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Ten form Allopathic DDVS AMBIKAPUR - Chhattisgarh State ...

Ten form Allopathic DDVS AMBIKAPUR - Chhattisgarh State ...

Ten form Allopathic DDVS AMBIKAPUR - Chhattisgarh State ...

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3<br />

APPENDIX--A<br />

ABSTRACT INFORMATION REGARDING TENDER<br />

1. Name of the Firm ...............................................................................................<br />

2. Address of Firm for Correspondence: ..................................................................<br />

...................................................................................................................................<br />

3. Ownership of the Firm .........................................……………………………….<br />

4. In case of partnership, name of partner for signing the tender: - ......................<br />

....................................................................................................................................<br />

(Encl. Power of attorney and Deed letter)<br />

5. Valid license of the Firm No.: - .................................. Date .......................<br />

Validity renewed up to: -...........................................................(enclosed copy)<br />

6. No. of Appendix filled in tender: -.......................................................................<br />

....................................................................................................................................<br />

7. If Firm is registered under SSI/GOI/Unit enclose copy: -<br />

8. Details of Bank Draft/F.D.R. for-<br />

9. Details of enclosed documents: -.............................................................................<br />

....................................................................................................................................<br />

Signature of Contractor<br />

with seal

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