High Mast Light near Dakshin Subhaspally Durga Mandir at Ward at - 19 Under Suri Municipality.

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

(j) Trade License (Last valid)

(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

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

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

Tender Inviting Authority: EXECUTIVE OFFICER, SURI - I P.S, BIRBHUM

Name of Work:High Mast Light near Dakshin Subhaspally Durga Mandir at Ward at - 19 Under Suri Municipality.

Contract No: e-N.I.T. No- 55/Suri - I , Vide Memo No:149(13)/Suri - I dated:18.02.2026, SL NO: 01

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 High Mast Light near Dakshin Subhaspally Durga Mandir at Ward at - 19 Under Suri Municipality. BI01010001010000000000000515BI0100001113 EACH Excess(+) Full Conversion INR

Total in Figures

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