Tobe printed on 45. 10 Stamp per
OVERNMENT: u ny
PROVINCIAL ENLISTMENT PAH-RECISTRATION COMMITTEE
Established under clause 26 of KPPRA Act: 2012 Na. XIII a 2019, 2 Amendment passed by
Proviacial Assembly om 26-02-2019,
1 Category applied tor
Name of eontzactor ! Tim company
Adress
PEC Category
fi) Codes allowed by PEC
yy FBR NowNTNy
1) Active tas payer
(Todeverecy
Tick the relevant Box Yes Ne]
vip KPRA No (Kliyber Pakhiunkliea Revenge Authority)
3 Category wise Fee Structure us per Pakistan Engineering Council
Nomenclature of Category Annual Fee (Rs)
PRCA
Upro 65
Upto 35
Elecite Week as per PIC codex
[Note:: During Participation in tender for Electric work, the Comactoe /Firn | Company novdls to be Registerat
with Khyber Pakhtunkhwa Electrie Inspector.
Is your firm RegisteredLimited, [—____]
Are youan approved Contractor of any work Dopariment/ Agency) Yes/No
I pes give the name of Bepartmentagency/erganization with which enlised
a 2 3 a
6.
Deciawarion
Certified that the information given in tis application form is cormect tothe best of my knowledge &
belief ana I further understand that in-case any infoeration is Found to be incoeeect lar an, ny enlistment is
Habe to be canceled
Signanure of applicant
Mobile No.
E-mail addeess