Installation of Three nos Tube well at simuldihi..(AC ID-109671116)

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: Pradhan, Parsundi Gram Panchayat

Name of Work: Installation of Three nos Tube well at simuldihi..(AC ID-109671116)

Contract No: N.I.T. NO.-E- 19/PGP/25-26, with ref. memo no. 03/PGP/26, Dated: 22/01/2026 , SL-4

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

1.01 Installation of Three nos Tube well at simuldihi..(AC ID-109671116) BI01010001010000000000000515BI0100001113 0.000 Nos Excess(+) Full Conversion INR

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