BIR-DEO-15-01

BIDDER INFORMATION FORM v2

1 Name of the bidder

2 Bid submitted for (NIT No)

5 BIDDERS DETAILS

(a) Address for communication

(b) Contact No. (Mobile)

(C) e-mail Address

(d) Professional tax registration No.

(e) Professional Tax Clear Upto

(f) GST Registration No.

(g) GST return submitted upto

(i) Income tax return submitted Upto

(j) Trade License (Last valid)

(a) Name of drawee bank

(b) e Proc Ref No.

(d) NEFT/RTGS / Net banking Ref No

7 Credential for similar nature of work. (To be supported with work order & completion report / Payment Certificate)

(a) Name of Work executed

(c) Name of Department where executed

(d) Amount put to tender

(e) Amount of final Bill

(f) Work order No.

(g) Date of Completion

* NB- Filled up properly & Upload in .xls format.

Select, Excess (+), Less (-) Less (-)

Tender Inviting Authority: DISTRICT MAGISTRATE, OFFICE OF THE DISTRICT MAGISTRATE & COLLECTOR, BIRBHUM

Name of Work: WB Assembly General Election 2026

Contract No: NIT-15-2025-26

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Description Item Code / Make Quantity Units Estimated Rate Addition / Deduction Addition / Deduction Values Currency Convertion against each Item Quoted Currency in INR / Other Currency BASIC RATE In Figures To be entered by the Bidder Rs. P Excise Duty VAT Freight Charges ( Unloading & Stacking) Any Other Taxes/Duties/Levies Other Taxes 2 IIIrd Party i.e DGS&D / RITES etc Inspection Charges @0.34%+Service Tax Less for Cenvat Credit,if any respect of Supplies Under full Excise Duty Category

1 NIT-15-2025-26 itemH1

1.01 Laser Printer with Scanner ( Duplex) preferably HP M226dw itemH1Code1 0.000 Nos Excess(+) Full Conversion INR

1.02 HP Laserjet pro MFP M126nw Multi function Wi-Fi Mono0chrome Laser Printer itemH1Code2 0.000 Nos Excess(+) Full Conversion INR

1.03 Brother DCP B7535DW Multi Function Monochrome Laser Printer with Auto Duplex printing & Wi-Fi itemH1Code3 0.000 Nos Excess(+) Full Conversion INR

1.04 HP Scanjet Pro N4000SNW1 sheet-feed Document Scanner, 6FW08A itemH1Code4 0.000 Nos Excess(+) Full Conversion INR

1.05 HP Scanjet Pro 2000 S2 Sheet Feed Scanner itemH1Code5 0.000 Nos Excess(+) Full Conversion INR

1.06 Smartphone Mobile Handset, 5G (128GB) (8GB RAM) or equivalent itemH1Code6 0.000 Nos Excess(+) Full Conversion INR

1.07 HP Smart Tank All in one 580 multi function WiFi color inkjet printer for print, scan & copy with one additional black in bottle to print upto 12000 black & 6000 color pages. itemH1Code7 0.000 Nos Excess(+) Full Conversion INR

1.08 Supply of Black Ink Cartridge for HP 1136 model ( no 88A) itemH1Code8 0.000 Nos Excess(+) Full Conversion INR

1.09 HP 12A Laser Toner Cartridge itemH1Code9 0.000 Nos Excess(+) Full Conversion INR

1.1 HP 78A Laser Toner Cartridge itemH1Code10 0.000 Nos Excess(+) Full Conversion INR

1.11 HP 110A black original laser tone cartridge itemH1Code11 0.000 Nos Excess(+) Full Conversion INR

1.12 HP 58X High Yield Black original laserjet toner cartridge, CF258X itemH1Code12 0.000 Nos Excess(+) Full Conversion INR

1.13 HP 28A Laser Toner Cartridge itemH1Code13 0.000 Nos Excess(+) Full Conversion INR

1.14 HP 103AD Dual Pack Black Original Neverstop Laser Toner Reload Kit itemH1Code14 0.000 Nos Excess(+) Full Conversion INR

1.15 Versalink B7025 / B 7030 /B 7035 Toner Cartridge itemH1Code15 0.000 Nos Excess(+) Full Conversion INR

1.16 Ricoh IM 2701 Toner itemH1Code16 0.000 Nos Excess(+) Full Conversion INR

1.17 Samsung MLT-D 116L compatible with Samsung SL 2876nh itemH1Code17 0.000 Nos Excess(+) Full Conversion INR

1.18 Cannon 337 Toner Cartridge itemH1Code18 0.000 Nos Excess(+) Full Conversion INR

1.19 Brother TN-B021 Toner Cartridge itemH1Code19 0.000 Nos Excess(+) Full Conversion INR

1.2 Finejet MX-237AT Black Compatible Toner Cartridge itemH1Code20 0.000 Nos Excess(+) Full Conversion INR

1.21 Pen Drive, 32GB, 64GB, 128GB, Class 10 USB 3.0 itemH1Code21 0.000 Nos Excess(+) Full Conversion INR

1.22 Zebronics 4 port Zeb-90HB USB Hub itemH1Code22 0.000 Nos Excess(+) Full Conversion INR

1.23 All-in-one- High Speed Card Reader (USB 3.0) ( Good Quality) itemH1Code23 0.000 Nos Excess(+) Full Conversion INR

1.24 SSD ( Solid State Drive ) 500 GB or equivalent itemH1Code24 0.000 Nos Excess(+) Full Conversion INR

1.25 Seagate External Hard Disk ( 1TB) & 2 TB itemH1Code25 0.000 Nos Excess(+) Full Conversion INR

1.26 Computer Set including UPS ( 600VA), Minimum i5 processor, 8 GB RAM, 250GB SSD & 500 GB HDD, 18.1” Monitor with installation ( Windows 11) or equivalent itemH1Code26 0.000 Nos Excess(+) Full Conversion INR

1.27 Laptop , Minimum i5/Rizon 5/7 processor, 16 GB RAM, 500GB SSD with installation ( Windows 11) or equivalent itemH1Code27 0.000 Nos Excess(+) Full Conversion INR

1.28 Logitech HD Webcam C 270 pr equivalent itemH1Code28 0.000 Nos Excess(+) Full Conversion INR

1.29 Zebronics Zeb-K20 Wored USB Desktop Keyboard (black) or equivalent itemH1Code29 0.000 Nos Excess(+) Full Conversion INR

1.3 HP 150 wired Mouse Wired Optical Mouse (USB 2.0, Black ) or equivalent itemH1Code30 0.000 Nos Excess(+) Full Conversion INR

1.31 2.4G /5G Router or equivalent -2 & 5 Antenna Wi-Fi 6 or higher. itemH1Code31 0.000 Nos Excess(+) Full Conversion INR

1.32 Internet & Wi-Fi connection 1GB/S, 10GB/s , High speed internet connection and WiFi router 1GB /10GB/s itemH1Code32 0.000 Nos Excess(+) Full Conversion INR

1.33 UPS Offline 600VA or equivalent itemH1Code33 0.000 Nos Excess(+) Full Conversion INR

1.34 HDMI-2.0 cable 10mt. itemH1Code34 0.000 Nos Excess(+) Full Conversion INR

1.35 Computer installation / Reinstallation itemH1Code35 0.000 Nos Excess(+) Full Conversion INR

1.36 Printer installation / Reinstallation. itemH1Code36 0.000 Nos Excess(+) Full Conversion INR

1.37 Extentation Cord 03 point /05 point/s itemH1Code37 0.000 Nos Excess(+) Full Conversion INR

1.38 CAT6 Cable with installation ( D-Link) itemH1Code38 0.000 Nos Excess(+) Full Conversion INR

1.39 RS -45 connector / unit ( D-Link) itemH1Code39 0.000 Nos Excess(+) Full Conversion INR

1.4 Network switch 24,12, 6/5 port itemH1Code40 0.000 Nos Excess(+) Full Conversion INR

1.41 MS Office 2019/2024 Single Language ( Eng) 1pc, 10pack/Corporate. itemH1Code41 0.000 Nos Excess(+) Full Conversion INR

1.42 TV 32 /49 inch. (Preferabllly SAMSUNG / TCL/ TOSIBA/VU/LG/LLOYED itemH1Code42 0.000 Nos Excess(+) Full Conversion INR

1.43 Cable /DTH itemH1Code43 0.000 Nos Excess(+) Full Conversion INR

1.44 TV Installation / Re-installation. itemH1Code44 0.000 Nos Excess(+) Full Conversion INR

1.45 Fax Machine itemH1Code45 0.000 Nos Excess(+) Full Conversion INR

1.46 All-in-One Desktop Computer (.intel i5, 512ssd,8GB RAM widows 11 MS office 27’’ Display) preferable DELL /HP/LENOVO itemH1Code46 0.000 Nos Excess(+) Full Conversion INR

1.47 Split A/C 1Ton /2Ton / 1.5Ton, itemH1Code47 0.000 Nos Excess(+) Full Conversion INR

1.48 Tower A/C 2 TON / 3TON /4TON itemH1Code48 0.000 Nos Excess(+) Full Conversion INR

1.49 Window A/C 1.5 TON itemH1Code49 0.000 Nos Excess(+) Full Conversion INR

1.5 Computer Table and Chair itemH1Code50 0.000 Nos Excess(+) Full Conversion INR

1.51 Charger light itemH1Code51 0.000 Nos Excess(+) Full Conversion INR

1.52 Laser Printer with Scanner ( Duplex) preferably HP4041 itemH1Code52 0.000 Nos Excess(+) Full Conversion INR

1.53 LED Smart TV with stand Rate itemH1Code53 0.000 Nos Excess(+) Full Conversion INR

1.54 NVR itemH1Code54 0.000 Nos Excess(+) Full Conversion INR

1.55 IP Camera itemH1Code55 0.000 Nos Excess(+) Full Conversion INR

1.56 CAT 6 cable itemH1Code56 0.000 Nos Excess(+) Full Conversion INR

1.57 Hard Disk itemH1Code57 0.000 Nos Excess(+) Full Conversion INR

1.58 POE switch itemH1Code58 0.000 Nos Excess(+) Full Conversion INR

1.59 Giga Switch itemH1Code59 0.000 Nos Excess(+) Full Conversion INR

1.6 RJ 45 Clip itemH1Code60 0.000 Nos Excess(+) Full Conversion INR

1.61 SDMI Cable itemH1Code61 0.000 Nos Excess(+) Full Conversion INR

1.62 Installation of CCTV Camera at the various election events itemH1Code62 0.000 Nos Excess(+) Full Conversion INR

1.63 Providing Videography at the various election events itemH1Code63 0.000 Nos Excess(+) Full Conversion INR

1.64 Videography via drone/similar appliance itemH1Code64 0.000 Nos Excess(+) Full Conversion INR

Total in Figures

Quoted Rate in Figures Select

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