Name of the work :

NIT NO: Serial No:

Tender Amount:
District Credential Required :

Last Date of Submission Turnover required :

RIDF Tranch : Bank solvency required :

Name and Designation of Evaluting Officer

Sl No of Name of Bidder Black Listed Earnest money Pancard GST EPF Trade Balance Sheet & Turnover (Last 5 years Audited) P Tax Turnover as per Payment Certificates
Bidder Agency? Lisence (with indexing)

satisfied(Y/N)

16-17 16-17

17-18 17-18

18-19 18-19

19-20 19-20

20-21 20-21
 Works in Parternership Technical person and supervisor Bank Work
Sl No of Credential certificate with Mechinary invoice or lease hand with Bid capacity Laboratary deed/Articale of Power of Attorney along with Technical personnel certificate Programme/Bar
Bidder amount deed/Engine or chesis number certificate equipment memor/Co-operative certificate for credit chart
registration

Remarks on (For Partnership

Credential Required Submitted firm / company)
Sl No of Affidavit Litigation Name Adress Inordinate Delay in Qualified/Dis qualified Remarks
Bidder Information (if any) contact number any Existing Work?

Signature of Evaluator (AE)

Sl No of Name of Bidder Bid Cost Earnest money Pancard Vat Trade Income Tax reurn for last 5 years P Tax Balance Sheet
Bidder Lisence

2011-12 2011-12

2012-13 2012-13

2013-14 2013-14

2014-15 2014-15

2015-16 2015-16

2011-12 2011-12

2012-13 2012-13

2013-14 2013-14

2014-15 2014-15

2015-16 2015-16

2011-12 2011-12

2012-13 2012-13

2013-14 2013-14

2014-15 2014-15

2015-16 2015-16
 Parternership
Credential Mechinary Works in
Turnover certificate from CA Payment Certificate uploaded certificate invoice or hand with Bid capacity Laboratary deed/Articale of Power of Technical personnel certificate
equipment memor/Co-operative Attorney
with amount lease deed certificate registration

2011-12 2011-12 Degree-1

2012-13 2012-13 Diploma-1

2013-14 2013-14 Diploma-2

2014-15 2014-15

2015-16 2015-16

2011-12 2011-12 Degree-1

2012-13 2012-13 Diploma-1

2013-14 2013-14 Diploma-2

2014-15 2014-15

2015-16 2015-16

2011-12 2011-12 Degree-1

2012-13 2012-13 Diploma-1

2013-14 2013-14 Diploma-2

2014-15 2014-15

2015-16 2015-16
 Bank Work
Consent of technical certificate Programme/Barc Affidavit Litigation Information Name Adress Qualified/Dis qualified Remarks
personnel contact number
for credit hart