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TENDER NOTICE NO. NESCO/ CAPEX/SUPPLY & INSTALLATION ...

TENDER NOTICE NO. NESCO/ CAPEX/SUPPLY & INSTALLATION ...

TENDER NOTICE NO. NESCO/ CAPEX/SUPPLY & INSTALLATION ...

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ANNEXURE-XV<br />

Sir,<br />

SELF DECLARATION FORM<br />

Name of the Purchaser: -------------------------<br />

Tender Notice No: -----------------------------<br />

1. I / we, the undersigned do hereby declare that, I / we have never ever been blacklisted and<br />

/ or there were no debarring actions against us for any default in supply of material /<br />

equipments or in the performance of the contract entrusted to us in any of the Electricity<br />

Utilities of India.<br />

2. In the event of any such information pertaining to the aforesaid matter found at any<br />

given point of time either during the course of the contract or at the bidding stage, my<br />

bid/contract shall be liable for truncation / cancellation / termination without any notice at<br />

the sole discretion of the purchaser.<br />

Place-<br />

Date-<br />

Yours faithfully,<br />

Signature of the bidder<br />

With seal<br />

(This form shall be duly filled-up and signed by the bidder & submitted along with the<br />

original copy of the Bid.)<br />

T . N : N E S C O / C A P E X / S U P P L Y & I N S T A L L A T I O N / 1 5 , D T D . 21. 0 1 . 1 3 Page 90

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