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27Dy.E.E.STATEMENT NO. 2DETAILS OF WORKS OF SIMILAR TYPE AND MAGNITUDE DURING LASTTHREE YEARS CARRIED OUT BY THE CONTRACTOR.NAME OF THE CONTRACTOR :Ref. Page 14 Clause 1.4.9Sr.No.Name Name and Place Agree Date Tend Total Actualof the address of and ment of ered Cost of date ofwork the country No. comm cost. work compleorganizationencemdone. tionfor whom(Rs.ent(Rs. Inthe workInlakhs)was done.lakhs)1 2 3 4 5 6 7 8 9 10(Principalfeaturesin brief.)SAMPLE FORMNote :This is only a standard form; details are to be furnished in this format inthe form of type written statements which shall be enclosed inEnvelope No.1.Contractor No. of Corrections Executive Engineer

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