Materials for Operation and Maintenance of Tube well at Mayureswar GP FundCFC BG Tied FY 2025 26 AAP No41 Activity Code 109956367

BIDDER INFORMATION FORM

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

(a) Name of bank

(C) E Proc Ref No.

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

(a) Name of Work executed

(b) name of Department where executed

(c) Amount put to tender

(d) amount of final Bill

(e) Work order No.

(f) Date of Completion

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Tender Inviting Authority: Prodhan, Mayureswar GP,Mayureswar,Birbhum

Name of Work: Materials for Operation and Maintenance of Tube well at Mayureswar GP Fund CFC BG Tied FY 2025 26 AAP No 41 Activity Code 109956367

Contract No: 22/CFC BG TIED/MGP/2025-26/Sl-1

Sl. No. Item Description Item Code / Make Quantity Units TENDERED AMOUNT 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 Materials for Operation and Maintenance of Tube well at Mayureswar GP Fund CFC BG Tied FY 2025 26 AAP No 41 Activity Code 109956367 BI01010001010000000000000515BI0100001113 Nos 299975 Excess(+) Full Conversion INR

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