Specifications

15
NLUO PMC CONTRACTOR
SIGNATURE AND SEAL SIGNATURE AND SEAL SIGNATURE AND SEAL
Enclosure to Annexure I
PROFORMA – 1
PARTICULARS IN RESPECT OF WORKS EXECUTED DURING LAST 7 YEARS (See the note below)
Sl
No
Name of
work/Project with
Address
Short Description
of work Executed
Name &
Address
of
Owner
Value of
Work
Executed
Stipulated time
of Completion
With date of
commencement
Actual time of
Completion with
date of completion
Name of Architect/
Consulting
Engineer with
Phone &
Mobile no.
1 2 3 4 5 6 7 8
Note: Attested copies of work completion certificates issued by the employer to be enclosed for verification by the
NLUO/PMC.
Name and Signature with Seal