Schedule-1
(Relating to Rule 3)

10. Description of works completed previously:

11. Tax clearance certificate/document:
(a)
(b)
(c)
I hereby covenant that all the contents mentioned in this application are true and correct and that if they are proved to be false, I shall bear and pay
according to law.Construction entrepreneur’s seal:
Applicant’s:
Signature:
Date:
Note been: Certified copies of the concerned documents should be attached with this application form to verify the contents mentioned in this application
form; and original documents should be submitted when so required by the office.