Construction of Modification Leach Pit with Silt Chamber Belhati

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:

Name of Work: Construction of Modified Leach Pit with Silt Chamber (10 HH) at Bara Saota GP area within Nanoor Panchayat Samity.

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

1 Construction work BI01010001010000000000000515BI0100001112

1.01 Construction of Modified Leach Pit with Silt Chamber (10 HH) at Bara Saota GP area within Nanoor Panchayat Samity. BI01010001010000000000000515BI0100001113 0.000 Nos 0.000 Excess(+) Full Conversion INR

1.02 CGST@18%(mailto:CGST@18%塹ᴻ䡿ⲯ嶂藄挧ꮥ) BI01010001010000000000000515BI0100001114 0.000 Nos Excess(+) Full Conversion INR

1.03 CESS@1%(mailto:CESS@1%25塹ᴻ䡿ⲯ嶂藄挧ꮥ) BI01010001010000000000000515BI0100001116 0.000 Nos Excess(+) Full Conversion INR

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