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REGIONAL INSTITUTE OF MEDICAL SCIENCES IMPHAL ...

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Regional Institute of Medical Sciences, Imphal<br />

APPLICATION FORM NO. 6<br />

Annexure - IV<br />

EXPERIENCE <strong>OF</strong> CONSTRUCTION <strong>OF</strong> PROJECTS <strong>OF</strong> SIMILAR NATURE & COMPLEXITY<br />

(During last seven years ending last day of month previous to the one in which applications are invited)<br />

Sl.<br />

No.<br />

Name of<br />

work /<br />

project and<br />

location<br />

Owner or<br />

sponsoring<br />

organizatio<br />

n<br />

Cost of<br />

work in<br />

Lakhs<br />

Date of<br />

commenceme<br />

nt as per<br />

contract<br />

Stipulated date<br />

of completion<br />

Actual date of<br />

completion<br />

Name and address/ telephone<br />

number of officer to whom<br />

reference may be made<br />

Remarks<br />

NOTE : Please attach supporting documents ( Completion certificates along with order copies) for the above information<br />

Authorized Signatory of bidder<br />

HSCC/RIMS/2010/01- PI Page - 14

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