2022
Nandadeep Valuers Foundation. RVO RECOGNIZED BY IBBI CIN U91990MH2018NPL312685 IBBI/RVO/2020/012

application form 21, Ramdurg, Raghuveer Nagar, Opp. S.F. School, Jalna Road, Aurangabad, Maharashtra, India. Pin 431001. Phone +91-240-233 2655, Mobile 9623586977, email nvfrvo@gmail.com web www.nandadeep.in

Asset Class Applied for (Check appropriate)

Land & Building. Asset Class ☐

Plant & Machinery. Asset Class ☐

Securities or Financial Assets ☐

(Please use only capital letters to fill-up form.)

Personal Details

Name Prefix	Enter Name Prefix.
Surname Name	Enter your Surname/ Family Name
First Name	Enter Your First Name
Middle Name	Enter Your Middle Name
Your Name Suffix	Enter Your Name Suffix.
Father’s Name	Enter Your Father’s Name.
Mother’s Name	Enter Your Mother’s Name.
Date of Birth	Enter Your Date of Birth.
Nationality	Enter Nationality here.

Correspondence Details

Primary Email ID	Enter Primary Email Id.
Alternative Email ID	Enter alternative Email Id.
Web Site	Enter Web Site.

Phone number

Office (With STD Code)	Enter office’s Phone Number.
Residence (With STD Code)	Enter Residence’s Phone Number.
Primary Mobile Number	Enter Mobile Number.
Alternative Mobile Number	Enter Alternative Mobile Number.

Postal Address

Correspondence Address	Correspondence Address Line one.
Correspondence Address Line Two.
City	Enter City Name.	District	Name of District.
State	Name of State.	Pin	Name of District.

Permanent Address

Permanent Address	Permanent Address Line one.
Permanent Address Line Two.
City	Enter City Name.	District	Permanent District.
State	Permanent District.	Pin	Permanent District.

Identity Documents

Adhar No.	Adhar Card Number .	Attached	☐
Pan Card	Pan Card Number.	Attached	☐
Passport No.	Passport Number.	Attached	☐
Driving License.	Driving License Number.	Attached	☐
Election Card Number	Election card Number.	Attached	☐
GST No.	Click here to enter text.	Attached	☐

Educational / Professional Qualification.

Sr.No.	Qualification	Year of passing	Board/ University	Copy Encl.
01.	Qualification.	Year	Name of University/ Board.	☐
02.	Qualification.	Year	Name of University/ Board.	☐
03.	Qualification.	Year	Name of University/ Board.	☐
04.	Qualification.	Year	Name of University/ Board.	☐
05.	Qualification.	Year	Name of University/ Board.	☐
06.	Qualification.	Year	Name of University/ Board.	☐

Professional Institution Membership

Sr.No.	Institution	Type of Membership	Membership number	Copy encl.
01.	Institution Name.	Type of Membership.	Membership Number.	☐
02.	Institution Name.	Type of Membership.	Membership Number.	☐
03.	Institution Name.	Type of Membership.	Membership Number.	☐
04.	Institution Name.	Type of Membership.	Membership Number.	☐
05.	Institution Name.	Type of Membership.	Membership Number.	☐
06.	Institution Name.	Type of Membership.	Membership Number.	☐

Work experience

Are you employed / Professional Practitioner /Valuer - Select Option.

Number of years in practice/ work experience in profession/ valuation- Years .

Sr.No.	From Date	Till Date	Employer & Designation	Scope of Work, Responsibility.	Remark
01.	From date.	Till date.	Employer and Designation.	Scope of work.	Remark.
02.	From date.	Till date.	Employer and Designation.	Scope of work.	Remark.
03.	From date.	Till date.	Employer and Designation.	Scope of work.	Remark.
04.	From date.	Till date.	Employer and Designation.	Scope of work.	Remark.
05.	From date.	Till date.	Employer and Designation.	Scope of work.	Remark.

Experience as Valuer

Sr.No.	Last 3 Years	Number of Valuations done.	Valuation / Professional Fees Received	Remark
01.	Financial Year.	Total cases.	Cumulative fess received.	Remark.
02.	Financial Year.	Total cases.	Cumulative fess received.	Remark.
03.	Financial Year.	Total cases.	Cumulative fess received.	Remark.

I hereby confirm and declare that I,

possesses the qualifications and experience as specified in rule 4 of THE COMPANIES (REGISTERED VALUERS AND VALUATION ) RULES, 20171;

am not a minor;

am not been declared to be of unsound mind;

am not an undischarged bankrupt, or has not applied to be adjudicated as a bankrupt;

am a person resident in India;

Explanation.─ For the purposes of these rules ‘person resident in India’ shall have the same meaning as defined in clause (v) of section 2 of the Foreign Exchange Management Act, 1999 (42 of 1999) as far as it is applicable to an individual;

am not been convicted by any competent court for an offence punishable with imprisonment for a term exceeding six months or for an offence involving moral turpitude, if yes, period of five years has elapsed from the date of expiry of the sentence (Attach detailed orders):

am not been convicted of any offence and sentenced in respect thereof to imprisonment for a period of seven years or more.

am not been levied a penalty under section 271J of Income-tax Act, 1961 (43 of 1961) and time limit for filing appeal before Commissioner of Income-tax (Appeals) or Income-tax Appellate Tribunal, as the case may be has expired, or such penalty has been confirmed by Income-tax Appellate Tribunal, and five years have elapsed after levy of such penalty; and

am a fit and proper person:

Explanation.─ For determining whether an individual is a fit and proper person under these rules, the authority may take account of any relevant consideration, including but not limited to the following criteria-

integrity, reputation and character,

absence of convictions and restraint orders, and

competence and financial solvency.

Any other information that may be relevant to your application, (attach additional sheet(s) if required.)

Click here to enter text.

Date Click here to enter a date.

Place Place.	Sign

Name Your Name.

UNDERTAKING/AFFIRMATION

I, the undersigned do hereby understand that in the case of my selection as a Student Member / Member, I will be governed by the rules and regulations of the Nandadeep Valuers Foundation which is a Registered Valuers Organisation (RVO), existing, or as may hereafter be altered from time to time. Any amendment(s), notice(s) published on website of Nandadeep Valuers Foundation are deemed to be delivered to me and will govern me.

I shall abide to conduct myself professionally as per the rules and/or Code of Ethics, of Nandadeep Valuers Foundation, existing or as may hereafter be altered from time to time and/or published on website of Nandadeep Valuers Foundation.

Educational qualifications submitted herein are acquired from university which is recognised by UGC/or Formed Under State/Central Act.

I accept responsibility for the authenticity of the particulars submitted in this application with regards to all information including to my qualifications and experience. I agree that if my application is accepted as member, the validity of my membership shall depend upon the accuracy of such particulars submitted, and as per requirements specified by the rules of the Nandadeep Valuers Foundation.

I agree to abide by the Code of Conduct and Bye-Laws as applicable for Member as defined in the Bye-Laws of the organisation updated time to time.

If Insolvency and Bankruptcy Board of India (IBBI) does not allow me for any reason to appear in IBBI Registered Valuer examination, I will not hold Nandadeep Valuers Foundation responsible for the same and any fees or amount paid to Nandadeep Valuers Foundation shall not be refundable under any circumstances.

If IBBI, for any reason/s, rejects my application to be a registered valuer, I will not hold Nandadeep Valuers Foundation responsible for the same and any fees or amount paid to Nandadeep Values Foundation shall not be refundable under any circumstances.

I UNDERTAKE that I will promote the aims and objects of the Nandadeep Values Foundation as far as may be in my power.

I will accept as final and binding the decisions of the Nandadeep Valuers Foundation in all matters dealt.

In the event of any dispute between me (an individual member) and the Nandadeep Valuers Foundation (a body) the jurisdiction will remain Aurangabad (Maharashtra).

I hereby state that all statements made by me in this application and facts as stated by me here are all authentic, true and accurate.

Date Click here to enter a date.

Place Place.	Sign

Name Your Name.