CONST OF PCC OF ROAD FROM MOJAMMEL SEKH HOUSE TO KANCHAN BIBI HOUSEAT SALISANDA 74 NO BOOTH

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

(g) GST Registation No

(h) GST return submitted Upto

(j) Income tax return submitted Upto

(a) Name of drawee bank

(c) RTGS/NEFT No.

(d) RTGS/NEFT Date

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.

Select, At Par, Excess (+), Less (-) IOCL

Tender Inviting Authority: PRODHAN , NOWAPARA GRAM PANCHAYAT

Name of Work:CONST OF PCC OF ROAD FROM MOJAMMEL SEKH HOUSE TO KANCHAN BIBI HOUSE AT SALISANDA 74 NO BOOTH

Contract No: 03465-256975 email : [email protected]

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

12 CONST OF PCC OF ROAD FROM MOJAMMEL SEKH HOUSE TO KANCHAN BIBI HOUSE AT SALISANDA 74 NO BOOTH BI01010001010000000000000515BI0100001118 0.000 No Excess(+) Full Conversion INR

Total in Figures

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