B-1 AGREEMENT System Generated e-Tender No ... - e-Tendering

27 Dy. Executive Engineer
FORM NO. VI
STATEMENT SHOWING QUANTITIES OF WORK EXECUTED IN ANY ONE YEAR
DURING LAST THREE YEARS.
NAME OF CONTRACTOR: _________________________________________________________
Sr.
No.
Name of
Division
Amount
put to
tender/
tendered
cost.
Total No. of
Agreements
Amount of work done during
each of last Three years
2009-10 2010-11 2011-12
Amount of
work still
remaining to
be executed
(Rs. In Lakh)
Remarks
1 2 3 4 5 6 7 8 9
Checked and Found correct.
Signature
Name
Executive Engineer
Signature
Name
Divisional Account Officer
Signature of Contractor No. Of Corrections Executive Engineer