Notice Inviting Tender for Selection of Agency for Design, Development, Deployment, Implementation, Support and Maintenance of Web and Mobile Application for the ?Mukhya Mantri Chikitsa Sahayata Kosh

• Name and full address of the Bidder:

• Details of Registered Office

Address

Telephone No(s)

Fax No(s)

E-mail address (Official):

Website (if any):

Year of Incorporation:

• Turn Over of the Bidder (in crores)

2021-22:

2022-23:

2023-24:

• Income Tax Registration number (PAN)

• Goods and Services Tax (GSTIN):

• Type of Registration (Companies Act, LLP Act, Partnership Act, Societies Registration Act, or Indian Trust Act, or Shops & Establishment Act

• Name and addresses and designation of the persons who will represent the Bidder while dealing with the SHSB.

(Attach letter of authority)

• Has the organization been blacklisted by any state or central government entity or any of its undertakings (Yes/No)

If yes, kindly give details of the govt. entity and reason for blacklisting, as on date for submission of online bidding document.