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Western Railway - Indian Railway

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ANNEXURE '.A.'<br />

Performance of Orders by Firms<br />

A. Orders received for_________________________ By Firm_____________________<br />

Details of Orders;-<br />

Performance of Orders.<br />

Sr.<br />

No<br />

Order<br />

place<br />

d by<br />

Order<br />

No. &<br />

Date<br />

No.<br />

of<br />

Ord<br />

er<br />

Qu<br />

anti<br />

ty<br />

Date of<br />

Complet<br />

ion of<br />

Delivery<br />

Details of<br />

complaint if<br />

any,<br />

regarding the<br />

quantity and<br />

poor<br />

performance<br />

When<br />

Bill<br />

was<br />

submit<br />

ted<br />

When<br />

bill<br />

was<br />

paid<br />

If full<br />

pay<br />

ment<br />

of<br />

bill<br />

was<br />

mad<br />

e<br />

1 2 3 4 5 6 7 8 9 10 11<br />

Remark<br />

s<br />

B. Equipment of Staff Statement:-<br />

The place & details of The details of Complaints, if any Remarks<br />

number of type of staff employed at received against the<br />

equipments owned at (I) the firm's particular member or<br />

firm's premises and on premises members of staff in<br />

the details of (ii) field work charge of field work<br />

accommodations stocks<br />

and the turnover<br />

1 2 3 4<br />

Signature of the Tenderer_____________________<br />

Name and Address of the firm____________________.<br />

TENDERER’S SIGNATURE for CE/TMC/CCG 16<br />

WITH RUBBER STAMP<br />

WESTERN RAILWAY<br />

for and on behalf of President of India

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