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(Signature of the Tendered) : ‘For use of Deparment or Treasury Only) ‘Onder to the Bank : “Correct, Receive and Grant Receipt” Departmental Officer of DTOFTO (oth seal) Received Rs a words) Be (Authorized signatory of the Bank) DETAILS OF MONEY DEPOSITED [STURAWERRANKDRANCH | CHEQUE/ | DATED | CASHDETAILS | RUPEES | PAISE No. DRAFT NO. 1 Re 100K, 2. Rs S00X 3 Rs. 100 4 Tks. 50%. 5 Rs,_20X a 6 Rs 0X = 7 Rs. SX, & a ae a RIX = 10, Coins Toul "Notes i) “A Separate challan may be used Tor every complete Head of Assoanl FORM-D GOVERNMENT OF PUNJAB APPLICATION FOR ‘A’ CLASS ELECTRICAL CONTRACTOR LICENSE (To be filled in English or Hindi or Gurmukhi) 1 Full Name & Address of firm/ Applicant 2. ‘Name of Partners, if any: 3. If a contractor's license has been previously granted details to be taken. 4. Detail of certificate held by the applicant and/or partners 5. Working Area Tehsil 6. ‘Name and Certificate No. of holder of certificate of competency on the strength of which the ‘contractor's Ticense is sought. Fee Paid Rs.4000/- We. yereby declare that the particulars stated above are correct 10 the best of my/our knowledge and that Vie fully understand the terms and conditions under such a contractors license is granted and that 2 breach of them will render the license liable to suspension or cancellation Dated . Signature Signature of Partners fine fers ot ase! ath Ne atge Ba _ ta er xg otf Ques FES Boer Pe ewe fT HT eas 8 7S fee ae St gintenr aot firm fon ate F we ot fa fag RB poner fet ae spor gah ras RAD at A ange mnths rare waters TET wees Hee ot TF fea ugar ager of fat : y 33 ae ters Hoos & wfests ustife 6... Fa Pes 31 3, frrosr far 3) Fe onmrer at itt a ot ges a ot fet Haars ata ETS vinavehst fers oH ae" ot ioe fev ewe a Qua AS UT ah Ears ma fee ME SME 2 7G EH fea ate St garter aot farm Be ten ates F wg ot fa daa RB aoe fest at ar got es Get 3 tH args nett rar er waters Se from fa fit : "FP pogas a2 aot Be Re fet ters ween wd J ate 2 sar euro m8 oS G Due feta re we Bah 3 SAT) 2) Dome mroeerareteats = aad ofinee frawss vest fee Tes aan or unte Setar » 5 ars faaras fearar 2 oe 3 fe wr unde ater! 4) fr fares Baerdh wwe foe Queda thre om fete ot dx acters 5) fea e@ traas 2 moet ot efechs & Bach ese 2 wes erae ATS, prs wens me eas vate HH fra HBG aaEGE oss FET! . eee BS ev .. fer the aro ote Quits RA yo Hh rer me EH aT CES 8 ne fer FOS BY 9 spafenr at fame Fe fen ates 3 rg of fr Pg Hore FO sh Ga” gst Was HAD att ange niet He et waiters Setar A Ch i feo tier a2 ot fx Os FEN eT BROT TST gna dha 3 fa 1) mnt tiger ae ot Fa Ht 5 praia Hateae 3: fa fit ... 3a tos 3 v8 H - ~ feats waite a frost far fic va ess 3, fist ¥ fog'as &3 ool Fas HE Fee pe woe we ri Bat nat ona mre eee § Weare FEE aah Bach 3 HT 2) at ume meerareeas © oe ofares framas waren feu Ares er andy deta" 2 matt Qa faaras few @ are 3 fowrge er une Oetar doa fh Bard ev hae Gus ora ow Re oS ae » vere an wee of fa Orgasm @ #8 BP oN TES 2a cee ae enti, ere, fei ffs wot a ae ETS © cated ne wean @ ute ite fra Hag awge ® ye wks Go) iz “og agar roe! fix Ques Rest yuat west reat we FORT oy ne ten fee ge er at fa fe ao # me Bee we sre fh dh gat gS rs 9 twa ar we ete SR febacdias queevirs redifede Se wet Safehat rast 1) frordvisuait ot 32 ant nis ins Hedifeae! 2 Rfga @ wadtfede of anit nits wine Hecifeae 3) mifrdt eansehudt er owe er Qadtas sree, fiw er fanat ev os w2-w 50 faéere de HF far yeros fares ders Se fea res er abe ras ST TSH a PWD et fiat gre FF PSPCL/PSTCL at MES a fete ay aes et feo Fre ot Sea AF ens Aner fe's fncoaes @ 3a 3 od age & fea We eT OT Ft fad om at ates naa & fedacdias Rentaese fee fart tooo § ag aoe fea Fe eT ETT Gags OF wadifede seh ast FR)! 4) de fer BE EE ve "0043- Taxes and duties on electricity 800-Other receipts" fe's 750/-gud wt snyt args Cuds mAs THT! 5) fire’ uit 3 sre aisha! deltas fis enst 6) fas srdtarer aya" TASTES! 2) waee F arden 8 post fg! 8) Fe srl ost mere ores Tt anit 9) wud ud ee 40/-gud Shot feact eer afiness fees! er fet te firct fentacs, une Agord, ufenrer) fem:- fedaediaw Husedine 2 fenfson feu Qos F Be Be Guts Huawehys Hadifade wet was ws! aes Ht, Bost 3 fa A feBacdiow fertéifir fee fsodiisuer wn ost Aas dene 1 F fedaedae Bertha Kedlfeke Be oder Ui, rae at A ds fod eneey it aa far oh far waa OG febacdas mae nedtfede aed afta ae 1) feardtfauan vt sé anit mis ws redifedte! 2) Rfga 2 wadtede ot anit ARS mis Hadifeae! 3) sHeut HadHede! 4) do fet BF et we "0043- Taxes and duties on electricity 800-Other receipts! FG 750/-sud at myi are Cuds mms eT 5) fed uit 3 sHete ofthat cet fs Sentt 6) f¥s store” oye" cHSTET! 1) sacs F srdlane & nosh fig 8) Fe sree att wera aves Ut anit 9) wud ud eer 40/-gue eho feact eer afrazes fiserer! PF omy sit et deere Seta fepemurss, fadars 2 URS at yar ust mS cess ferfes dae Receipt challan (orm PTR 16, Rule 107 of PTR Volume 1) (For use of Treasury only) ‘Ale Number-65174254782 Serial No. Date in ser) By Whom Tendered Purpose of Deposit: ee for obaining Fletrical Supervisor Cenfeate, ‘Amount in figures): Rs. 75Q/- Un Words) Rupees seven hundred and fifty only, (ame ofthe YreasurySub Try) Treasury/Sub Treasury Code [ PilT|Liolo PATIALA, a (oan of te OQ) —_ DO Code(on whose Behalf Money Deposited [ST[R [2] [ABI O/o CEI Govt 6. — Plan/Non-PlaniCSS (THAT Plan, “N" for Non-Plan,“ for CSS) Major Head Sub Major Head Minor Head Sub Head (ote Ta Ts (Tete) (Order tothe Bunk : “Correct, Rees Received Rs COMPLETE HEAD OF ACCOUNT) ‘045-Taxes & Duties on Electricity Peet 300- Other Receipts. ___800- Other Receipts. ___ (Signature ofthe Tenderer) ‘(For use of Department or Treasury Only) ‘and Grant Receipt” (Gn words) Departmental Officer of DTO/TO (with seal) (Authorized signatory of the Bank) DETAILS OF MONEY DEPOSITED DRAWEE BANK BRANCH ‘CHEQUE/ DRAFT NO. DATED ‘CASH DETAILS PAISE Rs, 100% KS, 300% Rs. 100%, Rs._30X KS. Rs. Rs. Rs. Rs. Sees errr? Total Natex i) A Separate challan may Be used for every complete Hew of Account fae efeahs usfite de wet Ssteht Fast 1) omatttoret & nadtfede ot 22 anit AAS me Hedifecte 2) Aga 2 nected ot anit wis mow Hadifecte! 3) ae faut BI St He "0043- Taxes and duties on electricity 800- Other receipts" 2's 750/- gu dir may ATES Quds WAG VET! 4) fie’ wk 3 seta ais Debate Semis 5) fis srMtaRE ayo" TASH! 6) was F andiaawer 2 Hest IG! 1) nara ares ot anit 8) meus Us Ter 40/- Bus Shot feat eer sfAZEE fers"! Upta Feorg, ufenr far: feats 2 fenfson feu toe F de be Cuds ustite wet was we! ars Ff aot 3D feaedies fee mretdinmet un atch aes afer 21 8 eteahts uatite Ber oder oF, fan 2 wet Pde fer eneeG ae wet aS four oh firmer aaa fg eteats waite wet Alar ae: 1) mretAionet & radiate Bt Be aru HAS noe Hadtfese! 2) Rize @ nadtfeae ft anh ts wie Hedifetes 3) 2e fit BF eA He "0043- Taxes and duties on electricity 800- Other receipts" fe's 750/- gue din my! aae@e Guds vins BET! 4) fuged unt 3 sAeta atin Tehnt fs Senn 5) f¥s SReAHE SYST HSU! 6) waza ¥ sHdta-ger & Honest fq! 7) wera ares Barut 8) ud ud ever dol gue Shot feaet wer anaes fests! Bory st er daeet Geter fereUsg, fist: fatare @ oHBTES aft ys us wn 2atEH/ ‘Ale Number-65174254782 Receipt challan (Form PTR 16, Rule 107 of PTR Volume 1) (For use of Treasury only Serial No, Date (To be filled in by the tenderer By Whom Tendered : Purpose of Deposit: Foe for obtaining 'A' class wireman permit, Amount (in figures): Rs, 780” (In Words) Rupess seven hundred and fy onl (Name of the Treasury'Sub Try) — Trea code (PTA | (Designation ofthe DDO) DDO Code (on whose behalf Money Deposited [E—[# [2] [AET Olo CEI Govt. Ph, PTA PlawNon-Plan/CSS__([IK'TpPlan,“N" for Non-Plan, “S" for CSS) Major Head ‘Sub Major Head Minor Head Sub Head le Te) (COMPLETE HEAD OF ACCOUNT) ‘0043-Taxes & Duties on Electricity 800- Other Receipts. (Signature ofthe Tenderer) ‘(For use of Department or Treasury Only) Order tothe Bank : “Correct, Receive and Grant Receipt” Departmental Officer of DTO/TO (with seal) Received Rs Sis aes (Authorized signatory ofthe Bank) DETAILS OF MONEY DEPOSITED S| DRAWEE BANK | BRANCH | CHEQUE/ | DATED | CASH DETAILS | RUPEES | PAISE No. DRAFT NO. 1 Rs. 1000 X= 2. Rs, 500%, B Rs, 100X = rn Rs SOx = 5: Rs._20X) 6. Rs 10X = 7. Reiss Xsaee 3 Rs_2X 3. Rs. 1X, 6 zs Coins Toial Notes: ‘A Separate challan may be used Tor every complete Head of Account

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