Duty Drawback and other applicable Incentives and claims etc

Financial Bid Form (To be filled by the Bidder)

S.No. Name of firm/agency/Co. Percentage of Claim/Value # (In figure) Percentage of claim/Value # (In word)

1. CCIC will pay service/commission on above mentioned percentage (%) on amount realized by CCIC from DGFT/or other agency on submission of bills.

2. Applicable GST shall be payable on above amount.

DECLARATION: 1. All the information furnished by me/us here above are correct and to the best of my / our knowledge/belief.

2. I/We have read all the terms & conditions of tender and instruction of tender document and these are acceptable to us.

Signature of Authorized Signatory:

Name and Title of Authorized signatory

Name of Firm/Company