Application Form for Contractor Registration
To,
The Executive Engineer,
Roads & Buildings Department,
[Office Address]
Subject: Application for Registration as a Contractor with R&B Department
Respected Sir/Madam,
I hereby apply for registration as a contractor with the Roads & Buildings Department. Kindly consider my applica
1. Name of Applicant / Firm: ______________________________
2. Father’s / Proprietor’s Name: ___________________________
3. Address (Office & Residential): _________________________
4. Contact Number / Email: ______________________________
5. Type of Firm (Proprietor/Partnership/Company): ___________
6. Registration Category Applied For (Class – I / II / III / IV / V): ____
7. PAN Number: _____________________________________
8. GST Number: _____________________________________
9. Previous Experience in Civil Works (if any): _______________
10. List of Machinery / Equipment Owned: __________________
11. Financial Status / Turnover of Last 3 Years: _______________
12. Any Other Information: _______________________________
I hereby declare that the information provided above is true and correct to the best of my knowledge. If any inform
Date: ____________ Place: ____________
Signature of Applicant
(With Seal of Firm/Company)