PRE - QUALIFICATION OF CONTRACTORS - Life Insurance ...

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ANNEXURE – A1A F F I D A V I T(On Non Judicial Stamp paper of Rs.*_______/- in case the individual who is the soleproprietor of the firm)I…………………………………………………………………………………………………. s/o………………………………………………… age …………….. years, occupation business r/o…………………………………………………… do hereby state on oath as under:That I am residing in ……………………………………………………… locality ofDistrict …………………………………… since last ……………….. years.That I am the sole proprietor of a proprietary concern name and style as“……………………………………………………..” having it’s office at …………………………District …………………………. dealing in business of Government, civil contracts andancillary works attached therefore.Hence this affidavit.Deponent _________________Note: This Affidavit should be notarized.
ANNEXURE A2LIFE INSURANCE CORPORATION OF INDIACONSTITUTION OF FIRM – SOLE PROPRIETORSHIP/PARTNERSHIP/LTD.CO./OTHERDETAILS OF CONSTITUTENTSName of sole partner Age Share Technical Experienceor Director / otherYear to As AsHigh OfficialsYear to Employee contractor1 2 3 4 5 6 7 8Sr.No.Whether powerof attorneyHolderSIGNATURE OF CONTRACTOR
Page 5 and 6: ii) Enclose copy of partnershipdeed
Page 10 and 11: ANNEXURE - BLIFE INSURANCE CORPORAT
Page 12 and 13: ANNEXURE - DLIFE INSURANCE CORPORAT
Page 14 and 15: ANNEXURE - FLIFE INSURANCE CORPORAT

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