Office of the Secretary (e-Gov) - Government of Karnataka

GOVERNMENT OF KARNATAKA
Office of the Secretary (e-Gov), DPAR –AR
Room No 106, Ist Floor, M.S. Building (Gate-1),
Dr. B.R. Ambedkar Veedhi, Bangalore – 560 001
Telephone: 2235 3953 Fax: 2225 9109
e-mail: secyegov-dpar@karnataka.gov.in
Application for empanelment
Category – XVI- Computer Consumables
(For Bangalore Urban & Rural districts only)
1 Application fee of Rs.1000/-(non-refundable) in the form of Demand Draft from any nationalized
/ scheduled bank, in the name of Secretary, e-Governance, DPAR (AR), Bangalore, payable at
Bangalore, is to be enclosed with the application.
2 The Company should be Manufacturer or an authorized dealer or distributor with annual turnover
in computer consumables of more than Rs.50 lakhs for each of the last 3 years.
(Relevant documents should to be enclosed)
3 The applicant should enclose the details and items of Computer Consumables proposed for
empanelment along with the application form.
4 The Company’s Computer Consumables user base should be at least 200
5 Clients / customers list should be enclosed.
6 Details of the items proposed for empanelment should be enclosed.
7 The Company should provide the details of Computer consumables supplied to the State /
Central Government or Organizations. (List to be enclosed)
Application form for Computer Consumabels
Empanelment for
Printer consumable: Cartridges Toner Ribbon
Printer head Fuser assembly
Media : Floppy USB Sticks
CD
DVD
1. Name & Address of the
Company
2. Local Address of the Company