Purchase of tubewell Parts and New water Supply Pipe for Maintenance at Sansad VI to X 2025-2026 UNDER DUMURGRAM GP under Murarai I dev. Block Fund CFC TIED 2025-2026

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) Vat Registration No.

(g) Vat return submitted upto

(i) Income tax return submitted Upto

(a) Name of drawee bank

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

* NB- Filled up properly & Upload in .xls format.

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Tender Inviting Authority: Prodhan, Dumurgram GP

Name of Work:Purchase of tubewell Parts and New water Supply Pipe for Maintenance at Sansad VI to X 2025-2026 UNDER DUMURGRAM GP under Murarai I dev. Block Fund CFC TIED 2025-2026

Contract No: 02

Sl. No. Item Description Item Code / Make Quantity Units Estimated Rate 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 Purchase of tubewell Parts and New water Supply Pipe for Maintenance at Sansad VI to X 2025-2026 UNDER DUMURGRAM GP under Murarai I dev. Block Fund CFC TIED 2025-2026 BI01010001010000000000000515BI0100001113 Nos Excess(+) Full Conversion INR

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