
intercsl
of experditure by interEst, tax. expenditure by way of expenditure brought expenditure carried
way ofinterest or deFeciation and interest o. of similar forward as Per sub- forward as per sub-
lt ol similar nature amoflization

inorred
nature as per (i) atrove section (4) of section section (4) of section
@BITDA) during \ryhich excceds 30o/o
the previous year EBITDA as per (ii)
948. 948:
Arsessment Amount
tl c (a)
Nit
(in Rs.) above. Ycar (in Rs.) Year
Whether the assessec has entered into an impermisslble avoidance arrangenEnt, as referred to in sc{tion 96,
(in R.,)
during the previom year.(This Clause is kept in abeyance till 3.ts March, 2020)
(tr) Ifyes, plcase fr.rmish the followirg dctails
SI No. Nature of the impermissible avoidancc aranBement Amount (in Rs.) of tax benefit in thc
previous year arising, in aggregate, to
I
all fie pafiies to rhe afi-dngement
I N
3I a Paniculars ofeach loan or deposit in an amou exceeding the limit sp.rified in s€.rion 26955 taken or accepted during
the prevlous y€ar :
S.No NanE of the Address of Petmanenr axrmunr Whcther the Irr case the
lcnder or the le.nder or Account of loan rhe arnormt loan or &posit loan or deposit
depositor depositor Nrrmber(if loan or outsta[ding in was takcn or
avaihble deposit depcsit the account at or accepted accepted by
with
the taken any time during by chequc cheque or bank
assessee) ot the
previous or bank draft dmft, whetherrhe
I of the yeat oa use of same was taken
lender or during electroric 6 accepted by
the the clearing an account payee
dcpositor sl itcm che4ue or an
yczr through a accounl payee
bank account. bank draft.
Nil
3I b Particulars of each specified sum in an anount exceedinB the limit specified in section 26955 hkm or acc€pted during
the prcvbus year:-
SNo Name of the Address of the person liom Permarent Amount Whether the In case the
person from whom specified sum is Account of specilied $m +ecified sum l,!?s
whom specified received Numb€r (if specified was taf,en or taken or accepted
sum is aeceived avai-lable $fi taken aftcpte'd W by chcque or bank
with the of cheque d bark draft, whether the
assessee) of accepted draR or use same was taker
the person of electronic or accepted by
tiom whom clearing q,stem an account paye!
I
spe.ified throu8h a bank cheque oa an
sum is account account payec
re<eived banl draft.
Nit
(Particulas at (a) ard (b) need not be given in the case ofa Govern mcnt company. abanking mmpany or a corpo.ation establishe.d
by a Cenb-al, State or Provincial Acf.)
3t h(a) ni of each receiF in an amount exceeding the limir spc{ified in section 2695T. in from a person in
a day or in resp€ct of a singlc rarrsaction or in respect of trarlsactions relating to one event from a
.P;I EL
For Sl
h
during the prevlous year, where such rcc€ipt is dherwis€ than by a cheque or bank draft or u-c€ of ele.ctronic
system through a bank ac.ount
S,NO, Name of the Address of thc Payer Permanent Narure of Amount of Date Of
I Payer Acmrrnt tatrns?ctior receipt
Number (if
available
wilh thc
asessee) of
thc Paye,r
Nit
31 b(b) Particulars of each receipt in an amount erceeding the limit sp€cified in seaion 2695T, in aggre[aGErn a person in
a day or ln respctt of a single traflsaction or in rcsF:ct of transactions relatiDg to one evcnt m occasion frorn a person,
received by a chcque or bank draft, not being an account payee cheque or an account payee bank dmft, during rhe
I
prEYiqrs yw :-
S.No- Narne of the Payer Address of t}re Payrr Panrurrcrr Accqrnt Amouff of r€ftipt
I Number (if availabb wirh
the asscssee) of the Payer
Nit
3 1 b (c) Particulan; ofeach payment madc in an amouni Aceedmglhel imit specified in s{:ction 2695T, in aggregare io a person
in a day or in rtsFct of a single transacrfurn or in resp€ct of ransactiorrs relating to one event or (xc?siql to a person,
otherwise than by a cheque or bank draft or use of electsonic clearing system tlEqrgh a h6nk accqn,lt during the previous
I year
S.No. Namc of the Address of the Payer Permanent Narure of Arnount of Date Of Pa)rment
Payer Account tlarrsacJior Payment
Numbe. (if
a!"aihblF
with d|e
assessee) of
the Paytr
Nit
3 h(d) Particularc of each paynrlnr in an amiiunt excudtng tho limit specifxrd in section 2695T, in aggregate to a pcrson in a
day or in respect of a sin8le transaction or in re6lrect of trdnsactioff relatlng to one event or occasion to a person, made
by a cheque or bank draft. not being an acclunt payec clreque or an actrunt payee bant draft, during rhe previorls ).ear
S.No. Name of the Payec Address of the Payee Permanerlt
Account Amounl of Paymcnt
Number (if available with
the asssssee) of the Palrce
Nit
(Prdculars at Oe), (bb), (ht) ard (bd) n€d ,tol he gtvd in tt! cas. d r.(dpt by or pa5rment to a Govrrngcnt compery. a
baoliog Cmpany, a post omce savings bank, a cmparatlvE balk or la th. rasa of transaf,do$ Eferrcd ro in rccdon 26955
or in the cas. of p.rsoos rllbrrtd to in Nodica on No. S.O. 265(E) dat€d 3rd luly, 2017)"
3I c Pafiiculars of each repaymem of loan or deposit or any specihed advance in an amount cxc€eding tlle limit spe.ified
in section 269T made the previous yeer :
S.No. lName of the lAddrp-ss of the tTr lWhether the
payee pa)ree Aacount of tie anlount rcpaymenl
Number( rc ln8 m was made
available lhc account at by theque
wirh the any time during or b6nk
assessee) the prcvious draft or use
the payce yeaf of elecrmnic
clearing
system
thmugh a
I
bank acrount.
Nit
3I d Particular5 of repayment of loan or dcposit or any specified advance in an amount exc€eding the limit specilicd in section
269T rr:ceived otherwise than by a cheque or bank draft or use of electronic clearing system through a bank account
Ihc
ame of the lendcx. Address of lender. or Permanent mber of repa).ment
or depoitr a pcr:son drTclror o
perssr fiunr ardilable with the ass6see)of rhc of loan s deposit or
from E{mm specified $'llom spe.ified ad\rance Iender, rx depcitor or p€rson alry spe(ified advancc
advance is re.aeiv(d is 1(:c0.ivcd from whom specilied adrrarce is receivcd otherwise than
rcceived by a cheque or bank
draft or use of electronic
tt c-learing sl.stefi through a
F ci ""
A
ry ^ry
i
ElOR
I 3I
I
iculars of rppaj,menf ofloan or delr$it or any specified advancc in an amount cxceeiinB the limit
bank account during the
previous
269T received by a chcque or bank draft which is not an accourt payc€ cheque or account payee bank draft
prcvrous year:-
SNo Nane of the kr
er. Address of the leDd.Y. or Perrrarl€rt Accouit Nuniber (if Anxrunt of repat'ert
or de-pcitor or person depcitor c Atrson ftom alaihble rr/ith dre a<sn<see)of the of loan or depcsit or
from whom slecilied \t-llcn sp.cified advafte l6de.r, tr depGitor or persoD any speciffed advance
ad\rarce is reaeived is received fiuD whom s?ecilicd advance is rereived otherwise than
rcc€ived by a cheque or bank
draft or use of electronic
ctearing system through a
bark ac{ourf durinB the
I
Previoos year
I Nlt
Note: (Particulars at (c), (d) and (e) need not be given in the case of a repaynent ofany loan or deposit or any specified advance
taken or accrptcd from Govemnrent, Govemment @mpany, tankin8 company or a corporation estabtished by a Centrdl, State
or Provincial Act)
32 Drtails of iatio flran ea. to exl(:nf availal)lc
S,No Assessmenr Year Natr-re of kndallor,mnce Amount Order
S
tl Nil
its as
returncd ass€sscd Date
and
32 b Whether a change in shareholding ofr!rc company has taken phc€ in the p.evious year due to which Not Applicable
the losles incurrcd prior lo lhe pr€a,bus yell aannot he allowed to he carrierl forwenl in terms of
section 79.
c Whether the assessee has incurred any spec[latiofl loss referr€d to in section 73 durirE th€ previous year No
If y.s, please furnish the
detalls below
32 d Whether the assessee has incured any hs referred to in section 73A in respect of any specifi€d business No
during the previous year
IfF, pl,a.6. turnlsh dGtaIk I
of thc taEre
0 In case ofa company, please sate thar wtether the company is d€emed to be carD.ing on a sperulalion business
as refc.rred in explanation to section 73
Ifycr, please furaish ttc detalb of specol.ffon lois if aEy
lffurred duriry thc prevbrl! yrar
33 Scction wBe details ofdeducrbrrs, ifany admissiblc under ChaptcrVIA or Chapter III (Section l0A, Section l0AA) Yes
I
S.No Sedion Amount
I 80c r 50000
34 a Whether the ar5esse is re4uircd to deduct or colled tax as per the provisions of XVII B or Chapter Yes
XVII BB, if yPs please frrmish
S.No Tax S(rtion Nature of Total Total Amount Total Amount Amount of
deduction paymerll auDount arnount tax arnounl of of ta>( tax
aod on whidr on which fuucted on whicfi deJucted deducted
clUection tax
u,as tarx '\f,as or to( was or or
Account required deducted collccted deducted colL\cted colle,cted
Number natufe be or to out of (6) ot on (E) not
(rAN) specifid deductd collecred
tt
collected deposited
in column or at at less to the
(3) collectrrd specified than crcdit of
out of (4) rate our of specifi€d the CenEal
Garrn--J
lttl of
(5) rate out
I
(7t out of (6)
and (E)
I JDHI,OI3 l9{J Fccs for pr 4 2000 4ZNO 12000 {200 0 0 0
6rG ofcssidal
l or teclrnL I
al rrrtlca
34 b Whether tlrc assr6-see is requirEd to fumish fi seenxniof rax deduoctl rr tax If yes ,ple^r fumish Yes
the fttails:
dc<luctiorr T1p Due Ir: ther thc statemenl of not, Please
and collection of furnishing
I
furn ishi ng- tax deducted or collected furnish lisr of
Form Iif furnishcri contains information about
L
\
U
)
,A
h .TOR
Accqrnt Number all d eta ils/transact ions transactions
GAr.r) which ar€ requi.ed to be which are
n'poned roPortd.
I t9 l9
34 c Wherher the assessee is liahle to inkrrcst sectlon I or section yr:s, please fumish
Tax de-dudion of rnount of payrnent
clllefiion Accooru lnldest urder
Number (tAN) s€clion
20r(rA)i206c(7) I
is Fyable
Nit
a the casc of a concern, give quanlitatiye details of prinicipa itcms of goods tradcd
SNo ltem Name Uflit rng le: Closing stock
stock c.5 during crcess,
during the if any
the prevrous
pft:!1ous vear
Year
b ring comem. Bive quantitative principal ltems

and by products :
o cnl nll Consumpti- Sales Clming

stock during the on dunng during stock of a8e of cxcess,
pre,vlous year th(! the finlshed yicld if any
pftrvlol:s prcvr prudu
ycar yeaf
Nil
alnr, nrt ntity Sales during the Closing stock

stock du.ing manufacfur- prcvious year excess,
the d during , if any
previous the previous
year ysar
35 By
nit urinB the ng stock
sfock during manufactur- prs-vious year excess.
the Ed &lrlnB lf anv
I
PIeViOOS the prwisrs
year
36 the cae of a domestic company, details of rax on scclion 11 in thc following

SNo (a) Total amount Anount of G) Amount of Total rax Total lax paid thcreon
of distributei rfduction rcduction a-s paid thereon Amount
protits refened to in referrtd lo in p6yment
sc.ction ll5-O(lA) serction I l5 O(lA)
I
(i) (ii)
ilssesscc received any amount in the nature of to in sub-clause (e of No

ctausc (22) ofsecrion 2.lfyes, please fumish rhe followi nB details:-
,4'rrruunt rKreived Date
37 Whether any cost auditwas calric{ out Not
yes. give the derails. if any, of disqualifi.ation or disagn:emenl on any

matter/hen/va lue/quantity as may be .eported/identificd by thc cosr auditor
3ti any ii !!,as conducl{,d under
Ifyes, give the derails,

any, ifi(?tion ot on any
maner/item/r'afuey' as rnay be bv the audiror
39 any audil rllas conducted under srrrion of the Finance Act. 1994 in relation to valuatioo of taxable No
services as may bc reported/identined by the auditor
ll.t
kl* -)-r)r,--
If yres. give the details, if any, of dlsqualification or disagreemcnt on any
matter/iten/value/quantity as rnay be repone(yideDrifiL{ by the audito.
40 Details rcgarding tumover, gros profft. etc., for the previous year and prcceding p,revious year:
\5
sl Parti.rrlars Prc.vious Year Preceding previous Year
No
Total tumover 2813704ss 165695157
of th€ asseris{:e
b Cross proht / 506S8329 28r 370455 l8 0z% 63366174 465695157 13.61%
I
Tumover
C Net profit / r2239661 281370455 1.35% 20104437 465695157 432%
Tumover
d Stock-in- I
652857 48 28t370455 9364180 465695157 2 lt"a
Trade
Tumovrl I
Material 0 o\i, 0 o,%

I
consumed/
Finished
goods
I
details r.quired to be frmished irerls or or sen'lc(s

41 Pleasc furnish the d€tails ofdemand raised or refirnd issued during the prwious ),@r under any tax laws other than Incorne-
tax Act, l96l and Wealth rax Act, 1957 alongwith de.tails of relcvant proccedings
of olhe. yPe nd Datc oi demand Amount Rcmarks
{hich denland Tax law ra ised/Refund raisedrcfund
refund rElates to received) received
Nil
Wherher the assessee is requircd to frirnish staterDent in Form No.6l or Form No. 6lA or Form No. 618? If No
y€s, please furnish I
SI Income-tax Type of Form Due date for Date of Whether rhe Form lf not, please fumish
N fumishing tumishing, if conlains list of the dctails/
Reporting Entity furnished infonrEtion abGrt transactions which
Ide ntilication all dctail are not reporte.d.
Number I
transactions which
I
I are requircd to be
reported-
Nit
43 (a)Whefter the assessee or its parent entity or altcmate reporting entity is I iable to furn ish the report as refened No
to in sub-scctlon (2) ofseaion 286
rcpon
lbcen fumished tvl entity (irl or recort
II ] th" ,*r"o"u o. rrs
parent cntity or anl
I
reportinC
ll A(.)
I
dare of fumishinB the

44 Brcal-up of total e4rcnditu.e of entities registcred or not registercd under the GST:Cfhis Ctause is kept in aUeyarrce
I
till 3lst March, 2020)
I otal amount Expeldih]re in respect of entities registered under Expenditure
Expenditurr Relating to goods Relating to Relating to other Total paymcnt to r€lating to entlties
incurred durtng or Servtces cntities falling registered entitios rcgistcred entitics not .egisterei under
the year exemF from under GST
GST ctmposilion
scheme
Nil
Place UADIPUR Nanr MANOI IAJN

Date rgfiyz019 Membership Number !!0459
FRN (Fifln Rcgisnation Number) 0t[0262C
Address 3r0 313 ARIIIANT PL^ZI-IJDIAFoLE.
,Y
Fcr 5
E
\qo
otln Dehih
Addltion Details(Fronr Point No. l8)

Des$iption of Sl.No. Date of Dare prt m Amornt Adju*nort on accurnt of Total Amount
Block of Assers Purchase NIODVAT Exchange Subsidy
I
Rate Grant l
Change
Plant & I 06/0{/201t 06J04/20r 8 4161772 0 0 0 1161772
Ma.htn€ry @ 15 r 2 30106/20rE 3U06,/2018 r525124 0 0 0 t525424
J @io{tzott wo,'izotE tEzt{Joo 0 0 0 162tun
4 z!UG&201t 29i0f1,/2018 1800000 0 0 0 r 8$0{{x)
5 2? t0zt20t9 27 t02t2019 r Slxx)0o 0 0 0 rm0000
6 r r/0r/2019 r l/0u20r9 3728811 0 0 0 37ztEt4
0Lml20rt 0l/0912018 53E l316 0 0 0 53t 136
Total of Plant & Machlnery @ l5%r 15375r{6
Plrnt &
Madd ry @ 10
Total of Plant & Mrrhinery @ 407. I 0
ku.tkrtr Dctaik(Frorn PoiDr No. ltl

Description of Block of Assets Sl.No-l tlate of Sale etc. Amount
Plart&Machlncry@15%
Total of Plant& MachiEery @ l5'% 0
Plant&Mtrhincry@{0'%
Total of PLnr & MachLtcry @ {0 0
PAlEL
g.1 err,'ll I- lY I 1LAL
71
f' I
//
Y
IHDIAI| IiICOME TAX RETURN AGKNOWLEDGEMENT Asrosgmenl
[Wh.r. thc d.t olthc R.tu,n ot lncolria in Form ffR_l (SAHAJ), ITR_2. tTRi,
IIF-t , ITR-6. tTR6,lTR-7 tEnsrnifird .bcronlc.ny wtth dtgit l rlgnEturrt 2018-1
I
LA,\III LAL P,\I }-I
t- Fld/Doo./Blocl :\o \.m. Of P rr m is.!/ Bu iHiE gA lllrtc

'.q.A' CLASS
<!g CO\TRA('TOn,v rr. lrr b..i
4\
CE Ro.dlsr rrcl.IPosl Odi.. tftnrltrirad
P6r: RISHtBIIDE\', T.h3it: RISll {BIID[1-
RISTIABHDEI' lndrrrdLral
z= Ststrrs
To* n/Clay/Dterri.t
I l)
ii t D.\IPI R
RA.t \s t \\
3d I tJt0, \lt\\ xx\I lt97
Dtsilnrlion of Ao(l,Y.rdclrrl. ) I, ioal or Reviserl
E-liling Ackno$ lslBemenl Number t:ltr9 8 Dst (DDAltli^VYY)

t
lr-rrl-:fltt I
oro$ (ral inc{rnrc 1
DcdudiB udcr Ch3Fcr-vt-A
l
Cuncfir Yc.r 1o3r ifrDy
,2
J-l--__ _
-3 1 Nll lrx g*' ablc ,l
os lolcrcgr nnd Fcr l,lllble

JL a
I
Tod t3r. islcrusr md Ec. 6
ll
i^
a, b lDS 7b 9E0596.r
7c
I 170&m
d
7d 0
Toril Texds P.id (7r+7b+rc +?d)
la\ Palahlc (6-7c) I
I Rclirrd (7e-6 )
n Bris0hure
lr) Cxcmpl lncome I0
OGcni
T[ii rcrull hai b.cn drgit.lly sitn€i h) LAXMT I-AL pîtL D

'h.apecrN
ol s.tf
hstintPAN .{\ZPPSTttil foG IP Ad&ess {l aI UDAIPLn
f3{6013L.1r.{t 9 qrcft-Saft&oF e${A f( IICAt Cb!! I f 0la,OL,*SdrCAHii$ Trdhrctoglcr Lt,tnrqic=tN
D8 NOT S.END THIS ACKNOWLEDGEMENT

TO CPC, BENGALURU
q.
,,!|
a
xf"r
Name of AsseBsee LAXMI LAL PATEL
Falheds Name KANJI KAI.AL
Address
cLAss coNrRAc roR.v,ilase
t?
ffifl #IJlrr:.i#' r HANA CS I
RISHABHDEV RISHABHDEV
UDAIPUR RAJASTHAN 313802
E-Mail hrlainca@gmait com
Status lndrvidual
Ward
PAN '^'.?Y11o:',',
AAZPPs718M
,DA,PUR ,, i:::'.il::'""" ;:T;:;l
Residenttal Status Resrdenr Date of Birth 19/05/1960
Nature of Euslness Ser Mafe
CONSTRUCTION-Constructton
and matntenance ol roadg rg,|a
tunnels. ports harbour runways
etc (06005)
*0n..
Method ot Accounting Mercanllte
Filing Status Ongrnat
Aadhaar No: 222465904191 passporl No:
Bani( Name
o," No 845o12so00o 2?4 ryp,s cash cred{
3llX,"Si"rrf#aro!1"* IFSC
Tele Mob 9828a983t /
Coflloutatien ol Total lncome
lncorns ftofir Hou.o prDg.rty (Chaptor
lV Cl
-91473
Self Occuoied prooertv
U DAIP e
Inlerest u/s 21(b) (91473)
-914'?3
lncomc trom Business or profeglion
(Chrpter lV O)
20155437
Prcfil aB per profit and Logs a/c
Add 20104437
Oonatton
Depreciation Debit€d in p&L fuc
Tolat
Less:
Depreoetion as per Chan u/s gz
24614390
246.14390
201554 37
Gross Total lncome
20063964
Less: Deductions (Chaptei Vl-A)
150000
168073
318073
u/s 80G Don atron 1s0000
Restncted According to tncome(50y0)
51000
Eligible Deduction
?
175500
PATEL
Fo r SHRI LAXM! LAL
,|
tL
v
NAME OF ASSE
E LAX IUr LAt PA TE
A
1f<-a 019 PAN
Total lncome P5 718M Code 149 V\-/
R-ound otf u/s
2g{i A
ueduclton u/8 10AA
35AD BCH ro 80RRB
(except sec B,p)
not ctairned hence
j;:ffffi
AMT nor apprrca
Tar Due
S,r|.rrarge
@ 15r.a 5779038
fducalronal CeSs _ 966!!q
664589{
TDS 199 3Jl-
Refundable (Round
oft u/s 2gg8)
T.D.s./ T.C -S. From

l,,lon-Satar as per Annexure,;
Yf
rCS(as F€r Annexure
9805964
Due Dale for tr[ng 1 70800
of Return September
Slatement of Curretrt yeo 30 2018
r Lgss Ad/ur!{19!!
Head/So urce of
IncoD€ C urrenl yea,
House P.operty
lncome 8us loe&9 Loss of
Loss of the
Curem Yea. Set llre CuryDnt yaa.
Sot oft
House Pro!,eny 91473
Bt lin"aa NIL
20 r SO{37 NIL
SR€uhllon Bwin€ss gt47X NIL
$rL NIL
Shor? term CaFdal N]L NIL
Ga/h 20063y
NIL N'L
Long ter. C"O,,, *,n NIL NIL
,llr!{ir Sources ML NIL
NIL NIL
' are: { II NIL l
Oss Set ^d NIL NIL
fi tL N}L
olsIGrrli4l g ane. 914 73
!L FiiL NiL
NIL NIL
t{tL
NIL
Oetails o, Oepreciauon
Padr( t..< p.t6 Op.'6ino t o.r
fhan rgo _
Loca Tot t SEres
rhao t8o S!br
__gqry .oarq Lea! fh.n
1432633 1379317 180 d.yt lShoft c.tn) Ctoa,ng
1043548 r69 5530
a 0141
EI.EC EOUIPEMTS
0
5 92 '
|
0 159053&i
co{t4PUTERS 65529 1r79t9 t 8a,a.a6 4
144478463
tolet 0 0 0 184446
t4.as2633 18E23
1388575
6
r06026 1 169111?1
10.t4 t8
0
201.6
2l 0 1693132! 2461,t390
I
Oeta s ol T.O.S. oo r{on-S.t.ry[g6
AS tmport Drts.20
Sep 20i81
Page 2
PATEL
For StiRl LAXMI LAL
lLt
A,'i
OF LA,\MI
AY 19 PAN
SNo 8M 1t49
fame ot Op OcovcJ-
Prl.r/c.!diisd
-/
NC ot th. Totat f5t
1 dcductEd
claimeat
r 598
2 {36249
PUSLIC
JO}E002E2C
EIECUNVE ENGINEER 685352
Pr&E OiVISION
JDHEOOlT5A
SUPERIMIENDENT
ENGINEFR
SYNDICAIE BANK JOHS000660
JOHS0o{r3A 3673716?l 1t4ta
SYNOICATE BANK
JDHSl59O7D 5297990
rOTAL 529798
5A87
569
{70996834
c005S4
r AS
S,No
tha Colloctor
fot.l Lx c.Jlact .,
lmoeDi out o,l.r
PASCO MOTORS ol cl.fied during rhc y;ar
UOAIPUR LLP
TOT L OELP
1r05i0
i 170800
Oetail
1
----Qnr Addrr.
Sy4drcate Baok
i,,cR ilo
8da,0r 2tu0oo224 rype
Sld6 Bant( ot ,ndr.
SYNDICATE AANX 5r0a8or1976
1 rctcl EANI( 6450??oooo35S6
6t3sc55@63
lncomo(50%)
1
I PEETH PAI{ of Oonee AIUOUNT
TOTAL AAATPO6T6P
51000
51000
Signature
1 r49 I LAL (LAXMI LAt PATEL)
---- ---===----
r1
fil
? a.l PRiETOR
l-
T
SHRI LAXMILAL
PATEL, CONTRACT
co MrRAcT ANO PRoFr ORS RISHABHOEV {
& LOSS ACco
UNT FOR TH€
YEAR E DEO 31 03 2018
216.140 By Gross Receror

124.969.41
43.221
I under VAf
.ggs
,|38,031.087 387.37r.621
Under cST
GST 69.931,7?E
78,061.112 E.39r 808
465.695,157
14, r63,796
4.637.801 - Wfp
8 391.EO8 & ,natedri af siG
63 365 174 9 364.180
789,966 By Gross p/ofll

1,019.162 ' hterest
71
lncom€ 63 366. 1/4
.252
1.056 748 5 303 666
u.218
2.759,313
52.200
161,895
,r.650
87.14?
1,292,580
168,000
E93,9.r0
160.512
2,455,388
5e"480
178,600
12,699,963
24.6 r4,390
20 't04 47
ln Terms of Our Audit

Report of even
For H R date
& COMPAN Y.
CHAR ACCO to"n^'
CONTRACTORS
PARTNER 47
.}
\"t o\ ;r*,-,,o*
'ei pnopn,er&-*
BI+E"H3Hif
-g
erreu
F,^r S1,Rr '-rxy'f 1eL
(*"
---:
,d-
U
SHR, LAJ(MILAL PATEL,
CONTRACTORS R]SHABHDEV
8AI.AI{CE S}EET AS
ON 3,ST MARCH
CAPITAT ACCOUNT
2017
\b
114,878.r'31 F,XEO ASSETS (wDV}
SECURED LOANSI
synd. 8r
(-O.D A.fc
3E,469,255 INVESTMENrS
171.O17.A?g
Synd House Loan
lvf€ciin€ Loans 864,0r 1 1..16,6.500
71,330. 160
I r0,663.426
0.364, t80
9#JE5gtog^tn'"8s a PRov 93,789,0r 1
93,329,git7
81.172 53.709,995
7.23e.14
u,37A
,0.658
Clsh In Hsnd 10.006 843
246 741 l0 286 tit il
lnI s o[ Our ol even date
For HR J/O
FoI sHRt LAxMr
LAL pATEr. ggr11q4gr6qg
PARTNER 5ll ''t't
PLACE UOAIPUR PROPRIET6-R
DATE 20.9.2018
,\
t[r
,,!..'.
(..--
M/S PATET coNrRAC TORS Ri
F TJABHDEV
AS SET
ADDtrlotl Deh&n
1 a zo17
tllt. dunng Uplo 'C
]0 8. 17 30_g 1t
31 03 r0 Ral4 31 03 17
uE tr
3€oo
t@000 oo o c 3OQ r5!r
i t20m c t00000 f5% !587t ,9
32?00 0o 0 c 12000 t5% ios50 6J
t5E90
ar6 110 t29
70nd)o 0
!??90 |,s{6 8 382 450
t5% tc5t I tg{,a
20(tr 0
d
7@@
3
1r 909
29t
a6 5r
3tO00O o
0 0 2@ 0 0 0
u2
2260@0 o 0 3fi000 0 0 0
7t000 7&oo
6Ot63rs lo32tts6 0 0 0 eqro
226@0 0 0 2@o
0 t0253om 0 r&!.377t 0 o 30!0s 390000
Maftndra J..o z5@0 o 0 t02530(m 0 0
0 z2s@ z260000
0
JCEoorrire' 250750 o
0 250@ ,$% 0 0 0
t63{r??1
r025fu0
60163t5
Gd Mrcr itc 1317668 0
r:r
250750 15.,.
24A00 30 2.630 0
RoEd rd€r 34500 o
c
l3trt38 t 5.;
2a7303
tl t518J 517 2.18?O
r70 200
tao00 ?s30
Ou,rp€r RJ A? G mrs 0 r50c r 5'r"
).118
rtt5q2g rgJf
JCB on hr6 2a.3 g, 296000 0
0 0 ra000o 159" 1E yzfr
r*ttEh RJ A7 7M 6362 rt3G505 0
c e9800t0 15%
'r 1400r 299 l Jalo6
lt{
292312 t69{ -E! i
tGg.? 0
0 l5365e$ r5+. 0.s ?9J r51
0 t53r, t7 {8ts
i&Cld. 200000 0
0
0 lyz $1t 36 t2.
822
l2ll
r53 | 939
rrcl.tro 3t000 0 :000@ 15k 162.7
Ourtpar 3!000 0
0
0
38@g 15""!
r9.o03
36a?E
886 rg.s7g "5f
50t I
Durr{le 76.000 350(E t6t 37046
M,tcrd. (trowJ
764@ 0
t 764@
r S"4
! 5,tL
33.2C ?36 3366a
95.
r87.80 0 7236r6 r338
JCF 0
0 70.000 t 5el.
5r56 771t7a
3 729616 28226
200 Msdl'l.
15112f4 0
0 r67{€0 15% t306t9
516A 7Uli. 5a:!Aa
a-l.s
Ir{a .{)€8000 0
0 0 157a200 r5.^ .177 r..l}5 29216 3,4 tB{
200 Ercasdh. r 310768 23,41
JCB O*ol
.35r0@
0
0 .&sqto lr,t tu1tu
335r5 r3502t) 22391"
??5€ i
3T50000 0 .35t000 1026.0 350737. 263432
Dl,Eper tt ot 0 15% 155l'645 5rr6a
PErar FEudDr 35.0@ 0
0 3050000 rs,.,i
3r0373O
1 8A53 3877a0e
e73502
@42€6
1r€708a 0 35{'000 tr% '
1?69.1 192356
I&8 i&n r200000
0 0 0 tlSroaa rg% ?7E1571 r 137Ea
3130671
7193eC 8a6270
PGtsh 0 69675E
2895335
6..€€5 7J8429
.125000 0 12@@ t5t6 .(}5a7 937315
Bdar! Jaag 897535 220708
pl{n r00752 0 {t25000 .5370 0{2305 2703r6
Pavcr 0 0 15% 3000s?, 2570e8
1Ifi000 0 500752 t5% 166603 3r69500 302a65
TrpgarlS16 ta 0 340223 055aIo
14?@o 0 ,5500@ 21075 r I240?3
rer RO1-rEi 0 15% 1009?62 3da3pz rr{59
CAR CHEVROTLE] 2r25000 0 .a?@0 15% 287to26
8'lllt 1030373 .7rt27
16052Q
0 0 t296 5.07at
r.000@ 0 2125@0 .r
5a ?3 31093?2 t3r067i
r6&t000 0 0 13A3665 ,1t?0o 5a !9ra
JC& (!) c l4co00o r5h 911592
l{9.t805 630 r 35
r
0 0 7316 t r41:35
TIPPEF.{2] { t20o0o ,663(80 153t 9362.,.
sa.cr3 ar5ta7
J5?90e. 0 o .r?60@ rsh I I?013 r 86406
NPPEIF.3 c 14.8257 6t
0 229527. 27a& 7{3 ; a;|!i:
CATERP{LAR
2369001 0 3574G5. rslb 99t0 ra
?569EE3 r5a6t r7
0 0
!
?lEZ0A
LOAO€R 52900m ir 2$)9001 15,.1 t 3,i7E62
2229.22) r3.98.:
0 t5767t
CAIERPC-I.AR I r0o0@ c
0 1i&xloo r5"" 2 2199
!r75533
893.68
0
Sott C[r'.lpACToR 6E600@ 0
0 2100000 t5,a I t6E2r9
-r,(20co t?!a6ra
0 0 !39767 ;107905
IPPER. (2, ?16560 c 6860@0 t 5% ?9211.
0 0 3{t16r82 .56573
TIPPER-f2) t00oo
3 t 0 3rr5o0t, 15% ,263623
4272i55 2sef2a5
3r06000
0 € 3f,ofito ts,( | 71616 Irt41439 li.JB r3
]IPP€R.{2) 0 0 t6383.8 22Ss8 100 r8?7 I r85{41
tu27 l,jrB 2{aO 3ff{mo t 0
0 3r$@o 15% 189792
r@&40 l$i05a 153005;
2*2012 35amo tr,t 231aal | 88a275
V,BR^TRY Cc|lltPAr:1.l 0 0 t035382 257'121
t3!1r27 15.3?Ce
TtppER-GB5r6S/s- - 256.260
.r6200@
0 0
0
0 lzyua 20u14
209t003 11370t7 1711tla
AOIEEO JEEP 250{?80 t69t r235270 r.36E60 1146052
6000e 0 0 .€2ff)00 rS* 2@3i2 1137A22 134829€
KOlitATSu rc 210 0 0 2:O3930 37741I
t lat5li8 13.t9010
$FARr 582s000
0 0
W1 286706 a6lar
286r3.t 2r 3E6rs Z5l6tr7i
115000 5@5000 l5H 333f7? z,622i
0 o 20887r 5 44u13 3 t t?t<
r87874 0 t550000 tsr. 7,i0t00
3 !29t5E
2{.sd[,12
0 o 1213s' 293d?65
s62s00 0 10:€97,1 tsri 0622a1 6e7143
0 4 t53923 r0045a 8081 10
s51600 0 E6a5o00 rsE 10u381 e!.583
0 212*31 r230J i
970aa{ 0 0
0 55i8@ 15* ?38a5€7
479305 ?e36 27 r6(t
r
3985-rs 0 0
0 ctuul 16$ 32t89?5
17121O
9728€0
?050807 2070193
3 t95169
3r41403
r 5926000 0 tr!6a79t 15% 41C1655
0 0 s980,8
| 3lotxloo o ,5C2500{ r5i1 5063,t rr0d335
ll 0 23687a4 2030.38
.tg20d) o r3r@o00 r5% a{ r9r8€
cAT 424b l4l 9e2300
Eqiem l4i 9€mo00 0 0
0 .r0ru0 t 5.r 368906
r6r 16?5 2t00 at
2616198 o 98@00 6187?6 '
lO,t5E87
Rodrurieier 0 0 o
15% 735000 r 35gr50
120qMo 2Er6189 l5'i 2Oe17,o
Tppper lg,6 tlol 0 0 0 21t211 390?48
Uln€Iader 0 It00(E0 t5* 900@
60!s?
0 0 r€d5@ 256500
Cru.ihcr 0 0 r3 350+€ 2i59750
0 3lto{750
OG 0 c t 30200 2.08ro
0 l7?4800 l5% r33rt0 37ro?o
r(xomo 0 10t.18 2.42'E
r
0 16.3962 15% r.5903 3?9t6,.
12tu(EO 0 0 I t0a0@o t 5|r 2y70a a006 12
0 0 tIl6000 5i 1800
2.0008C 0 123@00 15%
|
2f,sgsc
4:OO?&)
0 0 0 2a0sd 15q(
0225@ tlEd2t 2f,29tI5
0 0 | 80073
0 r23a0000 0 4200000 15%
334 r38 5 rflr t
DG Scr 0 0 123{0@0
3r t(80 56?750 4977:'0
o
0
0 tE9030 3. 0 tt0a:10
rS",,.
t!h 0 r&rtqx, r65r000
0 370312! 0 3703125 l39; 0 oE 14 867L
0 1a53{75
g05n
50aajf3 4 0 ,296Q06 t3%
tj n77!+
0
0
rt 70,8 6"a 0 It4.r,a€ ri% 0 656212 I
257A2'7 4020,4ia
?1*? 0 ,882? 54
<O.r"
0 2O1a6 8e
rr-.
.-#,'
-ri
It^
, o-sAMArA roofli.fo1f, i,f/ tu",sEc 3. uoArPUR 1tl
,rl,r,
t.A .2O- /..1
"."olr#
Gro,ip Summarr
Jf -i,1ar-20r6
artlcslaat
_ crorno g.{rnEc
tJCOd
L16(!t
3.r,42,509.00
67 ag1 69
3 10.320 oo
2 02.227 ao
2.66.493 0o
31 964 oo
58.755 oo
39,536 o0
15.00 000 oo
5.139 0o
7..tS, 206 OO
2.80.400 35
19.90 550 oo
22 959 00
36 648 oc
5.27 219 OO
I 12 65r cc
28 628 oo
41.74.709 81
15.00,000.00
12.2E 763 co
15.00 000 00
3r. t z,gz3 35
3.00.000 80
28,4E0 OO
33,60.666 0o
7.08.025 oo
3, 17,281 08
,0,62.000 oo
3 19 988 oo
68 978 0o
17 42 115 oO
8 05! 40
83 33 ,' io
1 58 106 oc
46.96E 0o
34.40,000 oo
13,514 oo
1 82.095 @
77.516 oo
6.44 584 oo
200 00
SHREE NAIH CR USHING 8.32,223 oo
P LANT I
SHREE RAM EARTHMO 36 771 92
VERS
SHREE TIRUPATI BALAJI 17 21 128 11
TRANSPORI
SHRI NAIH AUTO ENGI 3 30s 90
NEERING
SHRI NATH TRACTORS 35 49 /30
& SPARES OO
SHUBHAM HYDRAULIC 4 190 0c
S
SHUBHAM TRADING
CO
Shya m Frlling Station 38
7 4f,
Ca.ried Over 4e (1) :t,1 4 r
{1 ,
I
a.. 'tn 44,88
.86 5.90
coorrnueo
F
ll.
I
to3 1 8
.\)
Erougtt Forw a rd
44,86,9i1S.92
{,31r,80365.00
4.74.21 999 92
19.462 o0
13.244 2A
15,058.08
1,12,148 oo
4,00.000 oo
8,25,750 0o
,. 10.559 34
Graod 2,56.945 oo
fot.l 55,36.430 67
I.E2.500 oo
44,86,949.92
.17
Fo{ S\4R\
c 0
rosaurrn Ne#isf,ffi,,fl ?r"ff,r." ., uDArpuR 9o
\
Sundry Debtors
Group Summary
t-epc20i 7 to 31_Mar.ZOro
ParticuGii
Page 1
Ctosing B{lance
MD PWD ûebrl
SD-PWD Credrr
1 01 4? 881 OO
Gr!nd fotat 4 35 62 114 0C
5,37,09,995.O0
r^-
rt,'u
rrtl LAL PATEL

LAX
Fcr SHRI
:/
SHRI TAXMILAL PATEL,
CONIRACTORS. RISHABHDEV
iilrffii3l"o5u"oo,I"rx3fi' REcErprs DuRrNG rHE

YEAR ml T_'8
l\-
AMOUNT
1 PWD, CIRCLE UOATPUR

x87371621
2 PWD, (KHERWARA)
22242771
3 PWD DIV I UDAIPUR
21,812,4U
4 PWD SALUMBER
34,26E.301
465695157
(* ,ll '
,t
4 \
FORM O. JC!
Aqrll nDo.r rrrtr rar 1611151;
lscc
rcctloD .HAB of tt
*.*i;1Hi:,J,rjfll,"r-*" r paaroo rcrarrad to ir
l0U and re
for thc pcriod
frorn 0l
2. lllr
ceni$ lhd the b{lar}ce ge(' a,|d the
head office at aac in ag/Ec latlt rlith thc bools
ofaccount msintaincd al
thc
ar|d I branchcs.
3, (a) r+'. ilporl rhc lulorring obiervationgcomm..lddiscrcpra€icrincorl!istenci!s;
if any :
(b) Subjccr ro rbovG,-
which. ro rhc best of 0[I Imwl€dge ard belief. ll€re

mcess.r,
by lhE head o|ic! alld bft.nches
ot ulc asstlrcc so far rs .ppcars
€xarn inatiori of thc boots,
to lhc explustidE givcn to llt rfi€ said ecouds, nsd
l9ll :ond
4. Thc stlt€msnr ofpafliculars that datc.
.4AB h€Ewirh in Form t\ro iCD.
5.ln q.u-J
Form No. lo to t-i lh€ panrcularj givcn
qre ttue a d Siven in rhe satd
lo
-..---.--.......
I I tOthcrs
rle daj ;rFcns.Gi pe, srreor"
Place
Datc Namc
Itlemhrsllip Numb€r
t-R\ rt.
t o( St{R\
l:tl
\t
-----
I \ume
strrc,eor oa p..rirt ,' ,.qrtr.a ro u rul$XSfl?.*rio.
s.lg
FORnt !$o. JcD
or tha lacoEc.Jar Act, 196l

fi.
lhe
lBIDEr',. I chil: lat sltA RH DEI RtsIABH D u\'. UDAIT'T'R,

ccounl ( ,
sl ltrti, JIJEOI R
lhc
drq Pay
scfttc€ lal. and
lax,cuatoms
dury I f plcasc furnish rhe tctisharion
numltr
n her oa other idcruincaliof, numb€r
alloRed lor rhe
s T) P€
\ umber
I
5
6
SgcssBent ,i'eal.
E lnd catg th< relB\ ant clausr
f under
st R cletan audit brcn
c searion {.1 AB us&r which rhe bcen
rf
tf IM of
of A()l!. lrhcth.,. sharer ng rattos.
I_mcrn h rs oate or untnowr ?
{ 9;,
b I the.e ary change lIl F6rtners
.vear. thc lsrs of suclr s tncf dare
Date Name
I
changc
I
, t
i, iifti Ht , r-mS--
h lf there r €tt.
lt it heth.r lccounti atE

A.i yes. lisr of
,t h accolJnl
arc nainrained lt rch
prr slst€m lion
nre k pr. In
boot5 OI accoult b,'
not k"pr location, plcase firmish lhe sddrcsst! c({nputer syl tcm rhe
mtr of locations dong irh drt!i of books
cach Iocation. Snme It a f
I
tcd
Linc I
ity or o, State
I
Disricl
I R\AI- COITPI'TERIZED
(' I ollic.
II c L rsl books accoun! and naluae of rclcvanl etam ined Same
ncd I ahove
I UD{; UR
I \l hetlEr pr(r
an!' pm ts arrd
(runl ahd Ih( rclevarl otl ycs.
setlion D. +.1 L f B. 14BB rcate
an1 sccttdt
{{B B 448 11 B- Chapter x € F ,nl Schedule
Socr
t -.\ of ln lhe pre!r

)_ear 1l
For SFR
IL,
/u I
.{ $
I
tte immediat elI

hat rn i)
ll c to ( b )
cal
tn
ch . and (ha
I l an)' a4 rrstlrrE tt is rquircd IN
oo th!'
lncome ro be lo the ,
and dis.lorure srahdards ndi or
ti c lo fied !nd€r r€ctton I 45{2 )
'ng lhe
s ln the r-
ofsuch adi u$rncrls. ___L
I li( Rs.i
ll &5 per s
n
I { sl(rck em p ed in thr
II case
metM of valuat
ti€ profit or loss. prescrib€C undcr sact
ron
tumish: 1.1 th€
,5
(a)
of I ,o
rn pro
of lrdde 5.)
assall
Date c)
aaq u tsllton
uisitlon wbich tie a,ser
rs con!/eflcd into
I mounts not $rtrk-i,l ]rlde
lo afld
t6 a rhai;ls fa-iri; rvith n thc
b€
on
crcd
ufierc such credits, u bactis or rcfund
\c ta\_ or
alr adnil]ed as due
as lilt or !a
lhe surhoriries c(rlccmc.rl
I c
Amount
l6 motnt
clher ItCm
I6 Amounl
l7 any laDd ot (rr

I 8ss€ssed or
less rh an UC
of lo in scction ot _(0c 0 lease lurn !h
I
prorcn-} h Cons \ aluc adonred
I receited or assessed or
I lars of as per accn cd
Ad. Essessable
be, in thc:- I I rn rcspcct esch
aK$ats. a1 lhc crtsc
ioE o rUonl
wDV (A)
Bloct Subsidv Total tlc n
tron (ln Valuc .VAT (c)
l
Arsct' (I)
in Ratr Crant Valqc of Down !lric
Class o
Percenl-
(2t of Ex (4) Purchases
tDt lar thc cnd od
ASscG chsnge (B) l rc vca, I
.t {3) ( l+2-l1.t
Y.c}hGr) freie-c-orf
l0t { r8
I59,o
10.h I
J
t9 AmounB
sccttons I
Adrount rGd to mOunls

I rhe
pmrir and loss also ful fi ls the condil tons.
Pr'
r an! i1. 96 J rrd
accounl spec, fi cd under thc rclcr
ol ome- ta\ 96 ot nc ofile-14\ R IJ les. q6
xnt
r_ircular lc., isswd ln rh anr olher
f
Fc
,1
I
*.(.
I
An)'
lo him {s
1(i
divid.nd
ot
lo( I
lssron
wherC
v/
I
\ for
to in
-16( llta)i
I reccived pa!,nenr a!'ltUi
iiom alrount paid ol pay|rt.xr
the
I
216t
r tuod I
rorirrcnr I
P
.r.t6 /l
7
I.'ird
I
t
I
amo0nrs to
ctc 6CCOUnl
r3l na turc
llt re Ireasonal.
expend
ulaJ,t
AIn( n
\d 5Cnten I c\pend ItUrc an) Amounl

nflifulars trtct. or the like
try partr
al cl ellrance Amoum tn Rs
Amc
j- F\
FCn orfi !tc tron of m(.,unt n
t;me
Er
{i} as
o DloUnl
rla! ment palmeflt !ha PAN
paymenr
the
p&yce,i Crty of
Lin€ I Linc 2
ls pa) ment on lvh avaliabre Town OI
bclbre $e cr oitime but has paid Di!ricr
li undct $e o. in lhe
Datc l) yeu
Arnount alure 'Caa
Name PA
PA) ment pa\ mcnl pd!.mcnl lh. palee the Line o,
I Linc 2
pa),ee,if Iown of of la.\
Districl
{ ii) as menl refcmd to Evaliab dcdu
in
(A)
ment on I;L\ nol
Date mount Naturc
psyme AN
Gf paymenl payee
t_
thc
FY paye€,i f
L ine 2 or District
tax
sub. seclion l) ofs€ctioo lJ 9. lcLr bul ha5 not been oh oa rhc
Amo Narne
paynlent of ciry-
lqymenl thr p"y.. Itc Line Amounl ot
I Lihe: Town or
I
payment I
payc€,if of rarlof (vr
Districr doduqcd
illrJas pu) ment a!aliabl.
to in rub,ct ause (i
tails of nienl on 15 6 rrl
pa)rnent
o
of
th€
ine I rcss
\b
pdyee.if Linc l or District
,s of Pa)ment on avalisblc
sub- seclion has
I) ofsa.crion Ii9 but nol bcct paid on
dats sp(c, r'icd
paymeht ol lNarae-A PA^---;i
palraenl or
f*r
pa!menr rhc Line P
I Line : Tolvn or
Fq/ce.if of ten of (r,l
{ avaliablc Disrricr
) under dedu€ted dcposit.d. i
5U
(vl vcallh taia under IC
(vi)
s€at,ic\c erc_
(iib
a noD o
Dare mounl etc under
iU- 0
palmcnl paymcnt payee
thc prye&
8vrliablc Linc 2
ta\ for pcaqu
{c) A under I
to pro rl
lqb ha) and st, salary, 0
t}ercof;
leu
c T) rsal Admissibt<
c Inadnri,libJr
erp{nditure
rhc
cheg ua drs*n oo a baaf
Pa! rnqflt
ccount
of
\ urnbcr f pa.Ye..
refencd ro in sectioo .IOA(3A on ablc
r rcad tr irh
pa.ver banl
lf rhq p eE chcque drarln on a ban& Iraymenl et
or ltccount
fu rhe profits ard gaIrrr
of businers or
I
l Pal mcnr
I
ccounl
Number of rhe pa!
An) sum under section ovdilahlr
Pan iculars 'cr !
a coht rDt natute
it
h Antount
does Dot form p&t terms of nt tn
Df ths bul t.tA rn respccl
i ncone rlur!- rncurcd in
rncon'e u hich
rrl Amouni
under the pro! lo mounl s
on ,(i
tr
the and En lerpris€i
lars an\ opment Act. 0
lo
Namc Person ( x h ),
Relar
mounk ,ed ,4rn()utt I
rts and Lasaction
il
iFr-
An y amounl
D l orl
Anount
.?
l0 Ia\ scclion 4
26 (i). h(Xl O r
In reslrccl o any sum
rEfenrd to (a),(c),(d ),(c).(
6 pre-cx on the IirsI ot sccrion 4JB Ihc
aad was :-
previous ye8r
u-as nor
ii for \+hlrth i-
in rhe iliscssmefll
)( )
prevlous *---=..--_--- preaediDg
Sccl ton
\ atulc of abil t-r
A Xb) dte yca,
u'-
For Sllr':l
tit
I
:6 (i)B rn
( 8J
date
rclum rocomc of
r
( Amount
)( ) not on or the date I I
I
9ales lar
du D eIc cuslolTts l'er
5e dury olhcr indirecr fax^ let?
rnpost ctc p&\ srd ctss, I1_S 'lAX 89J910
lhrourh I fie pmfir R'IO I 2125t0
0c('ount and loss
a nxrunl
aiue 'I a.x
ea, sJrd its trcr]'Irfilt in prafitord a\ ) arai
Ia\ (- rcdir(lTC ) in ace-ounts lossacaount tnd lrEatrtfttt of outslanding Ccrrtr8l the pfevious l_o I
( Vsluc A ddcd Tax
t:\ ITC Credirs ,l
tn
[.oss' Accounts
I
Clos
Balancc
77 b
Intorne
pc to
jAmount
to
iaelslcs{ year in yyw-
]E dur !J-format
prevtou! ycEa
cr)mpun) in whkh the an-! propelq.,
r( ferrcd to in see(on
Brbtic r $rb$altir lly u ilhout considcr.alio, not
5q: ){ ! iiU or for
a
lhe
pertorl from person.
which 5harcs available Recciycd
ar
rccci!d consider6tio, vrluc
paid
of lhe
C sharcs
v8l0c of lo io:cction the

I
of rha
shar6
it varu! of rhc
an-v arnounl rs shrrcs
lo asi
rat'carcd [o in claqs. (ix under
) <'f ) ofs..tion
(2 nclrne frorn orll<r sourEat
a5
I ncome fumish thc derails.
,{mounl
a)
ls be
I fcrred lo ondet
of Ul} \ticl ton o f se(tloo ,16 :1 Y f D firmish thr derails
on hundi or any lullotlnt

d th{reon (i
accot nl oo (he amount
\.,,lmc Scdion 69D
the
I ly or Stale Amouni
Line I l- ins ? Torf,
PCiSOn person, i or borror+cd
Districr due
fro.tr al.al-lable
I including
whom
rmencst
amount
btrrolled
or repaid
otl hundi I
r pnmar-rr
to uansfer
lhc prcvious to tn (l)
)'ear has \o,,--
LAL PAT r:
c}]?.i LAXN
Fc(
tL.,
il
b f n
U (ln
No. ctrse of sut- tu.1 orollcy availablc thc les. ercess
I
amount tin
scction (l) prrltra.v witi lhr Bsosirtcd ns.) of irnputrd inrcrsst of repdristton
s€ctior 92CE .djustnerl qrcrpris€ js hn
has rareoiE On isch arccta
of moaty
prlmar, rcpdriatEd ttotl€y which hls
adjuEElcrrt
rcquired b bc \ ithin not
lh€ b..rl rcr.triltrd wirhinl
is raParridcd to tndir prescribed
mtd! ? rime. the prcscribed time
ts t€r E Fovisi@s
of tuEsrction (2) of
rec oa 92CE.
t( the asse$ee has i
I rhc yeat by I}ay
one croE refcned or nature
In suE stct of secton 9{B
s No. moont I be Aflourt s.
ofi.x pendiure by rhleresl. rntl:rcsl of IOtCrc$t
pc oditure by qa!
way of intercst o, deprec expcnditrre brought erpcnditura
iarion and n Icresl or of csrried
of sirDi lar stm ilar forwud {s
amonizalioh sub" for}}lrd ar par sut_
nature os fer ) ab< ve sE€lioD (4) Sr€t
incurrad EB ITDA duri n8 !th
0fteclior st0tlqn (.1) oI section
ch erceads 30q6
the c{8.
)ear 1 D.\ per
Rs Amorlnt
above
iin Ri.l lrn Rs I
lhe entered AN mperm rssthlc a!( arlangcIl!3flt.
during the pre\rous ,(rh as lo in
s icrble from lsl I,ml9)
rl!
St \o
Amount tn )o in fie
yesr ansing. ,n lo
the panres lo rh€
I d ofeach AT Dt CI the llm
thc previous fi arccplcJ
Ntn c
Amounlr un)
lcnder thc ln
Aatount of logr lhc oulll Or dcposit lorn or
ideposho, if o1 loan or JUl$t8r1ding dcposh
aytilablc deposit
taten was hlen o,
al,ot soCrptcd arYccptcd b)
I
I whh fie tstcn t irr e drr ring
a5lcl!€e,
i b_r clpquc clEqu. or bsnl
or
acrcprt&p
dr bllll draff drafl, whcrhf,r rhc
jauang sahe u,as tolen
tc or acceFerj b\
frhe
d('positor a,l accormt paycc
lprevious s}5lcm chcque or
.,- ta, through accounl pJ\cf
bank rccollnl bsrk d.sn
3 e'ach sum ln an amount n8 th. tnl
thc prcvious yeaa:- sPec n Secfton
r
lalen or acccptcd during
I S-l\-o. Narne of the person frorn
pcrsoo from whom sp€cificd sum is Accounf
Amounl !he ln c8se
the
I wlrcm specifid reccivd of specified sum speciried sum l,las
Numbe, ( specified \4es
sum i! receircd lalen or tskdt or sccpted
available sum taken 4ecedd
by by cheque or bark
trith thc chquc or banli dmn. whethcr thc
I
arsess€e) acccprcd .dratl o, ust sam€
I
the pc.son was l,llcn
i
of €rcar.Gnic or a.ceptcd b)
from whom
iclfaring an accQlnt Polec
spccilied Ihr{Egh a hant chcquc o,
I rum is
nccounl
an
paycc
rcccivcd
h&nl dreti
(Panicu al (a) (b) oeed flol be *rc c{tc a compEnI.
by a Cent,-rl, Slatc or Provincial A ng cofipan\ or a corporalion cstabli\hcd
Act.
Har each rec4tpl itll amount tm )l spec n
a dav ot resp€cr of
single transnclion n aggregare frorn
tn
n 16pcc1 of Ir[nsactions
d unng prtvlous ) altr, whcre uch rec€tPl relaring t,:) or occasron
ts othcn isc lhan by a chcquc
Y5lcm thr, a harlk a!_COUn I ot bank draft tc
L
l
,^sll
l/
' P'P16{'
NE ne
lPevcr
of rhe the Parcr )
Ac!-orrrE rr.ns€ctiori rccsipr
I{umtrr (
avaihbh
$irh thr
the
I of ln afitoUot
doy n o f a single frairs€ction ro secl lI
aEcei\.ed by a ch eque
n of trgnsaclions ing Ferson
bank drafl_ being ;rn account lmm
Jral ee chegue Person
JN accounl pa) e€ ban
I draff, during rhe
rhe Pa! er
of the pr!
ccount Attrount
Number (if avrilablc urirh
the ls,sessca .1 of th,c
lt b(c) Panicu lars
tn da)
peason
a P€r$on,
previous
thr ['a-r er
mount
Accoum PEymerr
Ntanbcr
I
]atailabte
whh rhei
thc
J I t{d) each an
da1 or in r*pect ofa rngle IransEction lhe i tn
I o, in transacti
io a p€rson il
a or blnl not be to onc cvclrl
made
banl drsft,
P.yr€ lncnl mount
(if availabte
il of
(PrniGEhrt I (hr), (hbl (bt) llrd (bd) nt.d
brnti!! (-om oor bt gircn in tl! cl*
Pt'l_r, I polr
J
:ll ro i! s..rion 26qis
0r anv
2691 an atl( cxceedi ng rhe specified
payee n c41e
rapavmenl
rcF6ymell was madc
I
i
Numbe( rcpaym
n wa6 ehcquc or h
!vailable madc banl dnft, utraher
thc rccou1t the
I with rhe
€J b.v c,hcqur sarne was reFaid
by iut
any trme during or
bank account payc! cheque
tbc previoug draft or usc
or
aa gccoud pa-vce beot
lhe palee
)'ear of clectonic dnto
clcuing
s)stCm
rough a
hE------1-- bank rccount.
l d of rcparmenl or or 8Oy
?6gT .eccivcd othcru.isc thsr !dvance ao ullount exceeding
h\ a chrlue or bsnk drafl thc it
dur lhe rouS ycar_
oa use ofclecrohic clcoring
!ystcm lhrolrth { ban} accoun(
Name of
lcnde
deposi pcr5on de,rositot Accqunt Num ber Arhount
oa Frarton from available repayment
from \rltom spccificd r..hdn rh the assessee)o
of
dvance ir reccivci
spccificd !dv.lc. lcnder.
deposilot
T lhe lo6ll or deposk or
is rctcivcd
liom whom sp€cified
person any spccifrcd adrrlce
ad IS .eccivcd oftcnrisc
leceived thsJn
by a ch<que or bank
I
drafr OI u5e of clcCrronic
I
I a
tm<
-t
r:L
F cr Sr';<'
4
I repaltneEt O loao or
269'l rcccivcd t, or an! speci ({ advance in anamount exceedl
a chcque or bait draft which is oor eh accoufi PAyee cheque or
ng ttr Spec
year:- ac counl p4yee b4nl drnn dutihg rhe
hc erklra
d{ rttrr t\
itor f.ortl
h cri) fierl rvhoro ficd advan (t leoder ]dt tli! of d(
Edvsjlce fei vcd lioln tutt Id\ fln!e
advame
thrn
b-v a cheq taal
of r (ljlrori
clesri llg rhrcug h .t
bark II
ote: { !au Pre!
ar (c). {d) (c.) need
talen or icaeFfed nof
ofa repayrnenl ofa v lh! c$-{e
liom CorernrRent Govemm or dcFos ,t ot anj, lpe.iti(d
or Pmvinciql A .tl eln oompan), tanking contpan! nd
or a coryloralhin efla bJirIed hI ,t (,{Ftrrll srarel
I lms or
anae. in the
r€ssment y i\,1ature
rng lDa ,er. lo r\
i S iud
rctumed asrcsscd DoLe
b \Ifherher a
the l$i5es incurrcd prior raksn place ir rhL. pEvro{rs
the r dut
section 79
l.o
rot bc allo$ed tD be canicd l{ear ot 4pplicabte
fon+ani io terms o
whe the,
lfl€-( l, rn sectio[ 73 d tln
dcrrih tutin
.]2 d hetller the Jlctrlted any i
JN
rhe prca 1l'l respecl 0f a:,l)
flrs mirlr
ollhc rirn?
32 ln case ,!' {IIlrpany,
lhiil c{nlpany i\
8s ref.Tfed i h explrnati med to carrling on s
lfrts. p,ers.
tion 73 n bu!i,A;l-i;
roish ol
ring
Sect on-wi
ad ulder
j tron
it
r., J. tllf
f&\
l
I i
l9{L_ P .\l _\tL\ J.]
i 61(; I i:-l
j i
I
I
I
I l\r sl B-
(.ON'TRA
I
CIOI{
2 PP5 l9.r"I_{ l)
lt \i 5 :00
0
0
I I
I
I
II I
I
f
J
r,ABL
IMMO
I
\u
tSIt
l.rarnorrb
lr p.upan
, olLr tl I
ri rlricil
lcnl hod
t) the assessee rcqu lo (he flnlq,leDt I
rhe details: of ir.r ot l3x lfyes
S.
8nd collcrrl:on of tumisbing st8tcmcnl
Account Numbe, Form ishihg. lar d.dudcd o. collcct€d famish
iffum,shGd contains inform&ion iist ol-i
(TAN) dElrilg
sll dctsilytrsrstctiofls r&slctknB
wh ich arc requrrld to bc t+hiei tre
,
not
I J6.lC 1
I I
I
,l
I I
i_l
rhe ts lo uoder ( IA) or
! es. please at
D.tes
rrt lintercrt under i
I
a thc a
tem Narne ll lraded
I
stocl les ldurins ercer''
ldurinc
-
irhr I
ifrn,,
I
lrh. prcv r(rus

i
I I
jr*ro*
J b the case
and
l5
s
sttrck d!ring
stocl of
prRviour ycrr the lhc
l"s" €xcess.
finished if any
Iprr"i*" iptwiorJ lproducS
eaI
S.No Item l-8me In

I
stock during manufaur- prcvious yca.
I
thc e{
durin8 cxce6s.
prcvious the if any
Fevioils
I
roducls
s\o I rcrn \
Sales during the lng slocl
rlock durirg m a! u t'sctur- preytous yctl
rhe duringl
prcvious pEEVto0s lt.- aay
yqu _\ ear
I
l6 ln thc ca1e of8
tax on di undea sequon I I
No (a) (b) Amounl in lhc
(c)
of dislribured rrduction tar (e) otel ta.x
redudion as psid rhcrcon
profits referred lo Amount
h rcfcrrcd ro in
L/.L P'ITEL
For SHRI LAXtil
seorioo
(i)
ltS.OltA) tcqtion
(ii)
ll54(lA) \$
I
an), ,nount iD lhc
cluu$ t22) ofscstion 2. If os in
the loi lowing dcLail::.
I Amoum )
iutt cost
yes. an) d Jrl

'\ nt, ic! til(
ma' b€ reponedSdcnl licd rhe cosl
an) audiror
--
under lhc Central Exc al I
I yes givc lhe s ary

maner iletn
or on anv ___lapplt(rfir
ma!' be repo.tcd,'idenri licd by the
auditor
ahy
72A lhe l- tnaice Act. tqo{ rn
may b€ reportc4lidcnt ificd thc audiror Ia\able
If yes, an), of {pIli('i
I ron or
mattet/ilcm/val ahy
be by thc suditor
40 trrmovcr. gross elc rhe prcv
I ) ear prev
lous ear
previous car
aI otal tDlnovcr
ofthc lsscssec 442C t 5615
b profit I
Tumowr 56r
,1
Tumovcr I r56 -I
I
Tradc I 44 0
I
Tunpwt I
coagurn€d/ \) 010%- 1
Finished
gods
-rl the
QT
i
ot
trActI 5l and weollh ra\ Acl. l
Prer under any lax Itco,I]e-
F to !thcr
\^ hich Amount
law lrrisdREfuod
I
refund relates to
frcccived) p
to fumish slatcmffit IN Form .6 orF qm No, 6l A or Form
!'es, l-umish No. r8? r
orln
F pleasc
ltdoepanmerr furnishing fumishiog
I
Rcponing Enriry contli?ts list lhe
ldenrit;c6tion
fumished inforndion ltrout *'hich
I
Number all detail& rlot reponcd
lrEn5a6liofl5 \xhic}
tre .rquircd to hc
I { I rhr ot parcnr cn lrt) al lemale rcR)n cntrR I iah le fu rnish lhc rcporl
ln suLLs€ction ( f
o secllon
reporl Name parent
No. beei fumirlEd by of n!
reponing entirr- ( ofrcport
lhc .sscas€e or itr
applicable)
parcnt eolity or ar
allematc Epottiog N
cntiry
Elsq
{i'r
For r
A
-l{ lJrcolt -up of roral ctll rlres or aot
April,20l9
Total ln under
Erpendirule lo ng to
IO paymenl to rclniing lo cn tics
incurrcd during ot Servrcc! emhics fallir8 rEs,stercd entiriqs lnor rcgisrer urldar
lhc )ear €xempt undcr
osT cofipositioi
lchcfta
L
\il
Plqce l.?rDtPt R itA!l{I,

Narac JAt\
Dal€ udDau! Me0be6hip Numb€r {e0*5t
PRN (FinE Regisr,otioD Nurnb€r) 00ml61(
Addrqt Arll.g NT Pt-r{Z{. UOI.{POLE.
310 3!3
UDAIPL{L RAJASTtrAT{. 3I!iOI.
I
I onn Frlr Dctails

ginal
Description of Sl.No. Date of Datc put .{mount on account Total Amount

Block of Ass€rs Purchast use \IODVAT Exchaage Subsidy
Rate Grrnt
Change
\lachin.^ ir o ItJ.t000{t
157"
0
ti
I lti/l J70t 125

I
I 0
F-----Tl.- ts25.r!.t
II 0.u0
,10
0 66529
t] I I I l? 0 I t:9 t9
.)l' Plrrt & I
I :{{ I J{ t.I
I t? 0 2I76J
Mrrhirr.r! (-Al {07. ,l 0l 0f
--re-i6.1
It.dscl
Der.riptr!rR ol Ill(r(k of A Sl.r"o. Dore ofSsle elc Amount
I J l)/{t6/:0 I : t0l{l8
(l
-10:i
Totirl d 0
\'
4- ,J
INDIAN INCOME TAX RETURN AGKNOWLEDGEMENT ASS Year
[Where the data ol th€ Return of lncom€ in Form ITR-1 (SAHAJ], tTR-2, tTR-3, 2I 7
rr({t,r6-+.r^{,'.^-.06..ri,hr\cue,i..iijii,..i,r,irrincigiidrs.Enarrrcj
1
LAXIII LlL PATEL I
ItM
ÂZPPST I
flsdl)oor/Blocl No Ntme Of Premises/Building^yrllige I
AA'cl,Ass ( oN'rRAcToR Vilhq€ : TH,A.\rr laa bean

elc(troni.rlly I'TR-]
aa lrtnimilt.d
Road/.Streer/PoEt 0ffi ce
Post: RISIIABHDEv, T.hsil: RISIIABII DEv

^slrlus Individual
RtSH A B DItV
4- i own/CiN/Dirrricr Aedhear li u;i bei_,E.n.a ll;i. E i lL l

i= T'I)AIPTIR ItAJ {STltAl
3r-1802 l!246Sm4 t97
Dcsiqnstion of AO(Wrrd/Circlc) i irtiu'.,ttto tti l.ltn.rrtpt rn Ontrnal or Reviscd ( )RtGhi AI
[i-fi lrng Acknowled_uemcnt Number tror.u?rrror? lDare(DDiMM/YYYY) 2J-0120tz

(iross lo(rl inmmc 1178t2t7
Deductions undcr Chapter-VI-A r500fir
l lolal locorne t76,11-t2U
I
la Cuncnt Ytar loss. ifany 0

lo
l< Ned (ar payahlc @58677 I
lnlercslpayabl€ 0
cc I
= folal tax and rntrresl payable lo 6058677

'la
0
<a
7b 9 t470J6 I
i3"
li
?i;
d Sela A\lEssnr.nt Tax 7d 0
I
Tutal Tdrcs Pa,d (7a+?trt7c +7d) 1E 977t-]66

rt Tax Payable (6-7c) 8 {)
Relirnd /7e-6) l7l269U

nculture
t0 Ererrpt lncome
Others
lhrs rcrum hrs b€e drgrrally sr8ned by LAXMT LALPATEL in thc capacrty of
having pAN AA,zPP5lltM from lP Addres! 103.7E.182.214 or 23-(x)-3017 ar u DAll'uR
2l{601ll:lrl4rl549El9lCNdnletryF sub-C^ tin ICAI Clars I l0l4.OtJ=SutsCA,tFS[y IclhnoloBiEs Lrmrlal.C=l]{

Dsc Sl No & rssu.r
DO NOT SEND THtS ACKNOUTLEDGEMENT TO CPC, BENGALURU
() n.,u
t
I
I
t
I,A]O{I I.AL PATEL zLa,ZPP57 f- Elt.tl
KANJI KALAL I Starus INDTVIDUAI I
LAXMI LAL PATEL I Resi. tiesident

Address:
.AAI CLASS CONTRACTOR iTo, hARD-ii1), uDAi
Sex Ma 1e
vi l Iage : THANA Date of Bi rth 19 /45 / 1960
Post: RISHABHDEV. Tensili RISTiABHDEV Assessnent Year 2077-2019
RI SIIABHDEV Previous Yea r 20t6-20t 1
UDATPUR-313802 ( RAJASTITAN ) Ret ur:n Due Dat e 30 /09 / 20!7
Fm,i I' hriain-aPoh.'l I ..')m Mobile No. : 9828498311
COI.{PUTATION OF TOTAI. IN@ME

(AJnounEs in Rupees )
INCOME FROM HOUSE PF,OPERIY
status: SeIf-Occupied
UDAT PUR
UDAI PUR
RAJAS?HAN 3130C ]
Ne[ AonuaI Va]ue Nir

Less : Interest on borrowed cap.lLaL 10 64 51
DriA rtr,-ih^ p.o\riÛ<
Totaf: -1C6451
House Property: - 10 6451
INCOME FB.OT'I BUSINESS OR PROFESSIONS
LAXMI LAL PATEL

Net Prof i, t / Los s as per Profit E Loss A/c 1?389658
Add :
Depreci.ation as Der book 180?4-756
780'14155
LeEa :
uqyf, !e4q ! +v.t 130?4?55
18C74'756
lotal 17889668
To! a.1 Susiness i ncome: 11889658
Bus i nes s or Profession: 178 896 5g
GROSS IOTAI. INCOME -

DEDUCTION (CIIAPTER-VI A' U/S 80
Under sect ion Gro-s s Ant Qu-a_l_.A4q qP,qqcti-oe

8 0c Investments in LIP, PE, PPF eLc. 339890 339890 i50c00
Ligt of Invest!.ntt :
- Li fe lnsurance PoLrcy 191324
- Re-paymer,'. of Housi ng !,oan 146C66
ToEal 3398 90
Deductron: 150000
NET INCOME AFTER DEDUCTION L1 6332L'7

NEl INCOME (Round€d Off +3) 1753 20
COMPUTATION OE TAX LI}I}ILITY

Tax on taxable Incone (11633220) at normaf rate 511 966
Add : surcha rge t 6'i245
lv
NA.!4E : LAXM i IAI- PATEL
I ZPP5? I8M
Tax Li6bi. Lity 6 '11
Less Tax Deducted at Sou r ce T.D.S gifrzosa

I ri r:^,rrâ T.C.S
^-l ^-r6,-l 52rt330
Tax payable -3?12689
Balance Tax -3712689

Tax Payable (Rounded) [.r1] -37 t2690
TAX TO PAY / REFUND REFITNDABLE: 3712690
CURRENT YEAR I,OgSES E ADJTJSTED VAI.I E (CYLA)
H^,,<o trrnoriv I^cc : 106451
liead / Souice lncome of House Cur. year

c ii.ri:ait ye.i i
Business ( Inc. spec) 1r889668 106451 I l tB32i 1
TotaI loss Setof f 1O 6 tl5l
.r t-!'\$
Ia
I
I
kv"ry/
SHRI LAXMILAL PATEL, CONTRACTORS, RISHABHDEV
\(1
CONTRACT AND PROFIT & LOSS ACCOUNT FOR THE YEAR ENOED 31 2011
PARTICI'I ARS Amt (Rs ) PARTICULARS AmL (Rs )

I
To opening Stock Material 201.350 By Gross Receipt 442,415,615
" Material 72,1 ,342
" Petty-Contract 95,348.543 '' WIP & material at site 216,140
" Labour at site 134,917.O27
" Power & fuel 49,6/.5.762
" Royaltv 16.189.827
" Welfare cess 4,849.077
" Machinery Consumables 't 2,640,561
" Gross Profit 56,643.26s
442,631,755 442,631,155
To Advertisernent 10000 00 By Gross Profit 56. 3,265

" Bank charges .148,981 " lnft On lT Refund 74.40A
" Bank Guarantee commissaon '1,242,646
" Conveyance Exp. 48, r 32
" Statf Salary 615,843
exp 61833 52
urance Exp 1,858,090
' Legal & Aud( Fee 82.725
" Office & General exp. 244.405
" RTO Taxes 2,59,657
" Rent exp 60,900
" Sales Tax Exemption fee 3,328,767
" Staff & Labour welfare 165. '140
" Slalionary & Postiage 287.fiz
" Tender Exp 508.083
" Telephone/mobrle exp 42,150
" Travelling Exp. 47.035
" lnterest Exp 9.135,292
" Depreciation 1E,074,756
" Net Profit 17,869,666
Total 56,707,665 Total 56.717,665
FoIHR JA N & COMPAN For tAXMILAL PATEL, CONTRACTORS

CHARIER O ACCOU TS
HAK I NE
t n<'4
PROPRIETOR
"(r
PLACE UDAIPUR
DATE: 23 9.2017 ?
Ag
.-/---\
SHRI LAXMILAL PATEL, CONTRACTORS. RISHABHDEV
BALANCE SHEET AS ON 31ST MARCH, 2017 \t'b

LIABILITIES Amt (Rs ) ASSETS Aml. (Rs.)
CAPITAL ACCOUNT 124,856,845 FTXEO ASSETS (WDV) 1s3.664,653
SECURED LOANS: INVESTMENTS 1.881,482
Synd Bank'O.D.A,/c 16,860,934
Synd House Loan 1,032.084 WIP & Matenal at site 215140
Machine Loans 92.214,319 110,107,337 Sec Deposit FDR P\ /D 76,21r,023
Sundry D€btors 49 034 137
SBBJ CO A/c 22,714

CURRENT LIABILITIES & PROV 48.0E1,824 Syndicate SB AJc 10,763
TDS Payable 1.062,574 lcrcl A.rc 2,504,a27
Cash in Hand fiz.422 3,101,145
Total 284,108,580 Total 284,108,580
ForHR JAIN & COMPANY. For LAXMILAL PATEL. CONTRACTORS

CHARTERE ACCOUNTANTS,
n,0''l'
PROPRIETOR
PARTNER
PLACE: UDAIPUR
DATE 23 I 2017
a.
-,, hasJ
(
f,{/S LAXI{I LAL PATEL CONTRACTORS. RISHABHOEV
SCHEOULE FIXED ASSETS

PARTICULARS GROSS ELOCK D€PRECIATION NET BL \()
.q.scn AOOIf!Ory O.{e!i( UFto For lhe tJpto
I 12016 upb allcr d./nnE 3103 t7 Rare 3r 03 16 Year 3 317 3t3!7 31 316
30916 30916 rleyr
Truct RJ 27 G 0331 36000 0 00 36000 15% 35840 35471 r52
Ournper RJ la G 08aB 100@0 0 00 r 00000 15% 99470 80 995v) 1g) 5:n
Molq Cyde RJ27 M a9 12000 0 00 12000 15ak 11936 10 Ir946 54 64
Tools E Equrprnents 32AO 0 00 322W 15% 31798 60 3185€ 1m
Hous€ at R,shabhclev 70000 0 00 70000 0 0 0 70000 70000
Pl,l at R6habMev 2000 0 0o 2000 0 0 o 2000 2000
Plot at Savina 39m00 0 00 390000 0 0 0 390000 3eo000
lhuse at l,rdaipur 226fim 0 00 2260000 0 0 0 22ffi 2260000
Je€va Ta.a Lard 0 0 6016315 0 6016315 0 0 0 6016315 0
Vibralors 25000 0 00 25000 15% 24765 35 24800 200
Mahinclra Jeep 250758 0 00 250750 15% 246695 60E 247303 3447 4055
JCBonhire t 3178aa 0 o0 1317888 15% 1315r 76 407 1315583 2305 2712
Oid Mrrcr ir,/C 345m 0 00 34500 15% 34121 57 3417A 3U
252 1384!? ,993 2?1t
Oumper RJ 27 G 3075 2980fl) 0 oo 298000 't5gr 29134,t 998 a2u2 565E 6656
JCB oo hrre 24 3 99 1536595 0 00 1536595 r5% 1530150 967 1531117 5.r78 6445
Wcycle RJ 27 ru 6362 36942 0 00 36912 1sqo 35980 144 36124 818 962
RoEd rdet 2{)0000 0 00 200000 15% 193050 1043 r 9093 5907 6950
38000 0 00 15% 36680 198 36878 1122 1320
350@ 0 00 35000 l59o 33148 278 33r26 1574 1452
7640@ 0 00 764000 15% 723548 6068 7296r5 3438,{ 40452
76.CmO 0 o0 764000 1sga 723548 6066 72$16 34384 40452
liucycle (l,le{^/) 167.8O 0 00 167,{80
15% 135032 4867 139899 27581 3248
JCB 15?4200 0 00 1574200 15% 126.2fi 46{88 r 310768 283432 30s420
Z-AIS 20O Machine 4089000 0 00 40Egl00 15% 3283981 120753 ya1731 G44266 8050r9
Tala 200 Excavalo. 4351000 0 00 4351000 15% 3418818 r 39€27 3558645 792355 9321A2
JCB (lwo) 3950000 0 00 395@00 15yo 2S54388 119342 3103730 8/6.210 995612
trumrer (lY/o) 3540000 0 0o 3540000 15% 2Ur7T 133841 2f61571 1il429 892270
1167084 0 00 116708a 15Vd 0.r9065 a7703 896768 27(1316 318019
Tate salan 1200000 0 00 r 200000 15% 8,r.{ 159 53376 897535 302,465 355€41
4r2:{|(]li 0 00 1125fifr ri%
Bolero Jeep 500752 0 00 500752 15% 311894 28329 v0?23 1605?9 188858
Pav6r Plafit 1550000 0 00 r 550000 15% 91343a 95124 10@262 540738 636162
I'pp€r 2518 2210000 0 00 2210000 r5% r 302956 r 3605' 't13901 3 ?7@67 90704{
Tipper 25l8 2210000 0 00 2210@0 15% 1302956 | 36057 1,139013 70987 907M,t
L&T ROLLER 2r25000 0 00 2125000 15lo 12528l1 130A24 1383565 t41X35 872159
CAR CHEVROLLET 14mOOo 0 00 r 400@0 15% 82vO2 861S0 911592 ,164408 574598
1683000 0 00 1663000 1516 80141 131780 gWU 716756 878536
JCB-t ?063000 0 00 2064)00 15% 986102 16r535 r r17637 915353 1076E98
JCB.2 263m0 0 00 2063m0 r 59i 9€6102 16r535 1r47dl7 915363 10768S
IPPERN 1789532 0 0o 1789532 15% 0553{}5 fi4122 995507 79,{l25 934147
TIPPER.2 1789532 0 00 1789532 r5% 855385 u0tn 995507 194o25 934147
TIPPER.3 2369001 0 00 2369t)01 15Yo 1132367 185,(gs 1317862 1051139 1?36631
CATERHLTAR 0 00 529000c 15% 2528547 114212 2942750 23/7201 2761413
2100000 0 00 2r 000c0 15% 10037E7 16/,432 1r68219 931781 10962r 3
LAR 66600{r0 0 00 6860000 '1sfl" 3279036 5371,{4 3Er6 r 82 304a18 3580962
PACTOR 24550€6 0 00 215s056 15% r060427 2s€196 1 *23 1185!,43 1394639
IIPPER.l 15650CrO 0 00 1565rJ!r{J 1J50aa 7d5326 $'iOri4
TIPP€R.2 1585000 0 o0 r585000 r5% 5&16 r6 135058 619674 765326 900384
TIPPER.l I590000 0 00 159€000 5% 690231 136 r65 826396 7 t1fi4 907769
TIPPER.2 1598000 0 00 1598000 5% 690231 136165 826396 77160.r 907769
TIPPER 1 1775000 0 00 1775000 5vo 766663 151218 91793 r 857069 r006317
TIPPER.2 1775000 0 00 1775000 5% 766683 151248 9r793t 857069 r 008317
RJ27 UB 2440 25E2312 0 00 258?312 5% 996681 237935 123,1616 13,rE296 r58623r
VIBRAIRY COMPACT( 2581280 0 00 258a280 5% 99?209 238051 1234270 t3490'10 '1587071
929959 2?20!6 1r5195E -125EO-15 !13004!
TIPPER.G85955 2410000 0 00 24 r 0{n0 5% 22ffi 1151965 r25A035 14E0041
BOLERO JEEP 600000 0 00 600000 5% 231525 55271 286796 313204 368475
XOMATSU PC 2'O 5625000 0 00 5625000 5V. 217051f 518160 2688715 2936285 y*153
SAFARI 'r550000 0 00 1550000 5% 598105 11278l 74@90 809110 95169{
PAVER FINISHER 1976971 0 00 i976974 5v. 655737 198186 853923 1321237
XOMATSU PC 210 5625000 0 00 5625000 5% 1865742 563880 2429531 31S5369 375925E
KOIVIATSU PC 210 553@@ 0 00 5530000 sua 1LU232 554365 236e597 3141403 3695768
TIPPER (4) 9704814 0 00 97048,&l 5% 2!71410 r 144565 3218975 M85869 7630431
T&T Merc8dez 0 3986796 00 3986796 5% 0 598016 59&)18 3386778 0
Komatsu PC (3) 0 t5925(m 00 15925000 5% 0 2386750 238E750 13536250 0
cAT 320 (2) 00 131@000 0 't310@0 5% 0 982500 962500 12'117500 0
,0.,,-
JCBl2) 00 48920@ 0 48S2080 5% 0 366Sm 366906 4525t74 0
cAT 424b (4) 00 s000m 0 98m000 5% 0 735000 735000 9065000 0
Eolero (4) 2018199 0 2016199 5% o 211214 211211 2604S45 0
Rockbreaker 1200000 0 1200000 5% 0 90000 90000 1110q)0 0
Tppper 161E (10) 17800000 0 17800000 5qo 0 1335000 r 33500 16,{65000 0
i7360@ 0 a r605300
Crusher 1774900 0 1774800 0 133r 10 133110 16,fi690 0
OG 1945360 o t9{5380 5% 0 145903 145903 1793{77 0
Iipper 2518(1) 110{m0 0 11040000 5% 0 828000 8280@ i 021m0 0
Motor Grader 2300@0
r 0 12300000 5% 0 922500 922500 '11377500 0
Road Rq{er 0 2400990 0 2400990 5% 0 18@73 180o73 2220€17 0
Mrhin lra tori{2} 0 0 42(nO00 0 4200{mo 5% 0 3 t 5000 31ym 34850m 0
l"
il/s Laxmi Lal Patel
1O-SAMATA NAGA, ASHOK VIHAR, H.M SEC 3, UOAIPUR
Sundry Debtors
Group Summary
'1-Apr-2016 lo 31-Mar-2017
i
Closirg Batance
Particulars Debit -&s9
cGdil
MD: PWD
20.50,000.00
4,69,84.137.00
SD: PWD
G.and Total 1, 90,3,r,137.00
t,..
,rA'- ?$eL
,p
M/s Laxmi Lal Patel
1O-SAMATA NAGA, ASHOK VIHAR, H M. SEC 3. UDAIPUR (rrt
Sundry Creditors
Group Summary
1-Apr-2015 lo 31-Mar-2017
Particulars llag€ l
Closing Batance
Oebi Credit
PETTY CONTRACTOER
5,98.352.55
Agarwal lron and Builders
3,21 ,432 o0
ANKUSH THAKURGOTA 78.16.924 00
Bharat Diesels
BHERUJI SHO REPAIRING
9,720.00
BHILWARA SALES CORPORATION
70,621 00
oAKSH AUTO (tNDtA) PW LTO 42,212,000 00
Motors ( Sahil 8ettery & Auto Etec]t ) 7,45,706.00
ELECTRO WORLD 'r6,800 00
Gajanand Khandelwal 10.00.000 00
GAYAIRI EQUIPMENT 1,58.521 15
Haripriya Filling Station 1.50.000 00
Harsh Enterpnses
57,815.00
Hindustan Colas Ltd 25.024 00
Hydrau - Men
1, 19.66.1 00
lndian Oil Corporation Ltd 1 1,00,126.36
JAINAM INDUSTRIES PVl LID 182 00
Kabra Motors Service 11.67,843 14
Kishan Lal Suthar 12,28.763 00
KRISHNA ENGI- WORKS
39,100.00
KS- AUTOMOBILES PVT LTD .(MAHINDRA) 84,177.00
MAHENDRA BHANDARI HUF 10,00,000 00
ia16 il A TEClI\ rA E)l lalrlEc, A I C
4.36,250 00
Mukesh Crushing Plant 20,35.496 41
Panwar Filling Station 5,15,766.35
Prakash Sales Corporation 7,03,400.00
IN HYDRAULIC PIPES 5.802 00
k Patel 4, r 3,000.00
Ra.iasthan Diesel Sales & Service 1?A2Aqr)
Rajendra Kumar Kala, 20 90.000 00
RATAN AUTO ENG WORKS PVT LTD 1,380 00
Ratan Automobiles 1,06,626.00
RATAN MOTORS 2,41 459 45
ROYAL ENGINEERING 61,504.00
RS Motors 65,172.00
SHAHIL BATTERY & AUTO ELECTRICALS 1,31,025 00
SHANKAR TRADERS & CO- 6,67,028 00
Sheela Patel 52.72 671 92
SHREE NATH CRUSHING PLANT 4,23,195 00
SHREE RAM EARTHMOVERS 21,789 00
Site Exp. Payable 4,38,60,519 39
DuTrlElvltr II tlE I(E I XtrAUtriiD 9,4 r 4.15
SWATIK CRUSHING PLANT 3,06,560 00
TRACTORS INDIA PVT LTD 10,E4,733 33
TRINETRA CEMENT LIMITED 3.31 200 00
T & TMOTORS LTD ( MERCEDE$BENZ) 6.32.4?4 00
TYRE TECHNOCRATES ONDIA) PW LTD 4,756 00
VI.IAY LA}MI FILL!NG STATION
VISHAL ENGINEERING WORKS . _ .
-'::'-'-"'
Iotal
Grand ' '''tv-" '
+"---.-.NSi,
:\.\
1,74,80,437 A3 6,55,6216r.50
00
A\.i /\
l
ll
n
FORM NO.3CB
lsee rule 5c(t)(b)l
\1
Audit rcport under sectkth 44AB of lhe Income-t.r Act. l96l iB th. cese of. plrtnh yeferred to
ir
clrurc (b) of s[b-rule (l ) of rrtc GG
2 wc ccnl ty rhat thc baiance shett and th€ rjo[! {Ld lqiiff(atrtr( are ln
agrEcmcnt wrth lhe booki ofaccounr mainlarned at lhe
head office at lr{ltU[AL P{II!
VU,LAGEL!|AIiARTSHAE$I,EV ffolt8llR 3!.}lS-L and 0 branchcs
3 (a ) W! repon l}lc tbllowing obscrvattorvconrnreDtydiscrcFranocs/tnconsislcnctcs: tl any

NIL
(h) suhje4! !o Ehove,-
(A) ws have oblarncd all rhe intbrmation and explanations rvhich, to dre
besr of egg knowledge and bclicf, vrerc rEcessary
tor $e purposes olthe audit.
(B)ln Qur opinion. proper bo dre head ofiicc and branchcs of the assessce so far as appears
lronl O!! knowledge and ammarion of the book.
(C) Ln Q.r-E opinron and to the ccording to the explanarions given to IJr the said accounts, rcad
with notes lhcreor, ifany, give a mre and fair view--
( i) in thc casc of the balancc sheet, ofthc state of tl* affairs of{he ass.ssec as ar l lst March,
(ir) in thE case of the Profit .nd loss,:iEorht of the .P$!!! of the asscrsce for the year
lof? ;8nd
ended on thardate.
4 The sratemcnt ofpaniculars rcquired to bc firrnished under secoon 44AR rs auexcd
rrerewrth rn Form No. lcD
5 Inoul opinion and to (he bcst of Qrt information and according ro explanations given to U! the paniculars giveo
in Lhe said
Fornr No lcD and the An,Exurc thercto are true anci c.srrecr subjecr ro roiaowrng
obs€rvatronyqualificatronr. ,l-on"-
ob servalronYOuahllcaltons
Place ULDlTU8 Namc tr ANOJ JA|N

D.rtc Mcmbershrp Nurnber {t!0{,51
FRN (Fimr Regiskarion Nunrber) 0QQ2d!C
Address UXJATN rNp Co- UDAtpUtL UDAI*_U
& RAJAS[!{AN. tr300l
/: .i$
0^,,-
^
p
r
FORM NO. .3(l)
[Sec rulc 6G(2)l
Y
Strt.menl ofprrticulr15 rcquired to b€ nrrnishcd undcr sectioD 44AB of lhe Income-trr Act, I
I Namc ofthc assessec LAXUI LAL PATEL

l Address I,AXMI I-AL PATEI. VILLAGE THAI\A RISIIABHDEV, T1I)
ATPIIR. RAJAST}IAN, ]I]tO2
l Permanent Accounl Number (PAN) A {7,PP5?I8M
I Whether the as-sEssce is liable to pay rrect tax likc crcise Yes
duty, seMce lax. sales Br, cugollls duty,ctc raycs, pieise I
fumish the registration numbq or any o$€r identificatron
number allotted for the ssmc I
SI Type Regisnarron Numbcr

No
I Sales !'A R.\.IA51'HA\ t5
Prcvious year fronr l0l6-0.1-01 to 201 7-01-Jl

1 Ascssmcnl Year 20t7- t
6 Indicate lhe relevan( clausc ol section 44AB under whrch ttc audrt has bccn corductcd
SI Relevant clausc ol-scclron 44AB under wlrch the audrl has becn conducted
No
I ( lsu!e 44A rI. umover/lrocs receiJtts iE hurin€ss erceadinE Rs. I crore
9 )ffirm or Association of Persons, iodicEle names ofpartnersJmembers and lheir profit sharing ratios. In case No
of AOP, whe thcr shares of membqs are indetermrnatc or ur*.Eown ?
Name
t) If therc is any chan8c in the parlners or mcmbers or in their pro,it shanng ratio since rhe lasr dal,e of the No
preccdrng year, thc panrculats of such chan8e
f)ate of chaogc Namc of Partncr/Mcmber Type ol' Old pmlu New Rcmurks
change sharing profi t
rclr(l Shaflng
Ratio
t0 a NaNre ofbusincss or profession (if morc than ooc busines.s or profession is canicd on during thc previous year, nature
oicvery business or profcssion).
S!'ctor Sub Scctor Code
(,oltrrrtors (:ivil Conrecloas 050r
t0 h lfthere rs anv cha n8t r o thc narurc of business or professron, fte paniculars of such change
Business Sector SuhSector Code
Nit
ll under section 44AA ifves list ofbooks so prescritrd
IJooks prescnM
h List ofbooks of account maintained and dre address Et which thc book ofaccounls are kept (ln case books ofaccount
are maintained in a compuler s)rslem, mention the books ofaccounl generated by such computer system, Ifthe books of
accounls arc not kept at one locauon, plcase fumish thc addrcsses oilocations alon3 wilh the details ofbooks ofaccounts
maiotarncd at cach locatron.) Sarne as I l(a) abovc
Books rruifitarllcd lAddrc-ss t,inc I lAddrcss Lrnc 2 lCiry or Town or State PinCode
I I lDistrict
I
CASII BOOK I-EDGER JO LAXMI LAL PATEL \.II,LACF. TIIANA LDAIPUR RAJASTII I880!
IJRNAI, COMPUTERIT,T,D AN
lt List of hooks of acuount and natu re of relevalt documcnts examrned. Same as I I ( b I above
Btxrks Examintd
( Astt Boot( t-F.DGER .tot R\,,.\t, coMPtiTt.Rl?-tn
Whcaher aiiE Ir| ('fii Enrj loss aeuutroi rtLiuJcs ar'i y'r(,fiir a'iJ E4;ns oiiqii6ljlc irii p...5uitiplive basis. i iy'es. indicaie ihc
arnounr and rhe relevanl section (44AD. 444t, 44AF,44ts.44ts8, 44BBA,4.lBB8. Chapler Xll-C. Frrst ScHule
or any othea relevanl sectron).
Scctron
\il
tl Method o accountinB employed in the previous year arcratile svstem
t1 h Whet r lhere has heen any chanee in the method ofaccounting employed vis-a-vis the mcthod employed in No I
the mmedr tc ly prev ous vear

r1 I ans\.re to (b) above the afiirmarive, give details ofsuch clfect thereofon the profit or loss
n
IL 1
I
!
Parnculars Incrcasr: rn proli(Rs ) Decrcas n ofir{Rs )
rl d hether z n v ad tnren 5 requ rcd he murle h pr o i ot rb c mpl v n rh the Prov
m orl tal an d d slit rrla rds n oIr lL cd u nd cr sectl r45(2)
l] t' alrsll' er trcv ts ln detar of such dJ CD15
ICI)S lncrease rn pro (Rs ) in profi(Rs.) Net cffect(Rs )

Total
I] I Di.sclosure as per ICDS
ICDS Drsclosure
Method ofvalualion of lous ycar
ng stock employed in the AT ('OS1'
t4 a
4 b ln case of deviation from the mcthorl of valuation prescrtbed under sectrofl l4iA, a cfiect thcreof o',
rhe
the profil or los!, case fumish

Increasc in profil(Rs.) Dccteasc In firlRs )
Padrculars
t5 Crve the follorl rn artrculars ofthc capt til assct convened into slock- rn-lrade
(a) Descflptron o fcaprtal assct Date of (c) Cost o (d) AmounL at (b)
acqutsllton acqursltron u/hrch thc assd
I
is sclrened rt-.!o
I
I
stock-in tradc
\it
t6 Amount5 not credltcd to lhe prolit and loss account, n3
1s
I6 Ih ltem ia n8 h n h scl) pe t'
Dtscription
I6 b The pro draqbacks, refund o duty ofcustoms oI cxcisc or servt cc !!x, or refund ofsales lax or Yalue
rTna credrts,
tal, wbere such crcdits, drau'backs or rctund are admittcd as due by lhe authoritics concemed
Descnptlon Amoun(
I 6 Es{alation clarms accept lng the previous year

Description Amounl
tit
I6 d Any other ttem ofrncome I
D6cription Amount
\
i6 Caprtal reccrpt, tfany
Description AmounL
rl
..^r..^ uquPilv
-r^-r^,1 vi^.
lt1 Where any land or burldrng or both ts trans rarrcd durin8 drc previou: year fr.rr a consiJc ura.r !srg!
ass€ssed ot sssessablc by any authorrty ofa State Gouernmcnt rcfcrred to in sechon 43CA or 50C, pluse fUrnrsh
Details Ad&css Line ddress [,ine C ty/T own Statc Pincodc Considcranoo Value adopred
property "l I 7 r€ceived or or ascssed or
I
accrucd assessable I
l8 Panrculars of deprecra tion allowable as per the lncome-tax Act. I rn respect o f each aiscl or blrck of assets. as the
t)escnpt- Rate Opcn ing Addrtrons Deduc{i Depreciat Writte'l

tQn of depreci wDv (,{) Purchasc MOD- Changc Subsidy Toul (c) Allowable Down Value
Block of tion (ln Value ( l) in Rate Grsnt Value of (D) at the end of
AssetE Perce (2) of Ex- (4) Purchases the ycar
Class of agc) chanBc (B) (A*,84-D)
(l) (l +2+3+4)
Pl.nt & I tM9t 245 0 0 0 04917245 t80?4?56 I4492631E
I
M!clin.ry
l5'/.
Fo dd it Dcd DclB ils d Ji t d eilTa ar rh. F:nd of the
l9 Anrounts admtssrblc undcr sectrons
SNo Scctron Anlount debrled to Amounts ad mt ssrble as per thc prov rsrons ofthe Income-tax AcL l96l and
prot'lt ald l6ss :!so fu!lils qhs enqd,1ior1r. rl ary :recrfi.d (nder the rclevanl l4provislons
account oflncome-tar Act. l96l or Incomc-tar Rules,l962 or any othct gutdeltnes,
circular, etc, tssucd rn thls bchall'
Nir
Any sum paid to an enrpioyee as bonus or contmission lor se(vlces Iendcred uhcrc such sum *as otherwrsc
payable
20 I
ro hrm as pro fits or dividenrl [Section 36( lXrr)]
Descnptron ount
t0 h Deta ls o t contn bu llon s r ed fr 0m cnr p oyees for various funds as re ffied to in va )
Nature of fund Sum Due date for Th€
lt recerved palment ofp

1l LAxtl!
A
I
I
fronr thc
Yf
employees authonlies
Providenl und I /0?/!0 t6 2592 201
und ?t,fr!2016 24'11 I6{ti-0 }
Providcnl l:und !s!6 2l 109,,!0 t 6 2S16 20t c09- t,
Providenl Fund 2a !r,ir t/20r6 25'r0 20lG I I,lt
Providcnl Fund 2592 2l/tu20t6 2592 z0tGt2-tt
Pto\'id.nl Fund 2 591 2ti0tl2tt7 2592 20r7-01-r5
Providcnt Fund 23t0 2t nJrrotT 20t I
l Plcase lt:rrrish ihc details cf enrourls d.bited to thc profit and I css acccuntr bcin5 ia rhc narurc !.yrBr. P!rwr'..,
I
advertiscmcnl cxpendinrre elc
Capital expenditure
Parlrculars Amount in Rs
Personal expcndrture
Paniculars mount rn Rs
Advedisemcnl expcnd rlrlre rn any \nrventr, hrochrrre,,rai-l le! I k ht sh ed
Particulars Amount in Rs
E t,cnd I tu I nc I c d al c I u bs hei cnl ranc c ttc nd bscn ptr
Panrculars Amount rn Rs
Expcndirure rncufied aL clubs belng cosr tirr..l ub scrvrces and facllrries uscd
Particulars Amounl in Rs
Expendirure by way ol pcnal $t or line fcr violation ofa ov lau lix thc tinte b lorcc
I Paniculars Amounl rn Rs
Expcnditure b o,-any othcr nally or fine not covcred abovc
Paniculars Amount in Rs
r[ure tncurrc d for any pu ic hr ch rs a n o !nc I wh tc h rs prolr I b tcd by lau'
Paniculars Amouni tn Rs
(b Amounts rnadmissibl e under section 40(a) -
( ) as paym en I lo enl referred to s ub-clausc )
(A) Derails ofpaymcnt on whrch tax is nor deducled
Dare of Amount o Narure of Namc t PAN of Address Addrc*s Ciry or Prncode
pa! nrqrt paymena paylIrcot pavec Ihc payee,if [.inc
I
I t-ine 2 Town or
I avaliable DrslIIct
I B ) Derai f
o payme nt o I] whr ch I a has becn d cdu c ted bu I has not becn pa I d d ual o3 tltc p rc!l ous ycar
0r n lhe S ubseq ue ltt ycar
before the e p of tlme prcsc ribcd urrde r secuon ) m( I )
Date Amount o Nature o Namc oflPAN o resS Addrass or Pincodc Amounl Cny
l pa!.menl paymen( paymeol lhe payee ithe Lrne I Lrnc 2 'l-own or of tar
payee,rf District deducted
avaliable
(r) as payment rcfcrred to rn sub-clause (ia)
tA) fjcraiis oi paymenl on whtch tax ls nol de(fucted
Dale o AmounL Nature of N i mc t' the PAN o ddrc 5 I I n Address lty or Town Prncodc
paymenl of paynrenl payce thc Linc 2 or f)istflcr
I
paym payec,rf I
avtlroblc I
(B) Detai s of payment on ta as deducted hut has hol heen pil h. lore Ih ,l da snec I cd
:ub.. sec!io!! ( !) ofscction 139
Date of Amount Nature of Name of PAN of Address Address C rty or Prncode Amount Amount
payment of PAymcnt lhe payer rhe Linc I [.ine 2 Tovm or of tax of (VI
Paymenr paye€,if Dist{ict d')ductcd deposrtcd, r
I
I
avahable I an
(iri) as payment refen ed to in sub-clause (ib)
(A) Derails of oavmenl on whtch I cw is not deducted
Dale Amount i\"arure Namc ofthc PAN Address l,inc I Addrr:ss Ciry or Town Prncode
Pa,,-ment of paymenl paycc the [-rne 2 or Distict
paynlen payce,il'
avalrablc
(B) Detarls of paymerrr on whic[ I cvy has been dcductcd but has not becn pard oh or before the datc spccified in
I suLsectron (l) ol section 139
l)atc of Amount Naturc Nanra o PAN oI dd te Add rcs City or nc(xlc nt mounl ou
psymenl of palment thc paycr rhe [-rne I l.rne l 'l
own or f (vt
paymenl Payec,if l)istrrct deducted deposited. r
avalia le aoy
,lt"
(iv) tiinge benelit tax under sub-clausc (
\it 0
(v) wealth tax under sub-clausc (iia) 0
(vi) Iry, license fee, service fee etc under sub-clause (iib)- o
(vii) salary oDLside I a non resident without mS etcunder sub-€lause (iii)-
Dare oflAmount oflName of rhr PAN ofl Address l-ioe I Address ciry Pincrie
paymenr the payee,rfl Line 2
ln"r,n"nr lnuv"" avaliable I
(viii) payment to PF /other fund erc. under sub-clausc (iv) 0
(ix) tar paid by employer lor perquisites under sub-claus€ (v) 0
(c) Amounts ro proir( and oss accounl bern8, rntgrest, salary, bonus- commtsst(m or rem uncTatron tna dmrssible under
sectron 40(b)140(ba) and tation thereot
Pad,culars tron Amount de red Amount Amount Rcmarks
ro l,/1. A/(' Admrssiblc lnadmissiblc
se owance/deerred income undet sectron 40A(3)
(A) On thc basis of the examinahon of books ol accouni and orhcr relevanl documents,'evr dence, whether the Yes
crFc-io,tuie anier!j6 iiird.i sLriien .ii.r,i(3 i ieid ivitii r uit 6DD *cr= ritarie iJy accouiri payee chcque dmwn on a bank I
or account pa bank dratl [fnot, plcd-\c lumish r.hc d arls

Datc OfPayment Naturc of Amount rn Rs NarB€ ol the payee Permanent Account
Payrncnl of the pay Number
available
(B) On the basis ofthe examination ofk oks of account olherrelevant documents/evidcrce, whether !he payment Yes
referred b io s€ctron 40A(lA) read wifi njle 6DD \rere made h.v arlorrhr fevee .henue drawn on a ba!:L or 4cco!r!l
payee bank drali tf not, please l-umish rhe details of amounl d€erned to b€ the profits and gains of business or
professtoh under sectioo 40A(3A)
Date OfPayment Nature Name oftbe payee Permanent Account
Payment Number oI the payee, if
available
(e) Provision [or payment ofgratulty not allowable under sectron 40A(7) 0
(r) A sum pard Ihe nssessee as an empl ion 40A(9) 0
ig) Paniculars ofany liability ofa contingenr narure
Narure Of LiabrliN Anrount in Rs,
(h) Amount ofdcduction tnadm ble ,n lerms ofscction l4A i[ .csp.rl of the cxpchditure itlcurred irl relation to I lrcolne which
does not lbrm pan of (he total ilconre
I'iarure Of Liabilny Amount in Rs
(r) ,'\.moulrt rnadmiss under the provlso ro sectron 36( l)(iii 0
22 Amorint o intcresl inadmrssr le under section 23 o lhe Micro, and Medium EnterpriEes f)evel()pmeot Act, 0
2006
Panicu ofany mnde ficd under secioa )(t)
Nanre of Related Person r Re lated Rclarioo Nature Pa ymenI Made(Amo
on
P or
on oi1 Amount
5 n amoun I of profi chargeahl € io lax u n Ccr scctr DN 4 I a nd comFUta tr o i: 11
Name of Person Amount of income Sectiorr Descript 0n of I ransactlon Computa 0n I i ll v

Nit
16 ( ) I resD ect I an ie fc rT ed 1(l claLt se h t I lt ,"l.i
6 ( )A pfe-cx I sted t1 lh ri rlt day of t prc ryl yda r but nlll cd l1 thc a5scssmenl (l prrced rng paevl ous ycar
ard
)6 { )( ) P a d duri th prev ous year
S ectrcn Naturc ofiiabilrry Amounl
26 (rXAXb) Not paid duri nB thc prEvious year
Sectron Nature of liabiliry AmouDt
Nit
76 I ) ti ncu ned n rh pre vrous year a nd was
26 (i)tBXa) rnt or be fo re the due datc for urn h rnglhe return of na o me o rh prevf ycai under on I e(
Seclion Nature of li iti Amount
,(less,Fec €lc TDS PAYABLE r003650
Sectton Nature of liabili ty

lil
,.\-,: lL
11
(Statc u/hether sales tax, cuslonrs duty, excise duty or Yes OYA 16t89827 r.ABOtiR TA 4t1rl71
any ofher indirecl rax, levy, cess, rmposl, e(c , is passed 328'161
fir an.l loss accounr I
11 3 Amouol ofCent.al Value Added Tax Credits availed o o erl during thc prwiorrs year and i]s rreatment No
rofit and loss account and rrcatmcnt oi oulsta[dtn Cerltral Value Added Tar Crcdils rn accounts
CE Trcatrnent in Profit and
I-oss/Accounts
Openrng Balance
CENVAT Avarled
CFNvAI Urrlizcd
Closing.iOutstandrng
Balance
2i Paniculars of incomc or expcndinrre of prior period credired or dehited to the profit and loss account :-
Typc Parliculars mounl Prior ro which
tt ltrelates(Year rn yyyy-
I ifofirat)
\il
28 Whether during thc previous year thc assess€e has received any propsrty, king share of a company not being a No
compaov in whrch the publrc are substantially intcrcslcd, withoul consideration or for inade4u8e considcration as
referred to rn section 56(2)(vrla)
PAlj of thc
lconsideration of
avarlable which lpaid lsharcs
i
\it
29 Whethcr durrng thc prcvlous year thc asscsscc rcuetvcd any consrdrlra hon {br issue ofshares whrch exceeds thc farr
ma*ct valuc ol lhe sharcs as refcrred to rn sertion 56(2Xvrib) Il yes, please fumish the detarls of thc same
pers()n
lconsrderu(ron
I lrcceivcd I
:\iil
,r0 Det3rls ofany amount bonowcd on hundi or any amount due tfiereon (includinB interest on the amount borrosedl No
rcpaidpthcrwise thon through an account payce chcque,(Scction 69D)
Name PAN of Addrcss Addrcss C'ity or Srate Pr Amount Date Amount Amount I)ate of
the the Lrnc I Lrnc 2 Tow n tr boiro*-ed repaid R
p€rson, rf Disrrcr including
&om aYailable t lnlcrEsI
whom
amount
I
bonowed
+r re;eid
I
on hundi
\it ___l
a Paniculars of each I oan or rleposrr in an anx)unl exceeiing the limit spccitied rn section 26955 uken or Eccepled during,
lhc Fcvious ycar -
S Nrr Nanre of the Address of Permanert Amoun Whet Whether fie In casc
rhc
lcndcr or lhc lcndcr or th. loan ordeposrt loan or dep{rsrt
de+mrtor dcposrto( Numtc(rl' ot loan wal ialer
or
avarlable deposil dcposrt lhe account Bt or
acccptcd acccpted by
with the takcn \t'as any time during by
chequc chcque or bank
asscssee) or squa the
previous or bank drafl drsfr, wh€therth€
of the year of
rrsc of samc was taken
lender or dun n8 electronrc or acccpted by
the h. I cleanng ar accounl pavee
dcposrtor prev o sy$em chequc an or
year through a account payec
bank accounL bank drall
\it
(These partrculars ne€d not bc grvcn ln case o I's ovemmenl Clompany. a bank rng company or a corporauoo es tablrshcd by a
Ccnlral-Statc or Provincral Acr)
l I b Partrculars ofeach spccificd sum rn an anrounl cxceedlng thc limi( spocilied rn sectton ounng
lt lhe prEvt)us year:-
lLl
I /t,,,^
z'w' t
l
I
.--
S-No ame of Addrcss of person ftom Pcrmanent Amount Whether
Yl
In casc
person from whom specrfied sum ts Account of spe€ified
spccified sum was
whom specified reccivcd l.iumber (if specified was taked takcn or accepted
I sum is received eriilsble qrm l.kctt 4E€Fed
by iry clnelue or barik
wirh lhe or drcque or bank draft. wh€rher IhE
assr'ssee) accepted draft o, use samc was takeh
the person of elsctlonic or scceBed by
from whom cleanng system 8n accounl pavee
spocified thmu8h a bunk cheque or an
Siim t5 acccunl pa)'ee
receivcd bank draft
it
(Particulars a{ (a) a (b) nced nol be Erven in rhe casc ofa Covemmenl company, a banking
company or a cor;xrr ation ('stablrshcd
try a Cenrral, Srarc or Provincial Acr )
il c Paniculars o feach repa]iment ofloan or deposit rn arr amount exceedi ng the limit speci in section 269T rnadc durrng
the prevrous
SNo Name of the AddrEss of the Permane Amoun Maximum \Vhether dreID casc th€ repaym cnl
Payee payee Accounl ol the atnount rqlaymenr $riLs madc by chcque
Number( rcpaym tstandioB tn was made or bank draft. whether
I
availsble thc account al by cheque the same was t
wirh the any trmr during or bank or accepted by
ass€sscex, lhe previous dIaft or use account payec chcque or
thc payce year oi clecronic an dricount paycc barrl
lt clearing
syst€m
dra,i
through a
bank account
,l
,l Panrculars oie:ch r+-3)/r!fl!! oj'!oar or defo<il or ir.v !p(.cilled idvance rn an antount cxc
rficd ur
scctrol 269I' received dur ing tJre previous ycar--
N ame of thr payeJ Address ofthc paycr Pcrma ncn ccLr un N um bcr Amounl ol loan or drposit
availabl h the ass€ssee )of lhc or any specilied advance
plyer received otherwise than
by a cheque or bank
j
or use of clcctronic
clearing system through o
bank sccount during the
prtuous y€ar
]I Partrculars of' repaymcot of lo.n or deposrt or any specificd advance
in an amount exceeding the linl rt spccrtlcd rn se
269T rcccivcd by a chequc or brok draft which is nu an account payse
I chequ€ or acrlullt payes ba* dral't durur
Prevroiis yc€.i.:-
.SN Name ofthe paycr Addrcss of thr: paycr Pennan ent Acqrunl Number (rf Amount of loan
ordeposrt
I
availabl e with rhc a ssessce)of thc or any spocrfied advancc
pavcr reccrvcd by a chequc or a
I l
hank draft which is nu arr
account payee chcque or
I
account payee banl drall
I
durlDB the prcvious year
\it
Nolc: (Paniculars ar (c ), (d) and (c) necd nor bc given in thc case
o f a repayment of any loan or deposrt or specrficd
laken or accepted lronr Govemmeoq advoncc
Govemment compalDy, baokrng compaoy or a corporation
or Provlnctal Act) eftablished by a Central. Srare
12 Deta I s (l brough t fonv ard oss or deprcc I alron al owa
n ce, I n I h e lb I rn3 n'lanner to c xlen I AI I ah c
isessmen I Y ear ature I rcss/ lowsncc moun t moun I U anu cmar(s (
as Date
returned assessed
\it
1 Whelher a change in shareholding of the company has
taken place in the previous year due to
thc losscs tncurr ed prior to the prevrous ycar cannot rch blr
be ol lowcd Io be canted forward in
sd'lion ?g
32 lc Whc{hcr the assesser ha^s rncurred an y speculatron
loss referred to ill secti on 73 during the
tr le!, plcflse ,urni5h rhe tous year No
drtrils bclo\t
l
^r.
12 d Whether the assesse€ has incu rrcd any loss rcferrcd to ih sectron 7fA in r espcct o any spccified busin No
dunng the prcvious year
lf yes, pleasc fu.ni!b d.rrils
I of lfrc arme
37 asc of ompa pl that h rh c ompa v rs decm ed
rett rrcd
h bc c arry I sP€cu latio rncss
as ex p anatr on to cctro 1 l I
lf l ts.
please fu rni\h lhr d( hil! ofrp.tulsti{ln lor! ifany
incurrcd durirl the previour ycrr
33 Scc de t a IS I dcd u clrons f any adm rss b c un dcr Ch I I pter I or Ch aplcr III ( cclr on I 0A Se c [lon I 0 Ycs
)
Sccti"ti
80c
150000
l1 the he assesst'c ts r-q u rcd to d cd ucl or c (t n
a h ec tu ll pc Ir c pro [) I ('ha PIL' x -B o Ch a Plcr Yrs
XVI B B t' ]_es p dsc lu rn h
'Iax Scclion Naturc ol I otal Totrl l rrtal Amouot o Tota I Amounl o AmouD( o
deductron paymenl amounl of amounl on amounl on lax amounl on lttx lax
and Jx!ymcnt !r'hich !lx .,r,hich tax dcducted ded-,ictcd rri
collection or recctpl or was of collesred
Account of rhc requrrcd to dcducrcd collected dcducted collecred not
Number nature bc or ouI of(6) ot or (E) deposited
(TAN) spdcified ] dcducted coliccted collected to $c
I in column or al at lcs: than crcdit o[
(l) collcctcd specrfied sp€cr fied the Cennal
I out of (,1) ratc out of rate out of
(s) (?) out ot (6)
8nd (8)
JDIILO IS6 t94C P1 IJ tl
953.{8411 95348{ t0|0tl,t I 0
.t(; TTOA
RESIDE\
I T SUB<'() I
NTRACI'
I
I
OR
AAZPPSTI t94-l { TAX DED 5612J75 5622t75 5621J75 { 0 {.) 0
8nt IICT'IOii F
ROM PAI'
I
IIENT ON
TRANS I-E I I
R OF tf,tV
I
ovABl_
l4 b Whe{her the assessee has fumishcd the stat.me|rt o f ter deducted or tax
collecred within prescribed trme 'l'cs
If nog plcasc frmish the de(alls
Tax deduction Type o onn datc for Dare o Whethcr rhe statcmcnt o[ tax deduclcd
and collectron furnishrng fumlshing. or collected contahs informrtron about all
A..drnr Nr't6L.?
I
harnaciions wiich arc rcquired to be reponed
(TAN)
\il
l.: \lfter hc r rh c a ssc lSee 5 ab le k, pa v n(cres t U nder src I on 0 I (
) o I scct on 206C( 1 ) I f yes p cdse lLrn
I
sh
Tax deduction and collettton Acsount Amount of intcrest Amount
[)alss 0 paymenr
Number (TAN) under section
20lf lA)/206C(7) rs
payablc
\it
l5 a In the case ofa tradirlg concem. Stvc quanIltativ. de(irils of pnnicapal itcms of ds traded
llem Namc Iinrr Operrirrg (-losrnt sr(rk
Purchos- Salcs sh
l slock c5 dunng excess,
durrng the iI any
I thc prevrous
I prevtous yesr
ycar
\il
l5 b In the case ofa manufac tunnS concem, gtve quajrtitsti vc clails
o c plncrgnl rtcms ofraw , finisb products
and by-products .-
l5 Raw malenFl!
Itcm Name Uoit Openin Purc du nnB Consumptr- Salcs tPerccn
ClosinB
stock (he previous year durint on during stock ot' a8e o cxccss,
I
the previous thc lirrishcd yreld if any
I
y9ar products
I
1 Lt-
I l,
i5 bB
llril 1\it
Frnrshed products
Prcvtous
year $
I
Itcm Name LInrt Optni Purchascs rluong Quanlrty Sales durrng thc Clos slock Shorta
stock the previous ycar manul'actur - prcvrous yeat
'ns
l€xccis.
I ed duriflg lrfanv
lhe prevrous
yerr
35 bC By products
ltem Name Unit Openi Purchases during QU anflly Salcs during the Clming strrck Sh
slock the previous yeatmanufactur- prevrous yelu exccss,
cd during
I
ifany
thc previous
vctr
j
\it
16 In thc casc ofa dom csuc company, detalls oflax on Strr burcd Pro t 5 u n der C!_(l on I I 5-O I t) thc foll n8 lirr m5
(a) Total amounr (b) Amount of (c) Anrount o (d) Tokl tar pard Amount f)aks ofpaymenr
ol distribuled taductrorr rcductlon ;s thcreon
pnrtis rclened to rn relincd lo lrl
sectlon l15- S,eCtlOn I r5-
O( IAX r) O( lAI tr )
Whelhcr any cost audlt was carltctlout

Not
I
Applirr
If yes, give the dctails, if any,
of drsqualiticatton or disagreement on any
maner/item/valudquantrry as may br reponed/dcntifi€d by the cost auditor
lrrlt^rL^.
!rltlu,gl --., Jiu
d,J ^,-, il \ras con nn r.n I E-î-^ a^. ro
ND!
Applicr
t yes 8 the dcu s, I' a n o f d sq ua fi ca rol) or drsagrce DrcnI on an v
mattcr tem,'v z uc/ q uan tr ty as ,nay bc reponed/rdenri lled by the au d tor I
i9 Whcther an) audtt was conduckd undct seclion 724 ot. the [-rnance Act,l994 rn relatrou to valualron o[ taxa
Nor
servrces as may be rcportcd/tdenhfied by rhe audtlor
Applica lc
II vcs. nive the details. anv f d lsq ual ficatiun o d rsallreum nt on anv
maler/ilcrn/va lue/quant ty a5 may bc reportal/identified by the auditor
r
l)ctails r rng mrnovcr, gross profit, ac, the Prevl ou5 yeaf AN d prcc eding Prcv!ous year
N Particu PreviouS Year Preceding previous Year
Total tumovcr 4424t56r5 100;6 t
of thc asscssee
b Gross pnrliL ./ 566,13 265 44 t56t5 t) 8. 4{691t?451
-l_umover 10026 r 999 t489%
Nel pro t7889668 4424 t56 t5 4 Mo/o 98t{553 30026 r 999 1 210/.
Tumover I
d Srock-in- 216t40 442415615 0 05% 201150 1(Xt26 r qqq 0 O7o/o

Tradc
Tumovcr
I
c1L
consumod/ 0
Finished
goods
produced
(The details red to bc fumished for nnc pal lems T goods lI
aded o n) il nu facturcd or sen ccs rcnde red
4l Pleasc furnish detarls of demand rars ed or refund i ssued durnrg
the o revrous Year under anv lit x aws olher than
tax Acr. 196l and Wcakh tax Acr. 195 7 alon gwirh hlco
demrls of relcvant proceedings
Flnanc year to Name of othcr ax Typc
I
whrch derhand/ iaw an Dare d emand Anrount Remarks ol

rarsctlRcfund rarscdlrelund
I refund relutes to recerved)
\il rccei!cd I
Placc tllOIEU IT
Da(.
Namr - !d!-{.lloJ J |N
D.iAEOE _
Idernbei!hip Number 40u52
L,
r* l{
FRN (Firm Rcgrslra on Number) O@26te \t(
Address HRJ
R. RAJASTHANJ!3OOI-
orm Filing Details

Revision/Origrnal nginal
,lddi(ion ils(From nl \o lt)

Descrr ptron ()l' .Sl No Dat€ oi l)ale put to 'foral Amount
ustnriot on-aie'otrniof
Block of Arsers Purchase u5c t-.xu hange Subsrdy
Rntr (irant I
I
Changc
Plrnt & I 23itJt20l1 2lloJn0l7 240 t 000 0 0 0 2{0 rm0
Mechinery @ lS% 2. 02t03t20t1 g2nJnttt :760001) 0 0 0 276rxn0
I l24tolnDl1 7ato7t2ol1 I t8000rr 0 0 0 Ii280000
a 24 11!20t6 2112;20t6 t78 )00 l) 0 0 r780000
5 23i r 2n0l6 0r6 5310000 0 0 0 5340000
6 l,lJ t1!!o 5i4auri0
1 J0/lrr016 30/r ri20l6 5110000 0 0 0 5J10000
8 JI 0r7 3t loltzot7 4200000 0 0 0 4200000
9 29i r 0/1016 l9lt 0/2u15 1E92080 0 0 0 1E9:0t0
l0 :t/02/:0r7 2Ei02120t1 t2300040 0 0 t, r 2.!00000
09fit t /7.017 $9101n{]t1 24 0f,r0 0 0 r) :4500t10
|l 1zfi2i7016 12fi2!20t6 2450000 0 2450000
I t, u {50000
1.1 3l/10,2016 J lrl0/1016 0 It 0 2.r50000
t5 290{r2016 25/04/2016 196 0 0 J9t6796
t6 0t/t t/!0t6 0l/ I l/?016 22572J69 0 0 0 2369
ti I
15i09/2016 15i09/201b I5925ltrt{t 0 0 0
'fotalof Plenl & lt'l rc nrrr a4 l5%
I t149 r 7245
Drriucdon Dciriii(From Poin

Descnption Block of Asscts SI No Date Sale etc Amount
Plonl & I{echin l5% L
Tohl of Phht & urch Inery @ t5%
t ,lA t l-'
1 i
Y
r /\
-\
INDIAN INGOME TAX RETURN AGKNOWLEDGEMENT Year
lwhorc the data ot the Retum of lncome ln Form tTR.1 (SAHAJI, tTR.2, |TR-2A, tTR-3, |TR4S (SUGAM),
iTR{ , iTR€. iTR{,iiR-7lrarramiusj eiecvoritca y wnn dlgftat ggnatu.€l 2016-17
PT\
t,.\_\\lll..\t.P\tLt,
AAZPP5TtElv,
I
FhUDG,r/Bkxk \o Namc Cf P.-cr,risi:--B.Jildlnp l Jlagi
= ..,I.A'
Form \o, rtich
.1,= CI,ASS CO\'tR\CTOR \ ilhgc: l-H\\ \ hrs baa!
=4 Road/Stl!ct/Post Omcc tre./Loc.litr

clcctmtr ic.l$-
lrolt3]nitt d IrrR-4 |
Posl: RISH,\BIIDE\'. Tehsil Rt\t I rBI tD|\

RIStt.rBHDEv Indiridual
Sl.trs
Tosnl( iq/Dirrrict St3tc Pin Aedhaar Numlrer
2J LD \rPt R R \J,\STH {\
I 3lJt02
Designolion of AO(Ward/Circle) tTo. wARt!t(t), uDAtPuR Original or Revised

ORIGIN-4.1
E-filing .Aclmowledgeme nt Numb€r J6.100{ml t61ti.) t 6 Dere(DtYl{l\t/YyYY) t64L2Ot6
I CDss lotal income
I
1 916ti
2 Deduclions urxlcr Chapter-Vl-A
lotul lnorne
9541620
a LUtIE t Ieat loss- r, an! la 0
j-t 4 Nst tari palablc -l 276t?29
lnrerest pa]'able
6 'Iotll lar and interes( pa:iable 6

! Ad\aoce Tar 7a tl
b TDS 7b {256719
=z C TCS 7c 0
d Sell Assessment Tar /o 0
Told Tai{es Paid (7e+ +7c +7dl
4256119
Tn! DAt,ohl- ri -7o \
8
6
9 Refund (;e-6)
H t80 r0
Agriculture 0
t0 Exempt Inconre l0
Others t66 t6
I66t6
t his reruIn has be.n ogrrauy s8ned by LAXMI LAL PATEL in the cstr.|cily of
har ing PAN AAZPPSTIENI from lP tuldrcss 43.2i2.22t.199 on 2G09-2016 al UDAlpuR
20?03::29280 142E998c11=saltscrlP! sub-CA lir RCAI cliss 2 2014" oU=suEcA, (FS',-v T.chlrologics L,nirEd
Dsc Sl No & iss,er C-tN
Dq. fiQT SEUD rHIS ACKNO,WIEDGEnfiEN'I TO cpc, BEueafu_R-u
,t[\;
I 'l
KANJI KALAL Status INOIVIDUAL
L,AXMI LAL PATEL Residentral
d-\
('--
Stalus Resident
Address
.AA' Wlard no, WARD-1(1), U R
CLASS CONTRACTOR Sex Male
Village r THAt'lA r.r.rac or E Ut 19ii)5i 1900
Post RISHABHDEV. TehsiI RISHABHDEV Assessrr€nt Year 2016-2017
RISHABHDEV Prevrous Year m15-2016 I
UDAIPUR.3l 3802 (RAJASTHAN) Retum Due Date 17110t2016

Email mail com Mobile No 9785390875
COFfiPiJTATiON OF TOTAL INCOME

(Amounts in Rupees)
INCOME FROM HOUSE PROPERTY
1. Strtus : Self-Occupied
IIDAIPI IFI
UDAIPUR
RAJASTHAN 313001
Net Annual Value Nit

Less : lnterest on borrowed capital 130934
Paid during Previous Year 130934 -130934
HOUSE PROPERW -r 309&r
INCOME FROM BUSINESS OR PEqEESSIONS
1. LAXMI LAL PATEL

tlâ D.^crn q
'!\rr. .vi'vLvs> oe lrl;r I rvlrr LUSD avu s824552
Add :
De preciation as per book 10250089
102s0089
L€aa :
Depreciation as per rule 10250093
Total 9824548
Total Business lncome 9824548
BUSINESS OR PROFESSTON 982,("A
GROSS TOTAL INCOME 96936r4
DEDUCTION (CHAPTER-VI A ) u/s 80

Under section Gross Qu al Amount Deduction
Amt.
80c hvestments in LIP.PF.PPF et-c. 273752 27375? _r50000
Lbt of lnvestments :
Life llrcurance Policv 150q)o
Re-oayment ot Housino Loan 123752
Total : 273752
DEDUCTION 150000
NET iiiCOME AFTER OEOUCTION : 9543614
NET INCOME (ROUNDED OFF {): 9543610
COMPUTA TION OF TAX LIABILIW

Tax on taxable lncome (9543610) at normat rate
? I
rJuD! (!42 70
Add: SHE Cess @1ol5
Tax Llabtltty \
2768726
L
I aac - Trw n6d' q^,,râ T n e
'îa,{ .} ,t r(ar10
/t
F, I
Balance Tax -,t4EE013
TAX TO PAY / REFUND REFUNDABLE: 0
tNartirtr A rtrErt EYETtD'rEr'l

^r
reofl Amount Re
DIVI FROM COMPANIES 15616
166'16
r EA^ L\rJrr(:.a, (l Au.r(rJ I ct, vAL UE C YLA

House Property Loss 130934
Headlsource of lncome llEome of current year House Proo Loss Cur. year inc rernain
Business(lnc.sp€c) 9824548 13093d 9693614
Total loss Setoff 1 309 3,t
d
SHRI LAXMItAj. PATEL, CONTRACTORS- RISHABHDEV
CONTRACT AND PROFIT & LOSS ACCOUNT FOR THE YEAR ENDED 31 03 201 (5
PARIICULARS Amt (Rs.) PARTICULARS (Rs.)
To opening Stock Matenal 186.485 By Gross Receipt 300,261,999

" Material 25,068.855
" Petty-Contract 8.064.232 " WlP & material at site 201 ,350
" Labour at site 188.432,074
" Water for consolidation 732,140
" Power E fuel 21,087,962
" Welfare cess 1,987,567

" Machinery Consumables 3,982,432
" Gross Profit 44,698,745
300,463,349 300.463,349
'
v uor^ \,lorgsr 532,569 6y Gross Prot'it 44.tigE,745
" Bank Guarantee commission 468,017 "lntt On lT Refund 222,160
" Conveyance Exp. 46,156
'' Drivers Slaray & allowanc€ 6,832,400
" Supervisor IStaff Salray 3,214,600
" lnsurance Exp. 788.291
" Legal & Audrt Fee 38,500
" Oiiice & Generai exp. 137,463
" RTO Taxes 1,427 .485
" Rent exp. 77 ,200
" Sales Tax Exemption fee 1,830,002
" Entry Tax 766,543
" Staff & Labour Welfare 164.692
" Statronary & Postage 23.34
" Tender Exp. 93.228
'' Telephone/mobrb exp. 41 ,996
" Travelling Exp. 43,676
" lnterest Exp 8,320.100
" Depreciation 10,250,089
" Net Profit 9,824,553
L-
Total 44,920.905 Total 44,920,905
For H.R. JAIN & CO ANY, For LAXMILAL PATEL. CONTRACTORS
(4 r'A
RED AC NTANTS
,^
'_::_.
PARTN PROPRIETOR
PLACE: UDAIPUR
DATE 24 09 2016
F sl EL
\ LAL
a\ LAxil
r A,
^'Y
^l
vr
SHRI LAXMILAL PATEL. CONTRACTORS, RISHABHDEV
BALANCE SHEET AS ON 31ST MARCH,2016
LIABILITIES Amt (Rs.) ASSETS S)

CAPITAL ACCOUNT r03,1r9,187 FTXED ASSETS (WOg 60.805,8i19
SECURED LOANS: INVESTMENTS 1,079,000
S),nd Bank-O.D-Nc 5 617.3C2
Synd. Bank-O.D.tuc 2 2 0't7 ,534 WIP & Matenat at site 201,350
Synd House Loan 1,178.150 Sec.Deposit FDR PWD 56.974,942
tru' ru,, ucurui s t6,24J t5l
SBBJ CD A/c 21 .207
CURRENT LIABILITIES & PROV 18,609.569 Syndrcate SB AJc '10,440
TDS Payabb 85 367 lclcl A/c 3,033,6An
Cash in Hand 763.080 3.828,391
Total 149.132 689 T^t:l 1rO 11,) Aao
FOT H,R, JAIN & COMPANY, For LAXMILAL PATEL, CONTRACTORS

c ACCO
ttl'
(\t fl
I
PROPRIETOR
PARTNER
PLACE: UOAIPUR
DATE. 2,r 09.2016
IY
, M6 |JXMILAL PATEL CONTFACTORS, RISIIABHDEV
SCHEOTJLE FIXED ASSETS \51

PARTICTITARS GROSS BLOCK DEPRECIATION BLOCK
iitro For uE UO AsAt As At
I 12015 upto .1i.. dunng 31 03 ,6 Ral,e 31 0315 Yaa. 316 31 316 31 315
30915 3O915 th6 yr
Trud( RJ 27 G 0331 36000 0 0 0 36000 15% 35821 27 3504E 152
Dump6r RJ r,l c 0Oa8 100@o 0 0 0 100000 r5%
Molor Cycle RJ27 M ,lE
9S376 94 Sil70 530 62,1
12000 0 0 0 2000 15%
'r
11925 It I 1936 64 75
Tools & EquipnEnts 322@ 0 o 0 32200 r5% 31727 ?1 3r 798 402 173
House at Rishrul@v 7oqx) 0 0 0 70om 0 0 0 7(1000 70000
Plot at Rirhabhdev 2m 0 0 0 2000 0 0 0 2000 2000
Plot at Savsle 3900@ 0 0 0 390@0 0 0 0 390m0 390000
lhJEe at UdaFor 2260000 0 0 2260000 0 0 0 22600Ci) 2?60000
Vrbrators 25000 0 0 0 4l 24765 235 276
Mahindra Jeeg 25C750 0 0 0 25075015% 245979 716 246695 ,r055 4n1
J C.B-@l hire 13' 786E 0 0 0 13r788E 1506 1314697 179 1315176 2712 3191
OH Mxer f,tuC 34500 0 0 0 3500 15a4 340a{ 6?
Road rolbr 140000 0 0 140000,5% 137241 111 137655 2345 2759
Dunper RJ 27 G 3075 298@0 0 0 0 29€000 15% 290169 1175 2913.+il 6656 7831
JCB on hirr 24 3 99 1536595 0 0 0 1536595 15% 1529013 1117 1530150 6.145 7542
MicydeRJ 27 { 6362 s942 0 U 0 36942 15% 35810 170 35980 962 .t
132
Road rcller 2m000 0 0 0 axmoo 15% 191824 1226 193050 6950 8175
M/Cycle 380m 0 0 0 38000 1s% 36447 233 36680 1320 1553
i,t/Cycb 35000 0 0 0 35@0 150,6 32821 33148 '1652 2179
3 7i 6au9 /r39 7'?3546 4(},l52
Dumper 4759t
764000 0 0 0 ?640m 15Vo 7't64@ 7t 39 723549 40152 47591
Mrcyde (N€w) 167480 0 0 0 1674W 15% 129300 57?s t35Gl2 324$ 38r74
JCB 157 4200 0 n 0 157420IJ 150h 1209s88 5,r592 'r
264280 3@920 364812
Z4xis 200 Maclinc 4009000 0 0 0 ,r0E90oo 1504 3r41919 112062 32&9Al 605019 947081
Tata 200 Erc{vator ,r351000 0 0 4351000 15% 32 3r5 16a503 3/t18818 9321@ 1096685
JCB {Trc) 3950m 0 0 0 3950000 150/o 218692 175696 29543€6 995612 117 r 308
Dumper (t\ro) 3510000 0 0 0 35i10000 15% 2490270 157{60
Pa!€r Finrshji
?d1't -1t\
11670&1 0 0 0 't
167084 15% 79291.. 56121 8,{9065 318019 374140
Tata safari 12@000 0 0 0 12@000 ls% 78'1354 52795 &{4159 355841 it18636
Pocldaio 4 r 25000 0 0 0 4125000 15% 2559259 233361 2@2620 13223W 1555741
Bol€ro Jeep 5m752 0 0 0 500752 tscA 278566 33328 311894 188858 2221fi
Paver Plant r 55@00 0 0 0 1550ffi 150/0 801574 112261 913€38 636152 71€'{.?s
Tippe. 2518 22rm0 0 0 0 zlw 15% 1142680 160067 1g12956 9070,1,1 '!067111
Tppsr 2518 221mreo 0 0 2210000 15% 1142889 ,60067 1302956 7041 10671 I I
I &T ROLLER 2_'r25400 0 c i539i0 ii5.]$. r a/2t 59 r016069
CAR CHEVROTLET t4@000 0 o 0 1/t00@ 15% 724@,2 10t400 825/tO2 574598 675998
PSvsr Finrshcr 16E3000 0 0 0 16E30oO 15% 649428 155036 80{4er 8785it6 1033572
JCB.1 2053000 0 0 0 2063000 15% 79€06'l 190&tt 986r 02 1076898 r266939
JCB.2 2063000 0 0 0 2063@0 15% 796061 19@41 986102 10ru98 1265€39
NPPER.l 1?8953? 0 0 0 r 7895U 1506 690536 r648,19 855385 934147 1008996
NPPER.2 1789532 0 0 0 1789532 rs% e90516 16'4649 855385 934t47 1098996
2369001 0 0 0 236900r 15% 914138 218229 1132367 123563 1154863
TAR 529qD0 0 0 0 5290000 15% Ml2f9 4873m 252E5E7
LOAOER 2761113 3218721
21(x)000 0 0 0 2100000 15% 810338 r 93449 10037E7 1096213 1289662
CATERPILLAR 68flm0 0 0 0 6860000 15% 2647103 631935 3279038
SOIL COMPACTOR 3580962 4212897
2455065 0 0 0 2455ffi 15% 814314 246113 1060427 r 394639 ,640752
TIPPER.l 1585000 0 0 0 1585000 15% 525725 15E691 644616 900384 r059275
TIPPER-2 1585000 0 0 0 1585@ 15% 525725 'r 5889,1 684616 9003E4 1059275
TIPPER-1 1598000 0 0 0 159E000 r5% 530037 1eot 94 69023l 907769 167963
TIPPER-2 15980Cn o o 0
NPPER.t i17759 r06 /963
r775(m 0 0 0 1n50fn 15% 5867,15 17793a 766683 1fl)63r7 'I t 86255
TIPPER.2
RJ27 UA 24/0
177$00 0 0 0 1nffi 15% 58S715 r2938 766683 1006317 1186255
2582912 0 0 0 2*2912 15.k 716758 27W23 996681 1586231 1866154
VIBRATRY COMPACT( 258/1280 0 0 0 2584280 15% 717138 2AOO71 9!7209 ,587071
flPPERCB5955 241q,00 0 0 0 2410000 15% 666775 261184 929959 r 180041 1711225
TIPPER€85C56 2,t100@ 0 0 0 2410000 15% 658775 261184 929959 14800.11 1741225
BOLERO JEEP 60@00 0 0 0 6m0@ 15% 166500 65025 231325 368475 433500
r\\nurAlourL2tr, 56250110 0 0 0 5@5000't5%
SAFAfiI
1560938 60$09 2170517 3/t54.153 404D62
1s50000 0 0 0 rsflxx)o 15% 430125 167961 598106 951Egit I r 19875
PAVER FINISHER 1976974 0 0 0 1976974 t5% 42578 233159 655737 1321237 'r
5t1396
KOO'ATSU PC 210 5625000 0 0 0 5625000 1syo 1m2U4 663398 '1865742 3759258 442265ti
KOHATSU PC 2'O 5530000 0 0 0 55300@ | 56/0 1182038 652194 layztz 366768 43,47%2
TTPPER (4) 97048it4 0 0 0 97W44 15% 7278E:J ,3.16517 2071110 763{}r3'l 897698r
To'.al Rs 't21479532 0
t
FORM NO. JCB
lScc ralc 6G( I Xb)l
Audit rcport urdar scction tl4AB of thc lrcortt.-llr Act. llxl il lbc c's' of p'rto! rofcrt'd to ir
.Lrjc (b) otsub rc!. {t) of rE!' 6G '
\)?
ha\e Diam ined the balarlce slleel as at S l st March 2O!4 and thc Proli' rrd los 'ccoad
period bt8inni
l.1,t.
'or 'lle
0!!BE0l to codi ng on z)16{.}3t altached }Ere\rilh. ol- L{xlll l-rL P.TTEL and addrcss of th€ eis$sae tYith permarrcnt
RISTI''tBHDE\'. T DAIPTIR. RAJ-,\S I II \\. JI]A[2 AAZPP57l8ll. lflt<rllionnlmc
Dccomr number'l
Br c{riry drar the holanoe she€t and the P.o6i . l6s..contrl alc in agreement wlth ltreand
inols oasccosnr mainrained ar thc
2,
t;.om"= a L{.:rHl LAL PATEL vIlI-{GE TIIANA RISHABHDf,YIIDAIIUBJrst0Z 0 ht[tdles'
3. (r)E!re[r)rr tte followin8 observalionEcommenlJdiscrof,oncicJinLurEisteBcics: ifany:

NIL
/L\ C.,L;d r^ sl6!. -
halc obhincd all rhe inlbrmation and cxplanotions Nhich. to the beJt of Our knolr ledge
afii bclicl. were nccesssr}
(A) !{,
for the purposes oflhe audit.
In egl opinion. proper books Lrf uccounr hate hcen kept bl. lhe 6"ad
(B)-tiom of6ce and br *-hcs of thc assessee so far as *Pears
Qct knrwlcdge and belief. were oecessary for the examination ofthe books'
analo the bcst of Qru informaion and uccordin_q ro the erplanarions given to l!lhe said 6!@unrs-
ltad
rclin orrlG;on J r;ir !,irt,
!\lrn lEt(:l uA-llurr. rr o|,]l.6r!! e q$ {'.v iq'| rre' r
(i) in ttri case of m Ualarce shsi(, of thc sratc of thc affairs of the asseasee as at 3lst Mstcll. ff16
gd
(ii) in drc cas€ ofthc Prolh r.d lo.! rto{nl oflhe EIQS ofthc ass€ss€e for thc ;'car endrd on that due'
,l,1AB is annered herewith in Iorm No. lCD.
.1. The sraremcnt of particulars required to be firmishcd under section
qr given to I'Lr the pfftiqlla's givcn in lh€ said

s.ln opinion 8rd to thc hest of OI! information and accordiDg to o(plarations
to following obscrvEtions/qualificarioor ifony:-
Fonn-r{o icn arrt rtre Anncxure thclclo atE true ard c'orl€ct subjeqt
sl Qrali rication Tl Pe
ons/Qualificarions
Place t rant Pt,R Name

Date 26tWDOt6 Ulembenhip Nurnber {0F1g
FRN (Fim REgistraton Number) 00Gl62C
Address EXJAUi ,\ND CO. l;DAlPtlR. UD{IPU
n- R.al,r-sTBAN.ll300l
LI.L
t,l/
ilY$\
f
I
FOR]II NO. JCD \T
srrt.menr of pnrticrrrrr required to uc filrsf;;:f ffi:l'r*r. *AB of thc rlcofts.r' Acr, 196r
I th€ assessc'e 1..\\\ L{t_ P \Tfl_
Addrcss L T\\II l. PA TEI- \ I TII {BHD[:\. t t)
.{ir r n ,i {{s I lt,t.\. J tJlt l
l Account Nurnher (P A,r-)
I \f'hcther c ass€ss,c! is liable to pa! tia c1 Ycs
duty, service ta\. sales ta\. cusloms dut--el4. if
)!,s. plcase
fimish the redslralion nurutrer rr uy odler idenriticarion
number alloced for thc same
st 'l'ype
ReSistration Numher
N{r,
Sal.s .\T/ter R,-tJ.\ST I
5 Status iduel
6 Previous from
1_ear l5-0J{l tn ?016-{l}.}
7 Asscssment Year IG
I I ndicarc rhr reler I lausc I scct I ]J .\B under tlre audit has been
st sus. ofsc.dcfl {,l.tB irr l:(todUcted
No.
I Cl!os..tlAB(, l,lrl llr crcc!dirB I crora
I a clt I I Persons. I Fanneas,l m bers iin d hd prot'it ng D tasc No
of o P. hct h share of c bers ndclcrnr ni) of untno !
N_arnc
Protir Sharing Ratio
b lf there any charge in rhe partncrs or memhers or lheir I shari t'tg rat Slnct the ast dat€ o1' No
prectding year. rhe ofsuch changc.
Dalc ofcharge Name of Panncr/\lem her Tyre Oid pro Nerv Remarks
changc sharing pmfir
I mtro Sharing
iiatio
I0 Nalurc trf busi pro ( I m(rte lhsn b ol esston curricd on duri n8 t he pre! ei]r
f crery bus I r protess ron I
Srclor
5ub
trrcloii Col|t.3rtors I
t0 h ll therc 0n) ange n thc nirt ure I hur rnes ,i pro rlN ofsuch chafig€
Business ector
lt a books of rtt\ ure prescribeJ under Sectror t{ i 1es r txxlls

I I s plEscrr beJ
Books
i, t- rsl o kx-rks,r ac'counI ruair:tuirrcd and lhe cdd
the books ofaccounts are liept. ( In case hroks ol account
alc maintaincd in a conrputer slstem. mcoti ol thc book
ofaccount gens-aled by such computcr s],stem ll lhe boolis o
accounb are nol kept at one locorion- pleasc fttrn ish dlc
addrciscs of l.rcations along $ith the details ofbooks
maintai|ldi at .nch l.\-atio ofrcouns
Books maintained l-inc
11
I Address Line 2 ty or o\Yn or PinCode
District
ll R I -_\ I- rTI- L I I \(;ti
t R\ \t. couPt D TIPI I I J80?
TFRIT,I_t)
I Li$ o and nai rele\ anl drxum CNIS
I e\ ned Same b
(- {-
t,
I2 hcthcr rhr proli and Ioss uc udes an pro and Sarns lc on prEsUm pt basis. I es, ndicalc thc
IOUnt and thc rel :rnl sltt .l 4.{ l). .t1 E. .lJ l: .l.l B. .t4B B. .lJ ll It l-t B II B Chxprer x c t
or an\ olhcr rel \ccl Schcdr:lc
)-
Soction
\it
tl a TI of account i ng emplo).ed in lhe preli olts ! ear
D Whdher thcle has been an\ changc in lhe
mclhod ot' a(counling !'mploled \ ts-a-t'ts the
th€ inrmediat€l]. prcced rng prsvroUs
]ar
l.] c answer to (b) above is in the alllrmativ I
details ol' such . and thc etTeat rhsrmf on thc or r55
r
2
llarticulars Increase in pIofi(Rs.) Decrrrrs\ lRs )
d dcviat n an\ n ttlt melM ofaccormting cmploy ed in th€ prcviorE yell fmm
uandards prescrib.d under section 115 and the effirct $ereofot ttle prolit ot loss
lncrtase tIt Rs., rrccrE6c id proli( Rs.)
t{ Method ofraluarion ofclosinS stock employcd in rhe pr$ious !efi. rT (-os r
ll h In case ofdevialion lrom the tlerhod oflaluation prescrihd urder secrion l{5A. and rhe thtrcofon
rle or loss. lqrse fumish
Paniculars lncrease in profi(Rs.al Decreasc rn pro fi(Rs.)
l5 Cive the follo\ring pafliculani ofth€ capiral arset convened i nto sk)Lk-in-trade
(ol f)es."iot ion ofcopilalos-qct IIlr I),r. .,c lc) Cost o r.l\ A -t
-^.,-t
acquisition acquishion !+hich tlE ass€t
I
is @nvcatcd inro
I
stock- in rrsde
\;t
t6 Amounts not crqlited to thc profil and loss account. being:-
l6 The itans falling *ithin the s.opa ol sectroo 28
Amount
\il
l6 h The p.Dforma qtsdits. drdvhacks. rettnd of dltl:- ofcusloms orexcise or sctice olsalcs ta\ or valuc
t-&\- \yherc such crcdils. drawb@ls or rcfund are admiuod as due b1- thc authoririG concemcd
D€scriprion Amounl
t6 Escalation claims accepted durinS rhe previous )ear
\it
rl rtem ulconre
Des!.ript ion AmoDnt
lb Capital recripc ifany

PIlon Arrounl
I $ tErE any land or building or bolh is ng fic rrre\ ) ear lbr on han al ue or
asscsed or asscssable hy an) trudrority ofa State C$vcnuncnl ret'ertBd to in rcclion ,l3CA or 5OC. plcas! lirmish I
Line Addrxs Line Citr l'incodc ton adopred
pmPcfl) II 2 rcceiYcd or asscss.id or
accnrd ass€ssoblc
E Puriculars o dcprecialiofl allo\rable as Der the Incomc-ta\ -Act- 196l in resfrect of each aaset or asscI-.- as $c r.'a;s
ma) bi in the:-
Derlipt- Ratc rng Addilions Writtcn
K)n o deprcci WDV (A) MOD- u l oral (() Allouable Down Volue
Block ofltion (!nl Valuc (l) in Rate Cr art (D) 8l the end
A$sets/ lPerc.nt-l of Ex- (r) Purchares tfie )'ear
Class oflaget I
change (li) I l^+B-C-D)
(J) ( l+2+J+4)
Phrt & t5% 6E3tl9S r 5E0ltJts8
tl.ahi!ar.r I
r5%
' ror ,{d'Jiiior rnd rnd Dedlxlior D.t.il I rblc\ \t llrr }nd of lh.
I Amounts sccl
lSection
Amount ted lo als Pcr provl5 ol-lhe lncome-ta\ Act- I96l ond
Fofir and loss also lulfils rhc condidofls. it'aol specilicd undcr rhc rclcvart l4prov isiors
I
I acoount ol l ncomc-l&\ Act- I 96 I or I ncomc..rax Ru les. I 962 or any other guidelines.
circular, ctc., issued in this behalf.
J An}' sum pa ro an enl oyee as bonus or comm rcndered. rt sum $as othsnvis€ talablc
to him os prolits or dividend lS,:r,tion 36(1)(ii)l
Arnarunl
t' Crlnirl .ecciled liem emplolccs lbr viuious rrt to in s lion 6(lXta):
aIuN of fund Sum Dur dar. fhc attuol aflusl d
I rEs€i!!{ pd) mcnt amount paid ul' Flment t(
I
hrm dlc
emplores
\il
I sh lhc detai f amo e pro Ilr rmd lo acco un t. oc ng n rhc
advertisement gxpcnditurr elc
t.
(\ .l I 2
(
I
aprul e\ rturc
\q
Parlicu lars
Amounl nRs
al lllre
Padiculals Amount in Rs.
A rlure ln an\ soursllr. rochure lract. pamph ler or Ihe ike publi a po I cal pa4
Amount in
\pcftjirule al a ubs telDe antrancc and sul-rscri ptions
culars
Amouol in
E pend lure ncuned ol c UbS bc lne cos t 1n r cl U h lC!'S and I Itcs used.
Iars
,\mou in Rs,
Eripcnditure h1, I pl|Ylalt] ot ll Itc l-or D AD\ l'o lhc me being [orcc
Pa11 cU ars
Am ounl Rs.
no, vr d'ir u!r!r l,r.. cl ir or Ji[c nor ujrcrati a6ove
Pad;cu lars
Amount in R5.
Er I IUrC incurred anr rvhich is an oflbnce or r.rhich is itcd bv law
Pan t0u
Amount in Rs.
( h mounts inadm i5 ble under on 10( a
) as p4 menl lo non-rqsident !o b-clausc )
(A I Dctai $T,meor 6n \rhi1'h !1': !: ,ct d.du.1ed:
Date o Amount o NaturE o Name PAN o AddJess Addrss Cit'- or Pihrdc
pa.,.,ment pa)ment Pa.rmgnl payce lhe p6)'ce.i Line I Line2
I
Town or
avaliabl. Dist st
{D o pa) m nl on hirrh hils bt,en educl cd hul h not bten paid tlg I h prc ot !ear r ln lhB subscquent year
be lore thc e\ o rl I tIl
prcscl heJ rnd L'l scc'tiofl200( I )
o Amount o Nature o Nane o PA o Address Addrcss (' A!:':c!yr!
Falmcnt paymefil palm€m the poyee lhe Linc Line
I 2 Torvn o[ ta.i
pa) ee.if Disrrict d€dlr{ted
avaliable
(ii) as payment relbncd ro tn su tFclausr I ial
(A) ot' pa) anl oll hi n ol
o Amount Nalure o Name lhc PA ol' Addres Line I -,1dlr€ss Citv or Town
rirc Lin€ 2 or District
pa) mcrr pa) ce,if
araliable
(B) ls of pa-vmcnt ch tit\ hirs hcen deductEd bul not bcen on or bcfore due date specified in
sutF scction (l) ofsection l19
Date o Amounl Nature ol Name o PAN o Addrcss Address nerrde Amounl Amoum
pa.yrDent of Pa-\ mcnl thc payer lhe Line I I ine ') T4I! ^'
Pa) ment pal eeif Disrict dcducled depositBl. i
avoliahle anv
(' liingc lrn tler tr- c (ic)
) wealth tar under sutrclause (i ia) 0
ro) all]. licen 0
ser\ tec clc unde sub-cl ausc
(vi) !,ala.l} pa;. able outside I 0
a/ro a non rcaidcnt thor.I fDS erc. u odi, suFclausc (iii). I
D:ts Narnc oi rire rAN ol ..\ddreis ine I
pavmenl
Cit! Pincode I
pa) me!)t pa]"ce the pa),ee.i Line 2
avaliahlc I
l\ /othcr [und etc undcr ub-c ause
to PIT
{}
) IA\ paid D)
nl er unrl 5U Fc lausc
(c) Amounts to profil and lqis accomt being. i nterest. salar). honus 0
commtsston or remunefation issible under
sertion 40(b)/40( ba ) and compu(ation therco t:
Paniculars Scl-liun
lAmounl dcbiled Amount Amount
lRemans
(rl) Disallouance/ deemcd income ito PlL A/C Admissible lrudm iss ible
und€r section 40A (l):
(A) On rhe bosis ol' examinalion o books o account airii othcr rclevan
exp€nditurE cpvered und€r se.tion 40A13) read
t documenlge\' idence, w itclher lhc les
wirh rula 6DD rr cre m:r,tlc b] ncLrcunl palec cheqo€ dra$n
or accounr pa1,ee bank draft. ll no t. plcasc fumish on € bank
I he dctails:
O!'Pgvmer:: Arnounr in Rs Name oi thc pa) ee
I Pa! ment
Account
p.yee i
(B) On dre baiis ofthe e\dmi ofk)ok5of accoUnl othcr r04l dogx6gn1t
ref'crrcd kr in secrir_r n 40-A(lAJ read with rute 6DD Fa: rn!'nl Yes
*cre madc br on a batk or accolnt
I
t,
/-'
tt draft lf nol. plcase furnish the delails of Ernount deemed rc be rhe prolils and gains of husirEs &7
lf*yo "t,under section .l0A(3A )
OfPaymcnt Natwc (l .unl irr Rs Name olth!'pJ]ce Permanent
lc_! lll!llt Nuntler ot thE Fqec. i,
qvEilahle
{c) ision lbr p€ymenr ofgrafuit) tx{ e Undcr section {0A(?) 0
An) surn blr iNs$set nol ullo\lahle urder seclion 40A(9)
t\5 3n empl o)ex I
(g) Paniculsu's ofany liabilil! ola conlingcnl naturc
Na(lllc Of I-iabiliq ;\mount in Rs.
{hl Anlount o dedrrction inulmissihle in team\ itf<lctim l1A in .e"g'cr otthe etp.'nditure *hicl
l_1 Paniculan ofanl pa) menl madc to pcrsorrs specified under section .l0A(2[ b).
Name ofRciare{i Pcrson PaN ofttciate<i Person l(elal(nr \at tir( ol Parmed M'de(Amotmr)
r-ilsucuon
:l Amounts dEmed to bc pmfirs and gains under scction 32AC or 33AB or 33ABA oi llAe
Scction Amounl
\il
ti Ary" amount olprofit chargeahl c to la\ under section 4l and computdtion thereot'.
Namc o Pcrvtn Amounl ofincoln€ fies.irun'- ^fT-.."-r
?6 (i). In respecr ofany sum refcned to in claD6e (o). (b). (c). (d). (c) or (1, of scction ,llB. drc liabilitv tur !{hich-
l6 (i)A Fe-sxirtcd on the first day of the prelious year hrr r*as nol allowdln lhaass€ssmdiof anl preceding prcvious ;.,car
and rvas :-
16 (ixAxa) Paid during Oc previous lcar
Section Narure ofliabilitv Amo nl
(ix A {h) Not pflid di,lring lhc pnr ious.veor

Seirion N illtll L-' II lirJ
(i)B was irN"rrted in lhc pcvious year and was

l6 (iX BIq) Paid on or bcl'orc the duc drrc for lurnishi nB the rclunr of incomc of thc prcvious year under stttion 139( | )
Section Nollia* .)
TILDuh,Cr!s,Fc. .tc TDs PA\ \81-E
:o ( ix B)(b) not paid on or bdfore tlE aforesaid date
Section Nat re of licbilit! Amount
sales ta\, customs ut). c) dut]" or )es RO\ \1_T) , STA\

aDy othcr irdirEct tax. lev), c€ss, impost. dc.. is pa\l({I tuE t 8.In02
f- ttlC Ill and loss account- )
a Amount ofcefltra.l Value Added Tur Credirs availer, ofor utilisEd during rhe previols ) ear and its trcatment
in profit and loss occount and trcatment oloubt8nding Cenlral Value Added Tax Cr.{its in aeounts
CENVA't Amounl Treatment in Profit srd
l-osJAc@unts
Opening Balancc
1_E\r\t 1T A.,-:t-,1
t-
CENV,\T Utilizrd
Closing/Grtstading
Balance
21 h Paniculars oiincome or exptndirre of crgdited or deb ted to the protit aftl loss acclunl :-
I
Tl rrc Pafliculaxi Am our]1 Prior period to Bhich
irreletes(Year rn ).!)]'-
y) format)
\il
l8 Whefh€, during $c prcvious 1'ear the assessce has received any propsrtl. bcing sharc of a compqnt mt bejng E
comparl in rvhich the public are subslantially int..ested. witlrlnl c.nsidcratirrn or fbr inadequarc corsi{rerstion aS
rcltned to in sefiion 56{2xviia)
alnc o the PAN of the Name o lN of thc rrmpanl \o Shares arler
urrnpaly Irom keceirc{ rhc
availablc paid
.rcl \
/1 1
\-l
which sharcs r.rhir:lr shares

I
teceived rccei\'ed
\il
19 during rh pret rouS t'd an\ Ior lsSUe sharcs ercceds ile fai No
ma* rl ral ue o I Ihc sharcs td fened k' tn scct ron 56(2 ,( iib ) I t )es pleas€ Ilmish thc dctails o I tle I
of t hc PeI,:jO D liom P the Ircrson. No Arnounl Fair
j
ooo5r deradofl wluc of th€
shares
receivcd sharcs
\it
.'t0 Dcrai an) I d ( n8 thc arnounl borrorr ed )
rcpaid.gthcrwise tlia rirough dn itccounl pa) cheque.( Section t) j
Name ,I PA o Address Address Ciry- or Srale tlunl Date o Arnount Amounl Date
-lorvn
I th€
pe6on
the l,ine I Line 2 orl I ls".*,"ealR""o.ri.firr
P!'rson. l District I irrcludins
from availablc I l l
1l-hom I lrnter€sr I
amounl
borrowed i
cn repaid
on hundi I
\it
lt a Paniculars o cach loan or deposi( in an amount exceql'ng the sPcc r ln sect!on 269SS or
the pr,etious vcar t-
I Nainc
depositor
of thc lerdcr or Ad{iress of lhc
dcpositor
or Pemarcnt
Acc{unt
Nunbe(if
available
Amount
Ioan
demsh
takcn
\\'herher Marimum
or the loan arnolrnt
or deposir
ottsterdlng
fic
tlrc loan
!n ol'
accounl at depo{ir
I rvith the acccpled was atty lime du'ing was
asresser) of squard dte p,revbus lalen or
lhe lender up vcalt sra:eptcd
e; the during othenr
depositor the than hr
previolr5 an
ysr acoounl
i Fyee
tEnlr
cheque
or
4a{Yr!!!!
pat_r'tr
I
hE lk
\it drall
lr pofircu ars necd nor be gi ven in case of a Govcmment
ompany. a ng company or a cortoialion establish€d bv a
Central. State or Pmvincial Act
lr b Panicu each repaymcnl o Ioan or deonsir i n an nh^rnr FB,]i-c rL^ I i-:r 5Pr);i
lhe prE\ ious \ cir. i- ao, I made gun E
Name o the pa1 ce Address ofthc pulee Permolcnt Amount o Ma\imum Whether t h.-
,{ccount the Ertlount repalmcnt \r al
Nunrber( it' rr.paynlent outslandinS in madc other\r ise
availsble lhe accouot than b) accourH
ltt \r ithlhe
alsqarce)ol
a.n) time during
the previous
at
palec cheoue or
acaouil polce
Ihe pa] ee )ear
\it bank dran
a rh. lak tn8 acceptlne loan deposit
drdu n
rcPa\ftenl
banli rccount rrit] bank dra ,i lrascd n
f tht'
r:tli
rnadc b;. accounl L_r.ti ch cqua \ ol
L) I kxrks of ilcc()unl and 0lhcr Applicrqk
rjocum cnts.
l\"ole: (l1e ) lo (iv)ot (b) and commcnl t (c) alE\.e n(ijd tDot bc giycn the crrse r}[ a
-!P!r,r q^q! !a !!!EPr!o tn|ln Ln, yernmml. (iovemmcnt compar-r.,. banliiflg componl
or I corporirtion by l1
State or Prcvincial Acl)
0 Dctail oI bruughl lbnrad (lr depreci atron allowonce. n lhc rnanner. to e\lent at
Assessment L'TT urE ofloss/al lorvalce -A 0rder and I{cnrads
Dote
,1 1
_/
'rul}
l-r\:'il- \)'
hether chan B. the companY talr llac h ) rlrre lo thc Not
nculled pn or lhc pre\ tous \ e{r c{nnal be loued l() be carried fonr rd tn rm5 o i n 7S pplicr
1) Whelher the asse<ref lras incrrr:ed e!D, Jsi
I
dc(rib belolr
-ll d Wherhcr the asscrse'c has any loss referrcrJ to in 73A in respefi of an). business
d lh,r
ll!.s\ phrs! furlhl d€ i&
of lh. s.Itr.
l
_1? a.rinaia,ri ;5 dlar tcri io ix uu r l ir rg un a specnlaion iusinesr t\o
i
as ,eltrred in cr(pl&atiofl to sostion 73
rh€ oftptculrtnrn l(Bs
incurftd duriftg th.
t3 Sectic'n-.risc i deducric c,'1) h ui ar ( haprcr IA (' laptcr t t I I 04. Section I OAA I
Scclion Amount
I
hcrircr rcqu req (o oeiluct col NI per the pro o I Chapcr x\'l I .B es
X I-BR. I PI l'urnish I
I
Seoion Nature Tolal 'lirta
Total Amount 'Iotal
Amounl Amounr
deduction f)ar.,mefl iulounl o ,unounl on amounl on liu atnounl on t&\ of ta\
ard Pa)"mcnt uhich tarr $hich tax dedxctcd Nhich la\ deducted deductd
collection or accctlll was \ iLs or \r lls oa ot
Account of dlc rmuircd to deducted collecrcd deducted co!!ecrcC
Number na!.lle be or our of(6) or on (t) nol
(TAN) specificd dedu€ted collecfed collc:cted &posired
in column ot at at less rhan ro tha
I (-r ) collcctcd specified specified credit o
oln of({) rate oul ralc crl. o thc
(5) (7) Cenrral
l- (iovcmm
our of (6)
and (8)
JDIILOIJ6 t9{(' PA}'ME\ t06r:12 0 tr 0
{(; TTOA
Rt]SIDEN
T CO\TR I
I {.i&co\T I
R.TC'TOR
I
OTTIER T
I HA\ {DI
I ERTlStr.,
G
.rDHt nl16 tq{-' P{} }!E} t u
,lC TTOSt&
coi\TRA
I C-TOR I:\
I R{\SP
oR-l 8t sl
lil.ss
h Whether the assesscr- has statemen! ollfl\ rrletl or ta\ cc r,nLi^ rl^ - --"^.:L^r.i.^-
lfnot, please fumish the daails:
Tar dcduclion T)-pe ol'Form Due dalc Ior D€rc of Wheficr rhe sarement oi rax -dEuctF
and collection tiim shing fumishing or collccred conrains information aboul all
Account Numbcr i f furnishr:l rrursacriom which ae rtauired to be reponed
(TAN)
\it
* hcrhcr thc assessc is to pay rrlterest undcr sosrion 2Ul( IA) o. s€€lion a
7).lfies. plca-sr sh lNo
Ter deduction 8nd colleclion Accourf Amount of .{moun1 Datcs olpayment
Number (TAN) mder
section
I
201( lAV206C(7) is
psyablE
a cnnaem orte i|llaf\lrlfi ruF i^41

.(
tV
l\"t
( \b)
Nf,e
l Itern I :nit
slo.:k
rng PurElE- Salcs
e3
during
tuiog
dre
sto(.k-
lshorrEgel
exL'oss,
il'any
dE prcvirxrs
I
I previous yeu I
yelt
-i5 b ln th€ case ofa manu l'acturing concem. give rluantitative dcrails of the principal itunsof raw matcrials, finish€d producta
end by-producs r
35 als
I tlm Namc I nrl hlchases during ('onsumpti- Closing
I slock lhe prcvious I car on during during stock of a8r oI
I I lhe
I prer ious Produas
yea,
t5 r, plIodL(rls
ltern Li Opcni Itrchases ng Salcs the Closing slock
stock the prcvious;car manufacfur- prcvious ear cxce55.
I
)
tl I cd dunng it an1
the p(cviotrs
)'eir
\it
3i B) ptroducls l
Itcrn Name Unit Purchases during Quanrir) during thc lnl!

I st(^*l th€ prerious vgar nran u tircl rrr- cICrX\
I led during if an)"
the previmls
year
\il
_']6 ll case o It comginy, details ta\ on di pro under section I l5-O in follo*ing
tt (a) Total amount tb) Amoum (c) Antount ( ) rar paid Amount olpayment
ii of
profits
disrJiblrted .-.L.,:^-
I
re fsrrcd to in
lscclion I 15-
refe[Ed
section
to in
5-
o(rAXi) o( r AXii)
31 an] cosl was rarricd out

Nol
8r rlre s. 3n\ I fi calton or ao!
matter/i lcm/ ul ue/qrant ma\ be a5 ii cd
br rhe cosl rud tor
18 an]' tl ,l\ cxtnducted undcr ihe INcise Act. I 944
Not
I
I )cs. 8r rhe detxl I I an) d I saQrcem iulv
lica
malt".r,/i lerr,t.al u9 qunnlr t\ ma) l.{ .(l/iderti tlcd b1 lhc cudiror
l9 Whcrher an\ nud !!1daa I
B ralutror valuation
l!-es he repnnedr
idcnti ti cd b1 thc auditor ixo,
) es. rhe an! t' disq ll l(allon or d saerecme nl
matterritern/val ue/q uanlrl he ified b' the audiror
J(r Iletails \CI plo 1i t. lbr Ilr prc loll\ \ €ar and tD-q
N Lus Prcr ous Year
prer iors Year
a Total tumovcr 3rm26lEL
b Gross profit / 14698?45 .,| 14.E9% -1 r80 7t82r 6l
Turmver
Ner profil / q8l4-55i
l(rl
Tumover
lr 5 812 56: 2.6
201350 J00:61999
Trade 71t211562
Tumover .,C
I\4otcrial
consumed/
Finished
-.f
l"
I
gods
froducqJ
fte detnils to bc fum
'hul lirr rfl llct R1l rlcmJ of goods tradad ot m anul'ar:tured scrvrces rendered)
$ I
olllcr ll!1llll(L
.\o- l.lr 9: r'l
I
Prc!.ccdi gs
Fialrcial yEar ro NsnE of otlrca T}?e Diltc Amorml
r*hich d(,n&d/ Iaw rriscd"'Itetirnd rai:o:Vrtfund
Rcmorlis
.Ellinl .elar6 k) r,r,eiYe.li r<c=ired
Place t.{DlPlilt Name MANOI JAIN

Date 26&eD!16 Mcmbcrship Number {0cti9
FRN (Firm Re8isrrdion Numbcr) fiXn6:C
AddTETs H R JAIN ND co. IIDAIPTjR. I]DAIPL
f, - R{J{SrtI.Aft.. JIJTiS i.
c)rm rnI! l.i

nal
Poirt Itl
prion Sl.No Dare Dare pur Amounl anl on agcount o TolalAmount
Bbck oIAssds Purchase VAT Exchangc I
Rare urant
Pl{r
Ctagr I
tlrhil.+ ? 15./.
'lotal of & lu.rhiEer) ra 15
I
\o- I
o t 5./.
I
LhLPFIEL
:.*ti\\
h
Form GSTR-3B
[See rule 61(5)]
2021-22
lP.riod October
l GSTIN
O8AAZPP5718M] ZN
2(a) Legalhameof the regiEtered person LAXMI LAL PATEL
2(b). Trade hamc il .ny SHRI LAXMILAL PATEL
2(c) ARtl AA081021,t57249A
2(d) Dale ot ARN 19t11/2021
3- 1 Details of Outward supplies and inward supplies liable

to reyerse charge
Naturc ol Supplies Tolal Taxablc Value | lt cg]ated rax C6otral State/UT Tar I c"e"
(r) lro rax(fl (o
(a) Outward taxable supplies (other thar zero rated, nil Ito
43345324 1 l 000 2600719.45 2600719 45
rat ed and exempted) 000
(b) outward taxable supplies (zero rated)
000 0.00 000
( c ) Olher oul ard s pp lies (h rl taled, exempted ) 0.00
( d) ln a rd s U ppli e s 0i ab e to I evers e c h arg e) 339460 00 16973.00 000 000 0.00
(e) NorrcST ostward supplies
000
3.2 Out of suppliee made in 3.1 (a) above, details of inter_state

supplies madc
Nalu.e of Supplies TotalTaxaUE Value (l) lntegrated Tar (O
Supplies made to Unregistered persons
000 000
Supplies made to Composilion Taxable
Persons 000 000
Supplies made to UIN holders
000 0.00
4. Eligible ITC
Details
lntegr3ted Tax Central Tax ({) State/UT Tax Cess (a)
(r) (?)
A. ITC Available (wh€rher in tull or part)
('l ) lmpon of goods
000 000 000 000
(2) lmport of services
000 000 000 000
(3) n rd s U p p s ab e 1o revers e charge ot her h an & 2 above) 6973.00
r 000 000 000
(4) lnward suppltes lrom ISD
000 000 000
(5) All other trc 'r
4862 t 8 52 1437 623.60 1437 623.60
B. ITC Reversed
(1) As per rules 42 t 4r] of CGST Rules
000 000 000 000
(2) Others
r 1628 00 135163.44 'r
351 63 44
C. Net ITC ayailable (A-B)
000
1491563 52 1302460 16 '1302460.16
000
D lneligible ITC
(1) As per secrtoh 17(S)
(2) Others
000
0.00
000
000
000
000
E 000
000 000 0 000
ll
5 Valuec of exempt, nil-rated and non-GST inward supplles
Nature ot Supplies
lnter- $ate suppltes (l) lnlr.. state (?)
Fro m a s lrpp er U nd co mposrt ron sche m e, Exem pt, N it la ed supplv
000 000
Non GST supply
000 000
5.1 lnterest ahd Late fee
Details lntegrated Tax ({) Cental Tax (g State/UT Tax ({) CeEs (O
lnterest 000 000 000
Late lee
000
000 000
6.1 Payment of tax
Description Total Tax Tax paid through ITC (r) Tax paid in lnl.rest paid in
Payable (t) Late tee p.id in
lntegrated Central Tax cash (t) cash (O cash (?)
Tax
(A) Other than reverse charge
lntegrated 000 000 0.00
Tax
000 0.00 000
CeniralTax 000 7 457a2.00 1302460 00 5524n.00 000 0.00
State/lJT Tax 000 7 45792 00 'r341730 00
513207 00 000 000
Cess 000 000 000 000
(B) Reverse charge
lnlegrated 000 'r
Tax 6973.00
CentralTax 000
0.00
State/l.JT TaY 000
000
Cess 000
0.00
Verifcation:
siven herein above is true and correcr to the best or my knowredse and
*fi:iJrTl"#:'J""fl'J"iioo,li:![i#t""'rormatron berier and
Date:'19l11/2021
Signature
Name of Authorized Signatory LAXMIPATEL
Designation /Status PROPRIETOR
Lh' PNEL
^{rl\
f *-'' l 4
&--E-
I
Form GSTR-3B
[See rute 61(5)] )
\
Yeat 2021-22
Period September
I, GSTIN O8AAZPPs7l gM] ZN

2(a). Leg6l nEmc ofthe.egi6tered per6on LAXMI LAL PATEL
2(b). Tr.de nam!. rf any SHRI LAXMI LAT PATEL
ARN 4a080921861796K
2(d) Date of ARN 19/1012021
3.1 Detrils of Outward supplies and inward supplies liableto reverse charge
Nature of Supplies Tolal Taxable Value lnlegrated Tax Central State/UT Tax Ce6s
(?) (9 Iax(t) (o (o
(a) Outward taxable supplies (other than zero rated, nil 70a9444911 000 4253666 95 4253666.95 000
rated and exempted)
(b) Outward laxable supplies (zero rated)
000 0.00 000
(c ) Other outward supplies (nil rated, exempted) 000
(d) lnward supplies (iable to reverse charge) 112632 00 5631 60 000 000 000
(e) Nor}GST outward supplies
000
3.2 Out of supplies made in 3.1 (a) above, details of inter-stste supplies mad"
Neture of Supplies TotalTaraue Value ({) lhlegrated Tax (O

Supplies made to Unregisteted persons 000 0.00
Supplies made to Composition Taxable 000
Persoi's 000
Supplies made to L.JlN holders 000 000
4. Eligible l'IC
Details lntegrated Tax cental Tax ({) State/UT Tar Cess ({)
(r) (r)
rc
A. ITC Avallable (whether in full or part )
(1) lmport of goods
000
0.00
000
000 000
E 000
(3) In a rd s uppl e s li ab e to reverse char s e (other 1 h n l & 2 ab ove) 5631 60 000 000 000
(4) lnward supplies from ISD
(5) All other lTc
000
384912.75
E 2447423 83
-
2e41423.83
000
000
B. ITC Reversed
(1) As per rules 42 & 43 of CGST Rules
000 0.00 0.00 000
(2) others
000 000 000 000
c. Net ITC available (A-B)
390544 35 284'1423 A3 2847 423 83
D. lneligible ITC
(1) As per sectioh i 7(S)

(2) Others
000
0.00
000
000
000
000
E
E
000 000 0.00 000
lt 1
(
( Y
5 Values of exempt, niFrrted and noF.GST inward supplies -o o
Nature ofSupplies
lnter- State supplies (r) lhtra- State suppli€s ({)
rom sup pli er und er comp osition schem e Erempt, N it a ted srl pply
a
000 000
Non GST supply
000 000
5.1 lnterest and Late fee
Details lntegraled Tar (Q) Central Tax (O State/UT Tax (O cess (?

lnterest 000 000 000 000
Late fee
25 00 25 00
6.1 Payment of tax
Description Total Tax

Payable ({)
(A) Other than revetse charge

lnleqrat!d
Tax g
Tar paid through ITC (O
rFI IArFiI EEIT'II1'i
ff:E
C€ss
Tax paid tn
cash (l)
lnter.st paid in
cash (t)
Lat f?r
essh (O
paid tn
lntegrated 000 000 000 0.00 000 000

Tax
Central Tax 000 I87553 00 3923438 00 .142676.OO
000 25 00
slate/uT Tax 000 202991 00 4050676 00 0.00 000 25 00
Cess 0.00 000 000 000
(B) Reverse charEe
lntegrated 000
Tax 5632 00
Cent.alTax 000
000
State/UT Tax 000
0.00
Cess 000
000
Veriiication:
declare thal the informarion siven herein above is true and
ll:ffi?;""l"il:l::l[rind correct to rhe besr or my knowtedse and berier and
Dale 19l10l2O21
SigDature
Name of Authorized Signalory LAXMIPATEL
Designation /Status PROPRIETOR
t
LFL
^t
FI
*
Y
Form GSTR-3B s
[See rule 61 (5)]
Year 2021-22
Period August
l GSTIN O8AAZPP5718MlZN
2(a). Legalna ofthe regi6tered person LAXMILAL PATEL
2(b). Trade name. if any SHRI LAXMI LAI, PATEL
ARN 4A080821554716W
2(d). Dare of ARN 2t/09/2021
3.1 Details of Outward supplies and inward supplies liable

to reverse charga
Nature of Supplies Tolal Taxable Value lnlegrated Tax Central I s"te/Ltr t", Cess
o (.) Tax({)
lro (.)
(a) Ouward taxable supplies (other than zero rated, nrl 15123047 32 o00 9073A2 A4 907 3A2 A4 000
rated and exempted)
(b) Outward taxable supplies (zero rat ed)
000 0.00 000
(c ) Other outwa.d supplies (nil rated, exempred)
(d) lnward supplies (liable to reverse charge)

000
45238 00 2261 90 000 0.00
E
@
(e) NonGST outward supplies
000
E
3.2 Out of supplies made in 3.1 (a) above, details of inter_st8te supplies
mlde
Nature of Suppli€s Total Tarable Value (0 lntegrated Tex (t)
Supplies made to Unregistered persons
000 0.00
Supplies made to Composition Taxable
000 000
Persons
Supplies made to UIN holders
000 0.00
4. Eligible ITC
Detaals
lntegrated Tax cental Tax ({) State/UTTar cess ({)
({) (o
A. ITC Availabl€ (whether in full or parr)
(1) lrnport of goods
000 000 000 000
000 000 0.00 000
3 td sup plr es a ble to rever ch s e othe ha n & 2 a bo VE 2261.90 000 0.00 0.00
(4) lnward supplies from ISD
000 000 000 000
(5) All other ITC
7152't 4 24 356862.19 356862.'19
B- ITC Reversed 0.00
(1) As per rules 42 & 43 of CGST Rules

000 0.00 0.00
(2) Others 0.00
4362 30 000
c. Net ITC available (A-B) 000 000
7131'1s 84 356862 19
D lneligible tTC 356862.19 000
000 000 000
(1) As per Gection l7 (s) 000
0.00 000 0,00
(2) Oh.rs 000
000 000 0.00 000
!
lt 1 *-b-
\l
-)u I
5 Valucs of exempt, nil{ated and nor}cST inward supplles
Nature of Supplles
lnter- State supplies (.) lntra- State s es ({)
F rom SU pp U n der co m po s rt o n s c heme, Exem p1, Ni ated su pp ly 000
Non GST supply
000
000 000
5.1 lntcrcst and Late fce
DetailE lnt€grated Tax (?) Cenltal Tax (O Stale/UT TBx (O Cess (?)
lnteresl 000 0.00 000
Late fee
000
0.00 0.00
6 1 Payment of tax
Description Total Tar

Payable (?)
Tax paid through ITC
o Tax paid in lhteresl paid in Lal. fee paid in
lntegrated C€nlral state/uT Cess
cash (O c.Eh (t) cash ({)
Tar Tax Tax
(A) Other than reverse charge
lntegrated 0.00 000 0.00 0.00 000 000
Tax
CentralTax 000 356587 00 550796.00 000
@@
Cess
000
000
356587 00 550796 00 000
000
0.00
000
000
000 000 000
(B) Reverse charge
lntegrated 000
Tax 2262 00
CenlralTax 000
000
State/UT Tax 000
0.00
Cess 000
000
Veriltcation;
inrormation siven herein above is true and correcr ro rhe best or
[ili?j;::"#llfjlr":r'rffifl;* "e my knowredse and berier and
Dale: 21/O9/2021
Signature
Name of Authodzed Signatory LAXMIPATEL
Designation /Statu6 PROPRIETOR
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(as amended tirn€ to tirnct tender
docunreru and thi:
Governor of stae of Rajrerhan,
n r0 davs arrcr issrc of rhk wo* or&

lplelrotr s fllellti.md bclo$.
with * [:"ttffiffi5 ffi"H*s,
r(relllc r No. 2t-
e of CommemeaeDt 07.11.2021
ulatul datc of Cornplction 06.1I.2022
Yours hithfulll'
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E (ecuuve tsn$neer.
Sigd on bdralf of rhc Covenmr
af the Srarc of Raiashan.
t7
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suhmined-lirnv"adrd to follo*ing for inl'ormation & news,vry a$rio{r :-
'fhc Ac'ruuntant aipur.
Thc Chicf E*gin p-W.D. Rajasrhan ldpur.
Ttre Addl. Chict' .D. Zonc-l Udaipur.
The Superinurding Engirmer P.\tr.D. tRural) Circlr Lrdaipur.
The fixrutirc Enginecr P.W.D. Q.C, Do. Udaipur.
I'he A*istant Engin*er P.W.D Sub Dn ltulyeupur
& leasing tar):Lobor lnspessr t_duipur.
usted rhat liTp of this rvo* ma1 plmse be issud in
l\r*ditor l{aly,sapur
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1.5. Availability of key items of Contractor,'s Equi pment
.r)
essential for carrying out the
Works [Ref. Clause 4.S.5]. The Bidder should list all
t he information requested below Refer
also to Sub Clause 4.3 (d) of the tn structions to Bidders.
Requtrment Availability proposals
S No Item of Equrpment Owned/ Remal.ks Iform

Nc teas€d to be AP.e/
whom to be
I
t"'otI procured Capacity Coidition
pur.hased)
1 rip er TruEk 15 40 Owned Good owned
2 Motor Grader 3 3 Owned G ood owned
3l Dozer l To be
Good
To be
Purchased Purchased
4 8a choe ront end Loader 2 1.7 Owned Go od owned
5 Smooth Wheeled Roller 3 2 Owned G ood own ed
6 Vib rato Roller 2 2 Owned G ood owfled
,l
Hot Mix Plant with Electronic
Controls (Minimum 80.100 TpH 3 Owned Good owne d
Capacity)
Paver Finisher with Electronic

8
Sensor
1 l Owned Good owned
9 Water Tanker 4
Good
10 Bitumen ayer 1
G ood
11 Tandem Roller 1 Owned G ood owned
Concrete Mixers with lntegral
12
Weith Batching facility 2 Owned Goo d owned
I
Concrete Batching and Mixing
Plant (Minrmum. Capacity - 1 1, Owned Good owned
I 15m3/hour
I
Concrete Paver capable of

Paving 7 5 Mtr. Width in one
single pass includint all
accessories such as aulornatic I I
1-l dowel bar inserter, integral To be To be

1 q uoat Good
vibratory system and electronic Purcha sed Purchased
sensors ancilJary equipment for
applying curing compound, joint I
cutting etc.
Concrete batchrng & Mixing

15 plant with automatic control( 1 I Owned G ood owned
Min. 30 Cu m/Hr
oi9\
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1.5 _ Qualification and experience of key personnel
required for administration and execution aC D
ofthe Contract [Ref. Clause 4.5[B][bl.
Years of Years of
Position Name Qualifrcataon Experience experience in the
(General) proposed position
1 Project Manager k Paliwal BE Civil 10
2 ibhav Dashora BE Civil 3
Vinod Malvi BE Civil
Site EnBineer 3
chi Vashishtha BE Civil 7
Arun Kumar Bihani BE Civil 10
3 Plant Engineer Chandra Shekhar Sahoo BE {Mech) 9
4 Quanti!y Surveyor Laxmi Lal Patel Diploma Civil 35
Soil & Material
Murlidhar Vyas Diploma Civil
5 Engineer
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SIR PADAIVTPAT SINGHANIA UNIVERSITY

Udaipur
Gacbelo r of @ecbnotogp -
I
Gttis is to tertitp tgat Derytk?alawl
@btaineD tlle Degree of Sacllelor of @erDnologp
(four pear Degree couree)
from tfic dnfberrip in tbe €xamination of 2Ol2 in
@ibrt €ngineering
6iben on tlre 27fi lal- of Septembet?}l?
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RAJASTHAIII TECHN CAL UN vERs TY KOTA

PROVISIONAL CERTI FICATE 06lt r?
Scriel No. :
BT/01417
Roll No. : 12EPFCE119
Enrolment No.: I2EIPFCEMTXPll9 yoar of Examination :
Genlfied thal Mr/Ms VINOD MALVI
Son/Orughter of SHANTI LAL MALVI
Mothot's Name VIMU OEVI
ot Colhg. PACIFIC INSTITUTE OF TECHNOTOGY. UOAIPUR
hr3 pars.d B Tech(Four Year Oegrce Programme)m {ClVlL ENGINEERTNG)
ln tho Sasslon 2017-18 with

SECOND DIVISION
lLdlum of lnstrucllon of th6 proltrrmmp ls Engllsh end mode ol study is ,egular.
I(OTA
Ort. ol ltlur :
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loa. A, X, Oyrtv.du
CONTROLLER OF EXATINANONS
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lo lhr candtdaL at, tht clrnvoctuoE
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ffifffffi.i;dif:Fp,H or cross
*rrk we shail secti<
l-mpure, *n
,"uir.,"nt;;"..."3r,1"T: il o. *ing necessarv
'sr,ail'#
il ihg:?ltfiIiven such uoou*t
li rel-il ltl rinr i r r-!_ o i. m nj gl -{m i l r

!!
-$ !!i-lt-e-s +.r i i-e_d :r:$
bbing shall be
. Unwanreci m ng backhoe cum
ards, as d off to the
ocation as ll be stock
L PAIEL
rl
lt\
Y-o
ls.
3:'
,i,,'J"ffi
ffi'#,*r?.,r#,,ffrTiil [i:,.#il,;ffi :f ,ffi".
excavation are satis

advanceri.
J.LInhankmcrrli-_ [he
earthen shoulders
and
of material ro embankmenr
1T,"*: of orher
il;: ;ff :r:: ffi: - sPrea d ns ;';
i
;;; ft*, [T'l'[ 1.ffi':1
an
Before shrting of comDi

engineer,br.; -;;;i'#ff';;: wing detail wiil be
submitred to the
o The value of maxir

contenr obtained in do densiry d optimum
u,"111 moisrure
may be
"d,;; ;.;Tlffi:fi;:;1j:i,ffi",r:,:i ;;il #;;
N, .\Z-
rI
o' ,4 S
{
t,'
o A graph
-'"r'iof densitv n against moisture
'"'r' *... ;T;"?:'T:o o" densiry and
.
conrenr a"*##;.*
I he dry dens ry _
moiraur,
mareriar n;;i,;;*r,r, ffi T}H:*'
Approval ofthe above
shall form the basis
for
grnal ground shall
be
compacted by rolline.
as required. minimum dry densitl
The embankment a
uniform thickness
n
so as to achieve the
s
shall not he placed
requirement and got
shall be finished plra
he material shall be
checked d the site
of
If the material delivered

excessive, it shall be
molsture content is
dri ter added on layer is
acce to the sun, till the
or hard lumps of
/
-t
{,l, v'
t
.-rd-\
eanh shaii be broken
ro
ptaced in rhe embankmenr.ir ave a maximum size of l5mm when being
vibratorv roilers,
i4 :lHon,
material reqli
_pneumaric
c for di{Ie
rired rouer of suitabte
;l*1i;:fl;
orocedure to be adopred
wir be
::;;:lr;ffiIr;r'"*'1;#
,r'ffil.:ffi ,[..]:
compacted ro the resuired
densiry and
tesred and accepred
rJli:X,iffi:":nlv
after the finished i;r;;'ili:;
".L*i:filijr,1l,T}:':ugfrv
Rectification if
required will be
done as ner .
!-nlr 3frupp.rur r.o,- .rginJ;"| of
preceded. -'rbr'r!!r rs (,otatn, physi;al workEngineer.
;#;'':Ilctions
will be
Compacdon shali comr
.ag.'lorgiiri;;;ifil;::i;T1t i1", edse and proceeci towards
upDer
having
super elevation una *r* ;;;t;;
unidirectional
roi po'tio, "ollrtrons
ia'ui;il:,JffiH fl,fi#ffi::1d nrocee to*".a, ".irJ
During rolling the surfa
:::,:"j,;ffi il iffi ,fi i*"::[ft :E ill#;ff ififfiHi::,

'lrHtffi ,ffi,ilx'#fl
*:#i:;ifr i;l#ij"f; i;T,,x;,ffi
:: Jl ::ffi fl ::,"j';; tj:ffi # [, rj i m en s ion s hown i n
'i"Jl'fr trfl
pareC i,'r an
appropriate
approval of
batched to
/q\"!
v
\J
The surface will b
removinq or addine
to the required th]
The surface thus prime

a,tow penehation into
t
pnmer. During this pe
surtace, by suitable
bar
:3i It apptied in singie coar

surtace preparatory biruminous
to super imposition
The surface on which of a
tl
frcnn dust. Jin"",J' *.r":l#:::: H[:j#,+_1,
r#:],,[1;
T
,4-
\\J
a. 1
i.
,q tltt\t u\l ,t{
re. already instailed

in
I ne mtx material shall
The transportation sh
rnix material shall rquired temperature
of
corrrplctcd, siirruliaiicu us work shall be
testing shall be done iuri aciivitics. Tirc
sil
masons and beldan

rrred sgncification<
e duly tested
manufactures
transported at site.
mechanical system.
nr works will be
M-3(
and compacted by plate vibratorV screed
;T,il'fr'::ffi1#yff;:re Ti Boq sha,, be take up in due course and

seguence ofactivities.
.rF-L
r.tJI L "-
I 'l '
)d"w
..,\
ad
CT
rnarruficturEd
I be taken up i
U A L rT!' CO ]\{T R OL P R o
CE Dti R ES
Scollr.:- The
scope of rh e document
actl vrtles startin g covers al .l aspects
such as (and timited
lrom surveying
to co ncerti ng and of constru ction
to) earlh work coyer all aspects
Compacti on, waterin excavation/emban
bt water bound macad kment).
drainage works, am asphalt cours
Bridg es consruction es cross
aiiied ac ttY ties such concrete erc. it
as ll rocurelirenL a Iso coyerts
resources training
and safeg equlpment
stoie of araie riai, hunrarr
m arntenance etc.
I .II AN AG E}I E,r- T Rr- s PO

\s IAB It.t 'tI
,.1 (l rua litr policr
introrlrrr.t irr : -Our
qualiry in tentions quality policy
and direc ti ons. expresses our overall
levefs. Jt comrnensurate It is und erstood and
with im plement at all
staie here clearly, our com pany' s repuhtion
tire means to achieve and we also
oDJeci I Ves.
I '2 Qualitv policr
:- To
of our clie nt and as execute construction Frojects to the
per specificarion satis faction
_ouality req urrement of and standards
oublic in time bond as well as riding
contract manner as Iaid dovm
In the
i r.
.:, I.hg '
i
sta[ed. LinkeJ ig in cqnstr cannot be over
of ciocumeni is ety and ,u;nl^"-tlln
rhe objective
company ir:::1.:"
qualtry conscious
and
/t:'l
l\.
(a-
o
b"j,.*u:t in guaiiry assurance
acntevrng perfection, so as ro facilitate rhe
way towards
of this document cab

be categorized as
follows:
:mp!o;'ees b1, Faining
in
ar per MORTH rpscit-rcr rioa.
procedures for enviro quality. Formulating

i-irr, rl*r*|'niou;ffiHlt
care and safetl'of:tal
the prrronr.iil;iil.
;.,-_:
'
p..for;un".
fi:r
c the. total activities and
"ttlg, based
personnel lctlvlhes to the rained
on lenence and skill and
rire:-_t!/S L,{XMI LAL
PATEL is commiHed
[H.,':i:"#":ff::T:i1'#;:':T':T'Y'##i:1[i*ix
' PATEL has been appointed
representative * *"r;;;;;
Hjs responsibiliries and authorized
is state es under:
entative.shall be responsible
for ensuring
--o that
ri'lsr
repil.?9 implemenhd
and maintained.
d n",o. r, e'# lit';",Hl; r,li','*,
i::Tr i managemenr.
" f::Ti?Ht 1,;:
:i:::ry" Ti mety *rr""ii*'u",il, 1.J
,il;i:H5,#fi;:*I::";''rrepresenhtive
";;;;;;;',und.reviewing the
has full uu*,ori'ry uJ
organizationat rr..aor,lnugement ";;
consrruction p."r;;;;"1",,:f::,f;r#lll,, probrems ;ffi
A PAlEL
P Y
*& \ ,*-
.7
oJ/1
')
.t ( ,rIlt ril o t)
ccl l\ To prepared the
program to ensure marntain document qualiry
the rmp Iementation
obj ectives and achi of quality poticies
eved the proj ect and
requirement-e conformance to the
specified
2J
S$-!u.r.,rn
U0Rrn "--- rl)ec,i
!I0Rt) S pers.
IR('-Spf('l Specr
I.S.
Spers"
Labour I.arr,s
lirpiosivrs .act
Minine 1ct
3. Doclrnent aotl rllrla

controt
J.r (; e lte rlt l:- Th e conlpany

shall issue and
procedure,/ lnstructions .conhol dccumented
to meet the requ tfeme
pro giEniiiie. Tiii s covcrs nt of the quali ty
ali tlie docuineiits anrj
system docume nts and data of die g uaiity
data of the quality
syste m.
-i, l)1-1t1g,q9nt ;;11ii .1j.-*1:i

unique identificati I
and signatures of
approved by. The a
projec/section .ts pe
<c\
fr",
;
I
-'-
& r
i/
-/^
?) J-
The originating rieoartrr

urtent shaii mainain
ano oiiriiu-t'iinv!+'q' master jist, masEr
copy
lJ,lojgtlc-onrrol
processes are carried
out under
conshuction meeB
the
Scope: - it covers all il1g g6nskuction
6giy1ry of the urs
Uxtr,u LAL pATEL
on the requirement
of the activity,
hall bc ir>c,J.
n: - Reference coded
and standard
procedure shall be
,rea fo.lJe*rJ
lr,t ! ! rr,
f q f ! {r 4_i{ a r *r o ropcrtiql : -Mor
and paramete" u, itoring and control
f"ia Jo*, in the construction
equtPment shall ai of process ancl

as per the contract as applicable anJ
with emphasis on
time schedule.
._ Ciirc,ia ibi_ worlir-iiansiiip
shaii be sfipuiared
sh,
iri ilie
"nn", ".o].^,1;::,::::,1:p
h, r, ;.'shHfc"
t liT :ilhf *";.;',;iil il ;'i;
EL
fi,
I
I
,r{t r-
{-*
J.7 \ l:r in tc n;t n(c
ttl' llt nt clll
marntenaoc€ of To ensure con tinuing
equi Pmenr shdi process
Mechanical E nglneer be carri ed our periodi capabilify,
guided by the shall be responsible cally. The
rnanufactu nng supplier for the same and he shall be
system of ma tntenance re commendati ons-
peflc Cicel,! procedure The detail
wiil be
i,fcr each plaqt equrpment. pre Parcd 7 updated
tion and test st

ri gh t tiornre-c:ff
;Iffi;:i Hl,
: this covers the
rS--c*qgi
consrruction activities .M/S and test status of
operation of
LAXMI LAL P/TTf,I,
"fLtr"li""
Following machinery
are to be de ployed
for execution of
this work
h
{
r*'
U
f9
s.No NA]UE OF E IIPlr,ENT
QI
i-ioT ivtr.,\ PLANT No.
2 (4S-60 TPH)
PAVER F TNISHER 3 No.
-1
TAR BOILE R I No.
I CO NCRE ATE
MIXER I No.
) K OAD ROLLER(E
TOf\fN'E)
2No
6
TRUC K/TIP PER 4No
1
VIBRA TORY I 2 Nos.
8
ROL LER
Hydraulic Exc avator 2 Nos.
Bucket Capaciry
A lr Cornp ressor 0.9 2 Nos.
t0
Water Tanker w ith 2 Nos
II S pn nkler
Wci gh t Batch er 2 Nos.
t? L{ixer
Needle Vi brator Nos.
I
IJ Plare Vrbiat of -1
5 Nos
ski d Vibra lor 4 Nos
I-s
Motor Grarter I Nos
thonze d drilling ! Nos
& blasting unit
I Nos
Fic ldt Pct to

be Ig.lilr}d our
S.lr'O.
SCRiPTIO*
1 cfete / motor cubes
-1
.4
,. - l
.5 I spr.iceiiieiit ii-it ihod
6 d
7 !o,us material
e n (pycnometer
mettroA)
veftical pit;files.
/1
(1' lLt
/^l
^L
I it conten t ofsatrd
t0 Com Paclton lest
U earth w ork
B Itumen pe neFation
t2 lest
Det ermt nation
., Laiiurai ory C BR
9f liq uid and Ptqlti c limits
test sub gracie
t4 Specifi c gravity and eanh r+ork
water absorption
gate. test of course
tial and final setti
n-g time of ceme
tumeii e.\a.Ection nI
ac)a _._.-,]
Natural rvater content
t8 Spreadi ng of primer
and
t9 I.qrp"rature of bitu men tack coat test(Rate ofs
:C mix . I ayrng and rolli
Srvelli iit i ridex test ng
2t LL/P L,?l tesr of soil
i CS B i Binding material
given in
g frequency,
UALI'rt'coN TIt(}r_ [.
Q"[,..iP}IEN TS
{Crntral Lab ora (or.v)

.S no
_.1
\.{irfE OF Eqplp T'ENTS
I
Aggregare lmpac QtrA NTI Tt'
t Testing machi
One cylur drical c ne complele With
up and metal rneasure
75 mrn dra 50
2N os.
mm lvith lcmpenng
rod
2
Compression Tes(rng
mac delerm
com press i ve
,r"n,.'* on
i na ti
s r ren gth
o r."T1t-
,on-. 2 Nos.
ry
\
I
J
rnouid for Gmeni 1
4
f
:"yr
Cubes mould for
concretc,I-lxrsx15
cm 21
, cemenl rnormr '-
5x-5x5-cm
6
,
slunr Tcst appara6 .
6 Nos.
Fla*iness Gauge
7
.
Ulongaion (iauge
.
ll iquid Limir device
9
.I
penekome(er 2 Nos.
_-Cone
l0 Sfrccyfic Gravit-r,
Appararrrs 2 Nos.
.
II
. I Nos
G, I SIEVE; gttsrm
,.,-r_rln.26 -sftr.tenl- 6.tm_ <e _
,g0mm
" ;1T1.5J.T'.45mm 3 Nos
.4.?5mm l&p " 'ttrtt ' r:''llrllll ,l l.2mm .9.,5mm
l/
:lffi.if,n",i$fn-. 2 r6rnm,r ramm .o,om.cI;
r,,o
ir3
l4
l-s.
ivodlnea) l;X
elecricalll,
rne
t Nos.
t6 Extra C.B R Moulds
t7 ' 12 Nos
c;'linder sma[ for
i#i;"t*'* re$insof fi.atd
! Nos
I8 C ore -Cutter
t9 '
Electric Oren 2 Nos
U
Lement pcnctnrmcter 2 Nos.
-
Ilitum en Penekomeler I Nos
22
So ftenrng pornl
apparatus I Nos.
23 oi bitu mlnous mal
Cc ntn fugal bitumen cnal i Nos
exkactor
24
M echanical balance | \OS
3 0 kg (with weight)
25
Mechanical balance 2 Nos
I0 kg trvith *eighr)
26
Mcchanical balance 2 Nos
5 kg (with rve iBhr)
tlcction; c digrtai 2 Nos
ba.lai c
ij0kg capaci .!l
.i l'.,los
,Y'.1
\- 4 k
.-....
f,s Eiecrronic ciigirai I
)2'
. bairrce (-ikg capacrty;
29 Digital Thermorneter I Nos
Elcctu c I Ieaer 4 Nos.
3t Rapid M olsture
meter 2 Nos
'shndard ...--.._--,.1
measures and 2 Nos
flasks
33 Cambe r ljoard 8 Nos
J4. S trai eh t-edge and
wedge :2Nos.---
2 Nos
il r
L,ft Lf,I' i\L i'T'i 11
f)
\, i, L Q, I-! n
t,r f Itt !-,tl 'Fa-
{ .tt
(Field Laboratory,)
S.no
i\A.liE oF EQt aPii
Sieve Ser (A s per E\'t-S
IRC Sp_20_2 002
Rapi d Moi .sfure rne
ill
J ter wi r container
Aggregare lrnpact
Value Machine
.rrcccssories With
4
5 rs 2386 _ I
Wer.lgc 2 Nos.
tically C ontrolled Nos.
up to I No-s. I
I
4.
t"/
.11
* J
/./.
,l
7
11,'
6
I
't
0.
1l
12.
t3
l4 Motor Moulds 50 X s0
15. Camber Board (3.75 M)
16. Unterberg limit apparatus
Spatula
t8 Weigh Balance 1 kg
t9 Weigh Batance 10 kg
20. Thermometer
21 . Enameled Tray (Small big & Medium)
.
22 Hot Plate
nr $il rrlTqlf nilL

/n n-'
Vn
Srrgl
o
.\J
I
lI
GST lN O8AAZPP5718MlZN
: Phone : Q294-2463347
"AA" Class Contractor
Email : sllpatel 199o@gmail.com Mobile : 98284-98317
Rel No AooendiDatA. .
Annex-V
sr.ru-.oflff{"ruc"p".iry
(Io be forwarded on the lefierhead ofthe Applicanlt Lead Member ofJoint Venture)
Ref Dae: 28.12.2021

To,
The Superi ntending Engineer
PWD NH Circte Udaipur

Dea Sir,
we hereby confirm that we/ our members in the Joint ventwe (constitution of which
has been
described in the application) satisfr the terms and conditions laid out in the RFp
document.
We have age€d that . (insert mernber's name) will act as the Lead Melnber
of our Joint Venture. t
we have agreed that Laxmi Lal parel (insat individual's nane) will act as
our representative/
wll act as the representative of the Joint venture on its beharir and has
been dury authorized to
pbmit tte RFP Furher, dre authorised sigrratory is vested wrth requisite powers io fumish such
letter md authenticate the san€.
Th.a*ing yoq
Yours faithfirlly,
(Signature, nmre and designation of the auttorised

signatory)
For rrd on behalf of Shri La.rani Lal pael
t"/Y
\J
hlEL
fr' I
4
,.-- \EIOR
PR
Address : 10 Samta Nagar Ashok Vishar. Hiran Magri,

Sector - 3, Udaiarr (Rai) 3130O2
()1.>
I L,flffi[$il Lrr& pflT

6
GST IN O8AAZPP5718M l ZN "AAl Class Contractor
Phone: O29 4-246334 7
Ernail : sllpatell990@gma il..on1 Mobilc i 98284-98317
C/o Jiwa tshai Ki Hotel. Near BUs Stand RISHABDEO-:113 802, Disfi-Udaipur (Raj )
Ref. No. oate 19. *.7=.?!.Zo

BIDDER INFORMATION
Name of Bidder : Shri Laxmi Lal Patel
C!ass of Registration : AA CLASS
Piace of Registration : Public \IJorks Department

Jaiput"
Address : Village llishabhdeo
Distt. UdaiPur
Phone Number :Mob. 9e2eq-963i7
E-IUAIL id : sllpatel1990@grnail.com
PrinciPal Piace of ; Udaipur District.
Business
i:
,'?A1EL
s(*
L.10.lnformation on current ritigation in which the Bidder is invorved
a/ 6
.
Name of Bidder : shri Laxmi Lar pater AA Crass pwD contractor Udaipur
Name of Mater of dispute Litigation where Amount lnvolved

Other (Court/a rbitration )
Party(s)
NIL
w*t'lr,. frt**
'L: "
M
1.6. Proposed sub-contracts and firms involved.[Refer ITB Clause 7 of part
I
General Conditions of Contract
Name of Bidder: Shri Laxmi Lal patel AA Class pWD Contractor Udaipur
Sanctions of the Value of Sub- Sub-contractor Experience in similar work

works contract (Name &
Address)
NIL
tcToH$ uxTfutnlB
PhIEL f '/,-l*o,*-
,[
I
r'^
.>,
4-
)
6
GST III : O8MZPP5718M1ZN
AA'Class Contra<tor
I I
Phone . 0294-246A341
Email sllpatell990@gmail.com
Mobile 98284-98317
ReI No.
Date
Authority to seek information
Propritor M/s Shri Laxmi Lal Patel , AA CIass PWD Contractor R/o Rishabhdeo
I Laxmi Lal Patel ,
Distt, Udaipur do hereby authorized or have No Obiection to seeking any information by the
PWD Rajasthan authorities about my Financial Status or any other required information whrch
is necessary for my Bids submitted in ref. to NIT mentioned above.
Name of Bank : CANRA BANK MAIN-II/

(Former Syndicate Bank)
Address: 43/6 ,lcon Tower, Madhuban Udaipur
Telephone Number : 0294-2422506
Fax No.: 0294-2472334 0

*A-
Place:Udaipur
0
Dated:01-10-202L
A19L
t.
/\
C,b Jiwa Bh:i ki }tortf, r{er.!lt Stu ftSHABOtG3 t3 BO2. Oistt_Udaipur (Raj.)
I
GST lN : O8AAZPP5718M1ZN Phone : O29 4-2463347

"AA" Class Contractor
Email : sllpatel1990@gmail.com Mobile;98284-98317
Ref. No. : Date ..........................,..-
STATE MENT OF COM PLIANCE UNDER

EMENT
we affirm that we are neither associated, nor has been

associated, direcfly or indirecly, with
the consult or any other entity that has prepared the design,
specifications and other
documents for the prolect or being proposed as prolect
Manager for the contracl.
For Shri Laxmi Lal patel

Proprietor
LaxmiLalPatel
Udaipur (Raj.)
Date28.12.2021
-,., t) PAlEL
(1;'-'
C/o Jiwa Bhai Ki Hotet, Near Bus Stand RTSHABDEO_313 802,

Distt-Udaipur (Raj.)
t I
fi
"AA" Class Contractor Phone:O294-246334t

Email : sllpatel 1990@gmail.com
Mobile : 98284-98317
Ref. No. AVAILABILITY OF BID CAPACITY

Date...............................
NIT Description Superintending Engineer NH Circle Udaipur
Name of Tenderer : SHRI LAXMI LAL PATEL, 'AA' Class PV\D Contractor, Udaipur (Raj.)
xNx .B
1 A Maximum value of crvil engineering
I
works executed in anyone year during the Rs. 46.57 Crore
last fne years (updated to the price levelof in Year 2017-2018
the year indrcated in Annexure-1) taking into Certified details
,l.15
account the clmpleted as well as works in Rg.
'16.57
r Enclosed
pr0gress.
Rs. 53.56 Crore
2 i
N Number of years prescribed for Completbn perbd is
completion of the works for which bitls are
0.75 above 09 Months
invited.
then read = 0.75
2 l{ : Number of years prescribed br

Completbn pernd is
ompletion of the works br which bijs are
1.50 above 18 Months
invited.
then read = 1.50
3 il= 2.5 2.5
3 B I Value (updated to the price levelofthe

year rndicated in Annexure-1) of existing
commitrnents and ongoing works to be
completed during the next N yeam (priod of Certified details
41.54
completbn of the works for which bids are Enclosed
invited)
Ar N x f -B 58.89 cr. 09 ilonths

AxNrll .B 159.31 Cr. l8 uonths
.. PAIEL
-,,'l)'lL
lt /
^ "'l
PR\E1OR t:
--f*L
/
C/o Jiwa Bhai Ki Hotel. Near Bus Stand

RTSHABDEO-313 802, Distt_Udaipur (Raj.)
tll
E
o-
J
s
x
=
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o T a
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/ NTRPHome/ ChangeLanguage?tang=en ) X
' Transaction Details: 0101 220001 686
(
Name: t!lr. Laxmi Lal Patel
Address Line 1: AA Ctass PWD Contractor Vittage Thana Rishabhdeo Address Line 1: Distt. Udaipur
City District: UDAIPU R
State: RA.]ASTHAN Country

I
Pincode: 113802 Email: sttpatetl990@gmait.com
Mobile No.: 9828498117
Payment status Payment lnitiated
Bank Name
Aggregator Name tctct
Channel Name Net banklng
Response Bank Name
Response PayMode
F
I
I
Remarks Amount st ty DDO PAO Name Payment

Purpose
Name Frequency /
Period
't PAO(NH),Jarpur No
Sate of Tender Tender Fees Cost of 0000.00 ROAO TRANSPORT SE,
Bid Document E HIGHWAYS Civit Restriction, -1-

Documents
0
.lt!,'
1-Jan-7077
S ta tus
ForSHRI,-*rI:Drt
Art
PROPRIETOR
Transaction TYPe:
Archive X
0101 220001685
iptq$lon Details:
Depositoi's Detaits
Name: Mr. Laxmi Lat Patel
Address Line 1: AA Ctass PWD Contractor Vrltage Thana Rishabhdeo Address Line 1: 0istt Udaipur
District:
t-.----
UDAIPUR
Ci ty
State: RAJASTHAN Country
Pincode: 113802 Email: stlpatetl 990@gmart.com
Mobile No.: 9E28498317

I o - 'o-'
"o ':o-t 'o'
Pavmenc Datai[s
Payment status Payment Initiated
Bank Name
Aggregator Name tcrcl
Channel Name Net banking
Response Bank Name
Response PayMode
Documetitr Required
Home (/) About Us ( / NTRPHome / AboutUs) Contact Us (/ NTRPHome /Contactus)

F
Purpo5e Remarks Amount Ministry DDO PAO Name Payment

Name Frequency /
m
Period
Sate of Tender Tender Fees Cost of 10000.00 ROAD TRANSPORT 5E, PAo(NH),Jaipur No
Documents Bid Document & HIGHWAYS Civit nestriction,.r'
lt I
For sHRr*-ITl'.t
PROPRIETOR

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Registration Certifi cate

Registrrtio! Number :O8AAZpp5?l8MlZN

I Legrl Name LAXMI LAI PAIEL

5. Detc ofLisbitity ot/01/20t7

9. Dste ofissue ofCcrrificate 20i09/20t'1

ote: The rEgistration certificate ts required ro be prominently

This is e systcm gcncrrt'd digit.lly dg..d R.lirh.tiotr certilic.te isru.d

Fcr SliR I L IIII LAL PATEL

Details of Additioml phces of Business

Total Number of Additional places ofBusiness in the

GSTIN O8AAZPP57I8M IZN

Lcgal Name LAXMI LAL PATEL

I Neme LAXMI LAL PATEL

Resident of State Rajasthan

trlti !ll] Tr /r_^r-H58 S rE re

PROVIDENT FUND CODE NUMBER INTIMATION

sub: Allotmenl of code Number to establishment M/s sHRl LAxMt LAL

Code Number : RJUDR149t692O0O

This code number is allotted based on the following declarations

2. PAN of Estabtishment : AAZ??ST,|BM

Application Number : 1006547069 Page 1 of2

1 Sales Tax Act 08403950415 't9t01t2001 CTO UDAIPUR UDAIPUR

11. As on date of your application, your establishment is not having LIN

4 Please quote the code Number RJUDR1491692ooo for aI the future

Employees' Provident Fund Organisation

Application Number : 1 006547069

Experience (ln Crore)

Payment Received Value of Escalation TECHNICAL

TOTAL ffechnical Capacity)i 61.46

f.r Cr LAXITtI LAL PATEL

c IFICAT E FROM T HE STA TUARY AUDITOR / CLIENT REGA RDING

Based on its books of accounts and other

A-Earth work (Cum) 104144.79 Cum

Fcr SHRt LAXMT PATEL

FICAT OM TH STA AUD R/CL TR ON T K

Based on its books of

charge/lndependent Engine€r/Authority,s Engineer

For SHR| tA{!,t,

No r 1',?-.r..,r,i\ i.., Dale

TO WHOM SO EVER IT MAY CONCERN

/.tgrtl(,r ||Errl i(u.

'A-Earth wolk (Cum) 89420.61 Cum

Q-Hume Pipe (300 mm dia) 120 00 R.Mtr.

H.R.JAIN & CO.

was/ is likely to be commissioned on i5.06.2019. lt is

TO WHOM SO EVER IT MAY CONCE RN

A-Earth work (Cum) 36646.80 Cum

CERTIF TEF THE ST TUARY IT LIENT co RK

Based on its books of accounts and othe

charge/lndependent Engineer/Authority's Enginei.,r

For SHql la enrrl

Fcr SllRl LAX LAL PATEL

CER F THE A Y D oR/ ENT G CON R

charge/lndependent Engineer/Authority,s Engineer R

For SHR| LAXM

A-Earth work (Cum) 86653 48 Cr,m

Fcr SHRI LAXt\, LAL PATEL

H.R.JAIN & CO.