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Appendix ‘A’ (Refer clause No. -5 PARTICULAR OF FIRM SL NO. ITEMS DETAILS 01. Name of Firms 02. Legal Status of Firm Individual company (Incorporated un- incorporated)/Partnership firm/public limited 03. Address 04. Contact Telephone, Mobile, Fax No. 05. GST/TIN No (Enclose Photocopy) 06. PAN No. Enclose Photocopy) 07 Registration details : (a) Registration/Enlistment No (b) Validity date of registration (c) Authority with whom registration and their address. (d) Letter ref under which registration/ enlistment (Enclose copy) Dated : Feb 2019 (Signature of authorized rep of firm with seal) sdxx (HP Gupta) AE (Civ) SEO (Signature of Contractor) For Accepting Officer

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