FEEDBACK ON PROJECT REGISTERED

To be filled by Contractor who has registered the project

PROJECT DETAILS
Name of Contractor: ………………………………………………………………………………………………

Role in Project : Main Contractor Nominated Sub-Contractor Domestic Sub-Contractor

Issued Sticker No: (For project being reported)………………………………………………………….

Initial Project Value ……………………………………

Initial Contract Value …………………………………

Revised Project Value……………………………………Revised Contract Value…………………………………

Initial Start Date of the Project ………………………... Finish Date of the Project……………………………..

Revised Start Date of the Project………………………..Revised Finish Date of the Project………………………

PROJECT STATUS (Tick where is appropriate)

Project Completed Project Suspended Project Terminated Project Extended

Note: If project was suspended / Terminated, Give reasons for the same.

………………………………………………………………………………………………………

………………………………………………………………………………………………………
PROBLEMS EXPERIENCED DURING EXECUTION OF THE PROJECT

Cooperation with Consultants Good Bad

If Bad give reason(s)…………………………………………………………………………………………….

Payment was made on time? Yes No

Was there any accident during execution of the project? Yes No

Describe that accident ……………………………………………………………………………………………………..

……………………………………………………………………………………………………..
(Use another sheet(s) of paper if space provided is not enough)

Submitted by: Name…………………………………………..

Title…………………………………………….

Signature………………….Stamp…………………………….
Note: In accordance to Paragraph 19E of the Contractors Registration (Amendment) By-Laws, 2004, a Contractor is committing
an offence when he fails to inform the Board in writing of the completion or termination of the project. If convicted of the
above, the contractor will be required to pay a fine equal to 1 % of the contract value or TZS 500,000/= whichever is higher.