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SCHEDULE'A' STRUCTURE AND ORGANISATION Name of Applicant: @the case of the joint venture/consortium_the name of the lead firm) Head Office Address: Cable Address: Telex No.: a'.-,r"ii .eHf*r$, Telephone No. r: Fax: Regional Office Address (if anv) Cable Address: Telex No.. Telephone No. Fax: Description of Apptication (e g General, Civil Engineering Contractor. Supplier of Equipment, etc. Also attach relevant excerpts from article or deed or other releva,nt document including the na.mes of principals) . country and Year of incorporation (submit copy of certificate of registration) Names and Address of Bankers 7. .al- Main lines of business a) ln own Country: 1. Since:' Since: ](8 b) lnternational. Since. S'ince B. I *,+."- Name(s) and Address(es) of Principats of Companies to be associated in the Proiect and whether Parent / Subsidiary. etc.. Name and address of any associates in India having local experience in various aspects of the project. .,;,ftri{ilfu?" 10. Attached an organization cha( showing the structure of the company including names and positions of Directors and key personnel. Notes: (1) Application covers proprietary Firm, Partnership, Limited Company or Corporation, Joint Venture of Consortium .(2) Partrculars for item 2, 3,4, 5,6,7. 8 and l0 above should be Jurnished separately for each partner of jornt venture / Consortium rl( . SCHEDULE'B' (FtNAtJCtAL STATEM ENT) (To be given'separately for each constituent firm of t l"yrt4fi-e t"'-- / consortium) Name of Appticant (in case of Joint venture /Cgnsortium, the nape of the constituent firms) 2 sumrirary of assets and liabilities on tAe basis of the audited financial staternent of the last three financial years *-.,;15*A#F"h copies of the audited financial statement of the tast three financiat years) Year Year Year ': (Rs- Lakhs) 4 (Rs. lakhs) a) TotalAssets b) Current Assets c) Cash, Temporary lnvesiments ancj Current Receivables d) Total Liabitrties e) Current Liabitities 0 {Rs.lakhs) Net Worrh (a) - (d) s) Working Capitat (b), (e) h) Authorised Capitat i) Capitallssued and paid Up j) Current Rario (b)/ (e) k) Acid Test Ratio (c) / (e) Total Liabitity to Net Worrh (d) ; ft) r0 /<3 ? Annual value of construction works. undertaken for each of the last five years for current year. and prolected (Rs. in Lakhs) Year j years f-l y-*" before I uefore 2 uefore 4 years 5 years before before ..-..i's.t$A*}'. 4" Net profit before Tax: (a) Current (year) .i. (b) uunng the iast financial year (c) During each of the four previous financial years . The profit and loss statements have been certified through bv) Apprications specific financiararrangements a) Bank Credit. c) 6 Own Resources b) (mentioned amount rn lndian Rupees) Others (specify). Credit Facilities a) Name / qddress of Fjrst ctass/NationatiseO Bjnk providing credit line : b) total amount of credit line (attach ce rtificate form the bank Approxirnate value of works in hand 8. r I , Value of antiopated orcjers tor nextfinancialyear: i .,: ii /2r a. Home: b. Abroad: Notes: ::etailsoJitems7andBaretobegiveninSchedule.D-WorkingExperience 2 ;Htr"#:j:ff::flll:"il -,'",";;;;;,*"o,,",,,"' ) is not app,icab,e, it shou,d be lri{l rt ,:j &*-lWri$ F 1 j 't :il ll l2 a, Home. b. Abroad. F. l NOtes: 1, 2 : Detairs of items 7 and B:a1q to be given in scheQure D - working Experience it;ms should be piopeitv-fitted in. where an;. particur",. ,,".n-,. ]r ^:;;;;."r,e, clearly rnentioned as ,Not Applicable: '- "-" -'" it shourd ,: .i : : dF**,m$ l1 ILtr ./:) I,. SCHEDULE lJ' Priority List as per Para 1.1T of ,l/we/M/s acceptance of tender within my bid capacity in firm t Priority No.. .Technical eiA Docu;en.t here by give myr,V;our priority for oi para 2.2 1 A of Notice lnviting Tenders Fackage No Name of work 1 2 3 4 g*'**#ffi ::it of renderer) .:; Notes: 1' ln case of contradiction in the pnority given with different tenders the same will be decided by thd department in the order of serial No. given in the Notice lnviting Tenders 2' ' ' ln case th9.fe is any change in the parameters given in the docunrenis between the date of submission of render and the date of opening of Financial bid, the contractor shall intimate such charges which rnay affect hisbrd capacity, etc ;,:. .;':,r,.!;.l n$ .,W '{t

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