Please Choose Contractor Type Which You Are Applying For
Licence Type*	Select Class A-I Class A-II Class A-III Class A-IV Class A-V Class B Class C

Personal Information
Applicant Name : *
Proprietor Name : *		Father/ Husband Name(Proprietor) : *

Postal Address
(i) Residence Address : *
State :*	MP Other	State :*	Select Arunachal Pradesh Assam Andaman And Nicobar Islands Andhra Pradesh Bihar Chhattisgarh Chandigarh Daman And Diu Delhi Dadra And Nagar Haveli Goa Gujarat Haryana Himachal Pradesh Jharkhand Jammu & Kashmir Karnataka Kerala Lakshadweep Meghalaya Manipur Madhya Pradesh Maharashtra Nagaland Orissa Other Punjab Pondicherry Rajasthan Sikkim Tripura Tamil Nadu Uttarakhand Uttar Pradesh West Bengal
Division :*	Select Bhopal Chambal Gwalior Indore Jabalpur Narmadapuram Others Rewa Sagar Shahdol Ujjain	District :*	Select
City :*	Select	Pin Code :*
(ii) Office Address : *
Address :*
State :*	MP Other	State :*	Select Arunachal Pradesh Assam Andaman And Nicobar Islands Andhra Pradesh Bihar Chhattisgarh Chandigarh Daman And Diu Delhi Dadra And Nagar Haveli Goa Gujarat Haryana Himachal Pradesh Jharkhand Jammu & Kashmir Karnataka Kerala Lakshadweep Meghalaya Manipur Madhya Pradesh Maharashtra Nagaland Orissa Other Punjab Pondicherry Rajasthan Sikkim Tripura Tamil Nadu Uttarakhand Uttar Pradesh West Bengal
Division :*	Select Bhopal Chambal Gwalior Indore Jabalpur Narmadapuram Others Rewa Sagar Shahdol Ujjain	District :*	Select
City :*	Select	Pin Code :*
(iii) Correspondence Address : *		Same As Office Address
Address :*
State :*	MP Other	State :*	Select Arunachal Pradesh Assam Andaman And Nicobar Islands Andhra Pradesh Bihar Chhattisgarh Chandigarh Daman And Diu Delhi Dadra And Nagar Haveli Goa Gujarat Haryana Himachal Pradesh Jharkhand Jammu & Kashmir Karnataka Kerala Lakshadweep Meghalaya Manipur Madhya Pradesh Maharashtra Nagaland Orissa Other Punjab Pondicherry Rajasthan Sikkim Tripura Tamil Nadu Uttarakhand Uttar Pradesh West Bengal
Division :*	Select Bhopal Chambal Gwalior Indore Jabalpur Narmadapuram Others Rewa Sagar Shahdol Ujjain	District :*	Select
City :*	Select	Pin Code :*

Personal Details
Phone No. [Office] with STD Code :		Mobile No : *
Pan Number :*		TinNo/Service Tax No. :*
Fax No. [Office] with STD Code :		E-Mail ID [Firm] :*
Type Of Work For Which Registration Is Applied :*	Select Civil Civil & ELectrical Electrical	Status of Applicant :*	Select Company Partnership Self

Bank Detail
Bank Name :*		Branch Name :*
Account Number : *		Rupees : *
Rupees in Words : *		Is Your Annual Turnover More Than 100000 ? : *	Yes No

Work wise details of work completed /or in progress by the contractors in any particular Dn./Deptt.
Contractor Name*

List Of Supporting Documents
Certified Copy OF pan card.(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)*
Certified Copy of Tin No(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)*
Certified Copy Of Electrical Work Licence.(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)
Scan Copy of Original Affidavit in Prescribed Proforma.(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)*	Download Format
Cash(Security Amount After Approval of Registration)(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)
Scan Photograph and Signature Which Is Certified By The bank officer.(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)*
Certified Copy OF Registration of Firm and Partnership deed .(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)
Photo Copy of E.P.F. Registration.(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)*
Voter I.D./Aadhar Card .(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)*
Character Certificate(In Prescribed Form).(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)*	Download Format
To Attach Scan Copy Of Registration OF PWD(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)
Scan Copy of 3 Years Income Tax Return(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)*
Attachment of scan copy of Registration of Service.Tax & its field. (more than 10 Lakhs)(In .Jpg/.Jpeg/.Pdf Format and 10KB-100KB)*