CONSTRUCTION OF PUCCA SURFACE DRAIN COVERED WITH SLAB FROM SAJINA WAITING SHED TOWARDS SURI ROAD AT SAJINA

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

(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

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Tender Inviting Authority: Chandrapur Gram Panchayat

Name of Work:-CONSTRUCTION OF PUCCA SURFACE DRAIN COVERED WITH SLAB FROM SAJINA WAITING SHED TOWARDS SURI ROAD AT SAJINA

Contract No: NIT No:- E-TENDER NOTICE-09/25-26,SL-04

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

4 CONSTRUCTION OF PUCCA SURFACE DRAIN COVERED WITH SLAB FROM SAJINA WAITING SHED TOWARDS SURI ROAD AT SAJINA BI01010001010000000000000515BI0100001113 0.000 Nos 0.2 Excess(+) Full Conversion INR

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