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Form of Application For Withdrawal of Security Money

This document is a form for the withdrawal of security money deposited by a contractor. It includes details such as the contractor's name, project name and agreement details, dates of commencement and completion of work, contract value, security deposit amounts, deductions from bills, and confirmation that the work was completed according to specifications and contract terms with no outstanding defects or payments. The contractor must sign to acknowledge no further claims against the project owner and provide a no demand certificate to release the security deposit.

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SHITESH KUMAR
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1K views2 pages

Form of Application For Withdrawal of Security Money

This document is a form for the withdrawal of security money deposited by a contractor. It includes details such as the contractor's name, project name and agreement details, dates of commencement and completion of work, contract value, security deposit amounts, deductions from bills, and confirmation that the work was completed according to specifications and contract terms with no outstanding defects or payments. The contractor must sign to acknowledge no further claims against the project owner and provide a no demand certificate to release the security deposit.

Uploaded by

SHITESH KUMAR
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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FORM OF APPLICATION FOR WITHDRAWAL OF SECURITY MONEY

1. Name of Contractor :

2. Name of Work :

3. Agreement No. & Date :

4. Date of Commencement of Work :

5. Contract date or extended date of completion :

6. Work Order No. & Date :

7. Actual Date of Completion :

8. Value of Contract :

9. Estimated Value :

10. Reference to Vr. No Page No. M.B No. -

11. Whether the Work was executed shortly in


accordance with specification terms &
condition of the agreement :

12. Whether any defect have been noted after


the completion of the work :

13. Whether there is any cost of dues outstanding


against the contract in respect of the above
issued, service tendered or other recovery
remaining to be made :

14. Details of security deposit received from the


contractor
(a) Earnest money ...........................................................................
(b) Initial security ............................................................................

15. Deduction from bill 1st R.A Bill.....................................


2nd R.A Bill..................................
3rd R.A Bill.......................................

Sign. of the Contractor


Sign. of the Asstt. Engineer.

Sign. of the Executive Engineer


NO DEMAND CERTIFICATE
(TO BE ISSUED BY CONTRACTOR)

NAME OF PACKAGE/CONTRACT :

LETTER OF AWARD/CONTRACT NO :

NAME & ADDRESS OF CONTRACTOR :

POWER STATION : TTPS

We, M/s............................................................. (Contractor) do hereby acknowledge and confirm that we


have received the full and final payment due payable to us from TVNL in respect of our aforesaid
LOA/Contract No...................................... Dated......................... including amendments, if any issued by
TVNL to our entire satisfaction and we further confirm that we have no claim whatsoever pending with
TVNL under the said contract.

Notwithstanding any protest recorded by us in any correspondence, document measurement books


and/or final bills etc. we waive off all our rights to lodge any claim or protest in future under this
contract.

We are issuing this "NO DEMAND CERTIFICATE" in favour of TVNL with full knowledge and with our free
consent without any undue influence, misrepresentation, correction etc.

Signature.........................

Name...............................

Designation......................

Date.......................

Place.........................

.....................................................

(Company common seal)

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