Valuers Empanelment Bank Form – Fill Out and Use This PDF

Format A

APPLICATION FOR EMPANELMENT OF VALUER

I. Details of Firm

1Name of the Applicant/Firm:

	2	Photo Identity of Managing Director /
		Managing Partner
						Please	affix
	3	Name of the sister concern, if any				recent	passport
						size photograph
	4	Address	of	Registered	office
		(including telephone nos. and e-mail
		address etc.

5PAN No. of the firm.

6Date of Incorporation:

7Date of Registration:

[Please furnish documents in respect of 1

to 7 as Annexure-I]

II Details of Key Personnel:

1.Name of Managing Directors:

2.Names of Directors:

(Please specify if any of the partners/directors is a director or near specified relation of any officer of Syndicate Bank)

[Please attach details as Annexure-II]

IIIName of Valuers/Associates working with the Firm:

1.

2.

3.

(Please indicate all names)

IV Branch Network:

1.Number of Branches in various states: (Please indicate state-wise braches)

Number of Branches in each state: [Please attach details of the Branches

as Annexure-III]

2.

VNumber of valuations carried out:

Asset size (Fair Market Value) of the companies/units valued by valuation firm:

[Please indicate the number of assignments carried out in each category]

>Rs.200 cr.:

1.> Rs.100 cr. to Rs.200 cr.:

>Rs.50 cr. to Rs.100 cr.:

3.> Rs.10 cr. to Rs.50 cr.:

4.> Rs.5 cr. to Rs.10 cr.:

5.> Rs.1 cr. to Rs.5 cr.:

>Rs.50 lakh to Rs.1 cr.:

>Rs.20 lakh to Rs.50 lakh:

8.> Rs.10 lakh to Rs.20 lakh:

9.> Rs.5 lakh to Rs.10 lakh:

10.< Rs.5 lakh

11.[Please attach copies of work orders issued by concerned agencies to

carry out valuation as Annexure-IV]

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VI	Details of	valuers’		registration
	working for the valuation firm:
1.	Registration	of	the	valuers/their
	associates with Institute of Valuers
2.	Registration		with		Govt.
	Dept./Institution/Income				Tax/High
	Court/DRT		Institute		of
	Engineers/Other		Govt.	recognized
	institutions:

Registration u/s 34AB of Wealth Tax:

(Please attach certificates of registration of each Valuer / Associate working with

3.the firm along with PAN number of Annexure-V]

VII Valuation work undertaken by the firm:

1.Number of assignments undertaken for Syndicate Bank during the last 5 years

Number of assignments undertaken

2.for other Banks (PSUs/Other Banks) during last 5 years.

Number of assignments undertaken

3.for DRT/High Court/ Income Tax/Other Govt. bodies during last 5 years:

(Please attach the copies of work orders awarded by concerned banks/agencies and list of reports submitted by the valuer as Annexure- VI)

VIII	Any Banker/Agency has black listed
	your firm at any point of time for any
	reason earlier. In case “yes” furnish
	details.
IX	Any of your employees have been
	convicted at any point of time before
	any court and or any complaints
	against your employees before CBI /

2

Format of undertaking to be submitted by the valuers for empanelment

UNDERTAKING

I,......................................................................................................,son / daughter

of ………………………………………………... do hereby solemnly affirm and state that

■I am a citizen of India

■I have not been removed/dismissed from service/employment earlier

■I have not been convicted of any offence and sentenced to a term of imprisonment

■I have not been found guilty of misconduct in professional capacity

■I am not an undischarged insolvent

■I have not been convicted of an offence connected with any proceeding under the Income Tax Act 1961, Wealth Tax Act 1957 or Gift Tax Act 1958 and

■My PAN Card number/Service Tax number as applicable is ………………….

■I have read and understood the “Handbook on Policy, Standards and

Procedures for Real Estate Valuation by Banks and HFIs in India 2010” of the

IBA and fulfil all the conditions of Criteria for Empanelment as listed therein

■I undertake to keep you informed of any events or happenings which would make me ineligible for empanelment as a valuer

■I have not concealed or suppressed any material information, facts and records and I have made a complete and full disclosure

■I/We understand that my/our opinion/ certification would be an input for the purpose of decision making by the Bank. Therefore, I/we would like to state that in the event of my/our opinion/certification turns out to be untrue and factually incorrect causing loss to the bank, the Bank may seek such clarifications as may be required to investigate the matter and fix the responsibility. In the event, it is established that there was gross negligence on my/our part or I/we had colluded with your customer in causing pecuniary

damage / loss to the Bank, the Bank may recommend my/our name for including in the caution list being maintained by the Indian Banks’ Association

for circulation amongst member banks. I/we understand that The Indian

Banks’ Association has been mandated by the RBI to do so.

Dated: …………………………….

(Signature)

Name…………………………………...

Address…………………………………

…………………………………………….

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