Installation of Mini Submersible Pump with Over head tank near Khayer house at Rasulpur

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

(g) GST Registation No

(h) GST return submitted Upto

(j) Income tax return submitted Upto

(a) Name of drawee bank

(c) RTGS/NEFT No.

(d) RTGS/NEFT Date

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 Bajitpur Gram Panchayat,Mayureswar-I Panchayat Samity

Name of Work :-Installation of Mini Submersible Pump with Over head tank near Khayer house at Rasulpur

Contract No: 9933668791

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Description Item Code / Make Quantity Units Estimated Rate in Rs. P 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 Laying and Jointing PVC Pipe. Heading BI01010001010000000000000515BI0100001112

1.01 Installation of Mini Submersible Pump with Over head tank near Khayer house at Rasulpur BI01010001010000000000000515BI0100001113 0.000 Nos 139768 Excess(+) Full Conversion INR

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