Professional Documents
Culture Documents
Clearance certificates is
Obtained in prescribed form No.4.
(Copy to be attached).
16. Has the applicant of his partners :
Or share holder been-listed etc.,
In past by any, Govt. Department
Or any other body.
17. Amount and name of the bank of :
Solvency Certificate attached.
18. Date as submission of application. :
19. Receipt No. & date of registration/ :
Renewal up-gradation fee paid.
20. Details of work, if any :
Abandoned by the contractor.
21. Amount in arrears if to be paid :
To Govt./GEB as per the demand
Form any Govt. Department or
Corporation of GEB.
We here certify that we are not partner (s) in the firm (S) connected with the firms
black listed in Gujarat state, Maharashtra state, CPWD, MES or Railways.
At present, we are not partner (S) in any firm (S) of the following firm (S) which
is/are registered in approved contractor (S) firm (S) in Gujarat state, Maharashtra
state, C.P.W.D.M.S or Railways,
We the partners of this Firm, hereby give an undertaking that we are jointly and
severally responsibly to all the liabilities given and above the business of this Firm
and make good the above the business of this firm and make good the above
financial loss sustained by Gujarat Energy Transmission Corporation Ltd. as a
result our abandoning the Gujarat Energy Transmission Corporation Ltd.
Works entrusted to us i.e. this Firm
Signature. :
Designation. : PROPRIETOR
Place :
Date :