( ANNEXURE - I )

APPLICATION FORM FOR EMPANELMENT OF

CORPORATE VALUERS
1

Name / Name of the firm

_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________

Address (Office)

E-mail id.

_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
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Category valuer

Individual - ( Yes / No )

Telephone no.
Fax no.
Contact Person
Mobile no.

Proprietorship firm (Yes/No)

Partnership firm (Yes/No)

pg. 1

Does valuer has membership of any

one of the professional valuer bodies
viz. Institution of Valuers, institution
of Surveyors (Valuation Branch),
institution of Govt. Approved
Valuers,
Practicing
Valuers
Association of India, The Indian
Institution of Valuers, Centre for

( Yes / No )
Details :
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
Signature of the applicant __________________

Valuation Studies, Research and

Training, Royal institute of Chartered
Surveyors, India Chapter, American
Society of Appraisers, USA, Appraisal
institute USA etc.
(Related documents to be submitted)

Educational Qualification :
Individual / firms proprietor / any 2
partners in case of partnership firm
shall have have Bachelors degree or
equivalent in civil engineering /
architecture / town planning etc. or
he should be a Post Graduate in
Valuation of Real Estates from a
recognized University
(Related documents to be submitted)

_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________

(Yes / No)
Details:
_______________________________________________________
_______________________________________________________
_______________________________________________________

Work Experience :
Minimum 10 years work experience (Yes / No)
in the field of valuation of assets
related to the discipline viz. land,
building, structures, plants &
machineries, etc.
(Related Documents to be submitted)

pg. 2

Preferred locations for valuations

( States / Regions )

_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
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Signature of the applicant __________________

Whether executed minimum 10 jobs (Yes/No)

in last 3 years ending on 31st March
2016, whose value of asset is more
than Rs. 5 Crs. Each
(Related documents to be submitted)

Manpower details (Key personnel)

10 PAN no.

_______________________________________________________
_______________________________________________________
_______________________________________________________
______________________________________________________

_____________________________________________________

Copy of PAN card of Individual /

firm to be submitted.
Copy of ITR form to be submitted.

11 Registration / Empanelment with

Central / State governments /
municipal corporations / other
Public Sector Units as valuer.
(Related documents to be submitted)

( Yes / No )
Details :
______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________

I / We certify that I/we will not get myself/ourselves registered as valuers in the
Undertaking under more than one name.
I / We hereby confirm that the above information is true to the best of my / our knowledge
& belief.
I / We also undertake that, if at any stage, the above information are found to be incorrect,
the Corporation shall reserve the right to cancel my /our empanelment, at any time,
without notice, at its discretion.
I / We certify that I/our partners / directors did not retire as an employee of Bharat
Petroleum Corporation Limited during the last two years. I / We also certify that I have
pg. 3

Signature of the applicant __________________

neither such persons under my employment nor shall I / we employ such persons within
two years of his / her retirement from this organization except with prior permission.
I / We certify that I / our partners / directors are not relatives of the Managerial, Accounts,
Engineering or Materials employee of Bharat Petroleum Corporation Limited (A near
relative may include wife, husband, parent, children, grand children, brothers, sisters,
uncles, aunts, cousins and their corresponding in laws).
Date :
Place :
Signature of the applicant _____________________________

Stamp or Seal

NOTE :
All relevant documents must necessarily accompany the application form and should be
submitted. Non-submission of any of the documents as mentioned in the application form or
incomplete form may lead to summarily rejection.
Applicant requesting for empanelment of both Corporate Valuer and Government Approved
Valuer must submit separate application form alongwith supporting documents required for
empanelment.
Applications which do not fulfill all or any of the Conditions or are incomplete in any respect
are liable to be rejected.
BPCL reserves the right to accept or reject any application of Corporate Valuer and / or
Government Approved Valuer in whole or any part thereof without assigning any reason
whatsoever.
BPCL reserves the right to modify, extend timelines or terminate these proceedings at any time.
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pg. 4

Signature of the applicant __________________