EOI FOR Conducting DHABA AND KIRANA STORE & Kirana Store BUSINESS at BPCL's Retail Outlet BP GHAGWAL

Annexure - 1 Organisation and Tax related Details

Sr. No Description Vendor Response Remarks

01 Individual 02 HUF 1.Pl tick wherever applicable.

03 Association of Persons (AOP) 04 Body of Individuals (BOI)

05 Co-op. Society 06 Trust 2.Pls. attach self attested and stamped

07 Partnership Firm 08 Sole Proprietorship Firm copy of relevant Registration

Type of Company (Nature of Entity or

09 Public Ltd. Company 10 Private Ltd. Company Certificate/Partnership/Trust Deed/lease

1 Business Concern

11 Central PSU 12 State PSU deed

(Please tick the appropriate Value)

13 Central Govt. Authority/Department 14 State Govt. Authority/Department

15 Limited Liability Partnership(LLP) 16 Foreign Vendor

3. For foreign vendors , details

mentioned in Sl. no.6 is optional and

17 Others, pl Specify: Sl.no. 7 to 11 are not applicable.

Pls. indicate e-mail Id to be used by us

for sending updates,information, etc.

Pls. indicate mobile No to be used by us

3 Mobile No. + 9 1 - for sending updates,information

Pls. indicate STD code followed by

4 Telephone No. STD Landline

5 Communication Address as per GST Building : Pls provide address details

registration address

Village/City: District/Taluka/Zilla:

Please attach self attested Copy of Pan

7 Whether registered under GST Registered Unregistered Composition Pl tick wherever applicable.

GST Regn no. /Composition Please attach the self attested

registration no. registration Certificate

Whether unit for which GST no. is Pl tick wherever applicable.

provided is located in SEZ

Whether having multiple registration Pl tick wherever applicable.

10 YES Business Division: NO

in a state If Yes, specify business Division

Pl tick wherever applicable.

11 Whether registered under MSME YES NO

If Yes, please fill Annexure3

I/We confirm that information provided above is true to my knowledge & belief.

(Vendor Name) (Vendor Code in BPCL) (Name & Signature of Authorized signatory) (Company Seal)

Annexure -2 National Electronic Fund Transfer (NEFT) Mandate Form for BPCL's purpose

(Mandate for receiving payments through NEFT from Bharat Petroleum Corp Ltd.)

S.No Particulars Details

3 Particulars of Bank Account:- (Attach Self attested and stamped copy of cancelled cheque or Duly Filled latest bank certificate)

3(a) Name of the Bank

3(b) Name of the Branch

3(c) Bank Address

3(e) NEFT IFSC Code

3(f) Bank Account No.

We hereby declare that the particulars given above are correct and complete. If the transaction is delayed or lost because of incomplete or incorrect information, We would not hold the

company responsible

Name & Signature of Authorized signatory Company Seal

Bank Certificate for BPCL's purpose

We certify that the details given above are correct as per our records.

Signature of Authorized Official of bank Official Seal of Bank

Annexure - 3 Micro Small &Medium Enterprises (MSME)/Udyog Aadhar Registration Details

Sr. No Description Vendor Feedback Remarks

1 MSME Registration /Udyog Please attach self attested and stamped Copy of MSME

2 MSME Registration /Udyog As mentioned in Registration Certificate.

3 District of Registration for As mentioned in Registration Certificate.

4 Registration Category As mentioned in Registration Certificate.

5 Registered activities for MSME As mentioned in Registration Certificate.

01 Manufacturing

6 Proprietor/Partners/Promoters Please provide details as per SC/ST certificate & attach

details belonging to Schedule Name: the same wherever applicable. (Please note that in case

cast/Schedule tribe (SC/ST) no certificate is enclosed for SC/ST, it shall be deemed

Name: that the entity owners does not fall in the category.)

I/We confirm that information provided above is true to my knowledge & belief.

(Vendor Name) (Vendor Code in BPCL) (Name & Signature of Authorized signatory) (Company Seal)