FORMAT FOR AUTHORISED REPRESENTATIVES IN LIFTING OF COAL

 

To

The Sales Officer,

Trans- Damodar Open Cast Project,

West Bengal Mineral Development & Trading Corporation Ltd.

P.O. Barjora, Distt. : Bankura.

 

Sir,

 

I do hereby authorise the following person to lift coal on our behalf from the Trans -Damodar Open Cast Mine, Barjora, Bankura against the Delivery Order mentioned below.

Particulars of the authorised person  are as follows :

 

 

 

 

 

 

1.       DO Number :

2.       DO Date :

3.       DO Quantity :

4.       Name of Authorised Representative :

5.       Address of Authorised Representative :

                                                                               Street/Road………………………………………….

                                                                               Village…………………………………………………..

                                                                               P.O. …………………….P.S. …………………………

                                                                               District …………………….PIN …………………...

                                                                               State ……………………………………………………

 

6.       Contact No. of Authorised Representative

7.        Number of Photo I.D. Card :

( Voter ID Card, Driving License, Pan Card & PassPort )

 

      Signature of the Authorised Representative.

                               Attested

 

       ( Signature of the consumer )

Place :                                                                                                                       ( Signature of the Consumer )

Date :

The following documents should be attached :

1.       Photocopy  of the Photo ID of the representative, duly attested by the consumer.

2.       Self attested photo copy of Bidder ID Card issued by the e-Auction service provider. should be attached.

 

Note : This form should be printed in the Consumer’s Letterhead and submitted in Triplicate at the Sales office of WBMDTC Ltd at Trans-Damodar Opencast Project, P.O. – Barjora, Dist. – Bankura.