PURCHASE OF TUBEWELL MATERIALS UNDER SCHEME NAME MAINTENANCE OF TUBEWELLS WITH WAGE MATERIALS PLATFORM AND SOAKPIT ID-109807480

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.

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

Tender Inviting Authority: Pradhan , Kapista Gram Panchayat

Name of Work: PURCHASE OF TUBEWELL MATERIALS UNDER SCHEME NAME MAINTENANCE OF TUBEWELLS WITH WAGE MATERIALS PLATFORM AND SOAKPIT ID-109807480

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

1.01 PVC Pipe(1-1/4”dia @ 10' long )schedule 80 Ashirvad BI01010001010000000000000515BI0100001113 0.000 Feet 46 Excess(+) Full Conversion INR

1.02 G.I Pipe (1-1/4” dia @ 10' long) Tata light 0.000 Feet 108 Excess(+) Full Conversion INR

1.03 12mm dia Connecting Rod ( 10 feet each) Rust free steel & not attraction by magnate. 0.000 No 395 Excess(+) Full Conversion INR

1.04 12mm dia Connecting Rod (1feet 6 Inch each)Rust free steel . 0.000 No 85 Excess(+) Full Conversion INR

1.05 Cylinder cap Ring washer 0.000 No 5 Excess(+) Full Conversion INR

1.06 Check Valve weight washer 0.000 No 4 Excess(+) Full Conversion INR

1.07 Plunger weight washer 0.000 No. 4 Excess(+) Full Conversion INR

1.08 32mm GI Pipe socket full thread 0.000 No. 60 Excess(+) Full Conversion INR

1.09 32mm PVC pipe socket full threated 0.000 No. 40 Excess(+) Full Conversion INR

1.1 12mm Pipe ROD socket Beat 0.000 No 20 Excess(+) Full Conversion INR

1.11 Mark II Handle heavy - 4' 6'' long (Mahavir) 0.000 No 1350 Excess(+) Full Conversion INR

1.12 Mark II Chain heavy (Raja/Mahavir) 0.000 No 125 Excess(+) Full Conversion INR

1.13 Mark II Bearing(SKF) 0.000 No 60 Excess(+) Full Conversion INR

1.14 Mark II Axel heavy(Mahavir) 0.000 No 70 Excess(+) Full Conversion INR

1.15 Mark II Cylinder (Bharat/Ajay/Mahavir) 0.000 No 1475 Excess(+) Full Conversion INR

1.16 MarkII brush Plunger 0.000 No 475 Excess(+) Full Conversion INR

1.17 Mark II Brass check valve (Mahavir) 0.000 No 305 Excess(+) Full Conversion INR

1.18 Leather Bucket (rolax /bata 1-1/2”) 0.000 No 48 Excess(+) Full Conversion INR

1.19 Mark -II Cylinder cap 0.000 No 150 Excess(+) Full Conversion INR

1.2 Mark II Body (Faiz/Mahavir- app. 42kg) 0.000 No 5640 Excess(+) Full Conversion INR

1.21 Mark-II Water tank (Mahavir) 0.000 No 1145 Excess(+) Full Conversion INR

1.22 Mark-II Head Mahavir 0.000 No 1275 Excess(+) Full Conversion INR

1.23 Nut Bolt all size 0.000 No 110 Excess(+) Full Conversion INR

1.24 Mark -II check valve 0.000 No 275 Excess(+) Full Conversion INR

1.25 32mm GI nipple/short piece (6'' long) 0.000 No 49 Excess(+) Full Conversion INR

1.26 T.Tape (Taplone threated tape) 0.000 No 10 Excess(+) Full Conversion INR

1.27 M seal (50ml) 0.000 No 10 Excess(+) Full Conversion INR

1.28 Pipe wranch (Taparia)(1275model 450mm) 0.000 No 825 Excess(+) Full Conversion INR

1.29 Chain Wrench -300mm(best quality) 0.000 No 425 Excess(+) Full Conversion INR

Total in Figures

Quoted Rate in Figures Select

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