APPLICATION FOR EMPANELMENT AS A VALUER

To
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Subject: Application for empanelment as a valuer IBBI Registration No.(if applicable); Registered
under Sec 34AB of Wealth Tax Act 1957, if yes, Wealth Tax Registration No:

Sir/ Madam,

I, being an individual/ proprietor/ partner/ director (strike off whichever is not applicable), hereby
apply for empanelment as a valuer of land and building/real estate.

The details are as under:

A. DETAILS OF THE FIRM/ PARTNERSHIP ENTITY/ COMPANY (if applicable)

Name

Registration Number/ LLP

Number/CIN Number

PAN No

GST No.

Address for Correspondence or

registered office

Permanent Address

E-Mail Address

Mobile No
B. PERSONAL DETAILS OF INDIVIDUAL/ PROPRIETOR/ EACH PARTNER/DIRECTOR*

Title (Mr/Mrs/Ms)

Father’s Name &

Mother’s Name

Date of Birth

Registration with CBDT

under Wealth Tax Act,
1957 – YES / No. If yes,
(Registration No. &
Date, of Individual/ all
the Partners (in case of
Partnership Firm)

PAN Number

Aadhar Number

Passport Number

GST Number

Address for correspon-

dence

Permanent Address

Email Address

Mobile Number

*If more than 2 partners or Directors , use a separate sheet with above details and submit

C. EDUCATIONAL, PROFESSIONAL AND VALUATION EXAMINATION QUALIFICATIONS

Educational Qualifications [Please provide educational qualifications from Bachelor’s degree onwards
for Individual/ proprietor/ each partner/director]

Educational Qualifi- Year of Marks (per- Grade/ University/ Remarks,

cation Passing centage) Class College if any

2. Professional Qualifications for Individual/ proprietor/ each partner/director

Professional Institute/ Professional Membership Date of en- Remarks, if

Qualification Body/ registered val- No. rolment any
uersorganisation
3 (a) Details of valuation examination passed (for Individual/ proprietor/ all partners/directors who
are registered valuers with RVO )

Date of examination Asset class, if any Marks secured Percentage

3 (b) Valuation Qualifications (for Individual/ proprietor/ all partners/directors who are registered
valuers with RVO)

Valuation specific Recognised Registered Val- Asset Membership Num- Remarks,

qualification/ uersOrganisation class ber in Registered if any.
course ValuersOrganisa-
tion

Name Recognition No

D. WORK EXPERIENCE (if applicable)

1. Are you presently in practice / employment? (Yes or No)

2. 2.Number of years in practice or of work experience in the relevant profession or in valua -

tion (attach evidence in the form of reference letters/copies of valuation reports/any other
evidence):

3. If in practice, address for professional correspondence:

4. Number of years in employment (in years and months):

5. Experience Details

Sl. From To Employment/ If employed, If in prac- Area of

No Practice Name of Em- tice, experi- work
ployer and Desig- ence in the
nation relevant
profession/
valuation

E. REGISTERED VALUERS ORGANISATION/ MEMBERSHIP OF PROFESSIONAL BODIES

Please give details of the registered valuersorganisation/ Professional bodies of which you are a
member. Please state your membership number.

1.

2.
F. ADDITIONAL INFORMATION

1. Have you ever /or any of your partners/directors ever been convicted for an offence? (Yes
or No). If yes, please give details.

2. Are any criminal proceedings pending against you /or your partners/directors? (Yes or No)
If yes, please give details.

3. Are you or any of your/ your partners/directors undischarged bankrupt, or have applied to
be adjudged as a bankrupt? (Yes or No) If yes, please give details.

4. Please provide any additional information that may be relevant for your application.

G. ATTACHMENTS

1. Copy of Certificate of Registration with IBBI

2. Copy of Certificate of Registration under Sec 34AB of Wealth Tax Act, 1957 (if applicable)

3. Copy of proof of membership with a registered valuer’s organization.

4. Copy of membership with Professional bodies

5. KYC documents for Individual/ Firm/ Partnership Firm/ Company and its proprietor/ part-
ners/directors.

6. Copies of documents in support of educational qualifications, professional qualifications

and valuation qualifications of Individual/ proprietor/ partners/directors.

7. Copies of documents demonstrating practice or work experience for relevant period, if ap-
plicable

8. Copies of certificate of employment by the relevant employer(s), specifying the period of

such employment, if applicable.

9. Passport-size photograph(s) of Individual/ proprietor/ partners/directors.

H. AFFIRMATIONS

1. Copies of documents, as listed in section G of this application form have been attached/
uploaded. The documents attached/ uploaded are ……………. I undertake to furnish any addi-
tional information as and when called for.

2. I am not disqualified from being registered as a valuer under the Companies (Registered
Valuers and Valuation) Rules, 2017, (Please strike off if not applicable).

3. This application and the information furnished by me along with this application is true and
complete. If found false, misleading or incorrect I will be fully responsible for the conse-
quences.

Place : Date:

Signature & Name of applicant

 List of documents to be obtained

Sl. No Name of documents

1 Copy of Certificate of Registration with IBBI (if applicable)

2 Copy of Certificate of Registration under Sec 34AB of Wealth Tax Act, 1957
(if applicable)

3 Copy of proof of membership with a registered valuers organization. (if ap-

plicable)

4 Copy of membership with Professional bodies

5 KYC documents for Individual/ Firm/ Partnership Firm/ Company and its
proprietor/ partners/directors.

6 Copies of documents in support of educational qualifications, professional

qualifications and valuation qualifications of Individual/ proprietor/ part-
ners/directors.

7 Copies of documents demonstrating practice or work experience for rele-

vant period, if applicable

8 Copies of certificate of employment by the relevant employer(s), specifying

the period of such employment, if applicable.

9 Passport-size photograph(s) of Individual/ proprietor/ partners/directors.

The above list is illustrative and not exhaustive. Veritas may call for such other evidence as may be
considered necessary for verifying the eligibility or competence of the Valuer.
 UNDERTAKING

Date: / /
To

Sub: RegardingEmpanelmentofValuer

Dear
Sir,
I /We
i)__________________________S/o, D/o,W/o _
ii) _ _S/o, D/o,W/o_____________________
iii) _ _S/o, D/o,W/o_____________________

doherebysolemnlyaffirm/confirmed/undertake/declareandstatethat:
1. I/Weam/arecitizen(s)of India.
2. I/Wehavenotbeenremoved /dismissedfromservice/employmentearlier.
3. I/Wehavenotbeenconvictedof anyoffenceand sentencedto atermofimprisonment.
4. I/Wehavenotbeenfound guiltyof misconductin professionalcapacity.
5. I/Weam/arenotundischargedinsolvent.
6. I/WehavenotbeenconvictedofanoffenceconnectedwithanyproceedingundertheIn-
comeTaxAct1961,WealthTax Act1957or GiftTax Act1958.
7. OurPAN cardnumber/ServiceTaxnumberismentionedinrelevantfiled.
8. I/Weundertaketokeepyouinformedofanyeventsorhappeningswhichwouldmakeme/
usineligiblefor empanelmentas valuer.
9. I/Wehavenotconcealedorsuppressedanymaterialinformation,factsandrecordsandI/We-
havemadeacompleteandfulldisclosure.
10. I/Weshall actwithindependence,integrityandobjectivitywhilecarryingoutvaluationwork.
11. I/ Weshallcarryoutallvaluationworkswithanindependentmindandshallnotcomeunder-
anyinfluenceofanybody.
12. I/We am/ arenotrelatedtoanyofthepersonnelinthedepartment /divisionoftheVeritas
Financedealingwith valuationworkdirectly.
For&onbehalf of.................................(Firm)
(Signature) (Signature) (Signature) (Signature)
Name Name Name Name
Designation Designation Designation Designation

[Allpartnerstosubscribetheirsignatures]

Nameoftheapplicant
organization
Address

Date: //20

Place:
 Code of Conduct

Sub.: EmpanelmentofValuer

We hereby strictlyadhereand follow the below mentioned codeofconduct:

1. Toexpressanopiniononlywhenitisfoundedonadequateknowledgeandhonestcon-
viction.
2. Torefrainfrommisrepresentingqualificationsorworkexperience.
3. Totreatallinformationprocuredduringthecourseofthebusinessasconfidential.
4. Toobserveintegrityandfairplayinthepracticeoftheprofession.
5. To refrain fromundertaking to review the workofanothervaluerofthe
same client exceptunder written orders from Veritas.
6. To give unbiased valuation report conforming to standards and conform-
ing to the objectiveopinionofthepropertyandnottoattemptmerelytoaccom-
modatetheinterestsoftheclient.
7. The valuer shall maintain confidentiality of the work being undertaken
and shall not disclose information to any other persons other than the
authorized personal of Veritas. The Valuer shall ensure that the employ-
ees of the firm also follow the policy of confidentiality and non- disclo-
sure.
8. The Valuer shall complete the assignment within the time period stipu-
lated and agreed upon. The report must be based on documentary evi-
dence and not on hearsay.
9. Tosteerclearofsituationswhereinterestsanddutyclash.
10. Toconductoneselfinsuchamannerthatwillnotprejudicetheprofessionalsta-
tusorreputationofthe profession
11. Tofollowthiscodeasamendedorrevisedfromtimetotime.

For&onbehalfof................................(Firm)

(Signature) (Signature) (Signature) (Signature)

Name Name Name Name
Designation Designation Designation Designation

[Allpartnerstosubscribetheirsignatures]

Date: / /20

Place:

Nameoftheapplicant
organization

Address