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Bid Document - Nabi.res.in

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CHAPTER – VIII: BIDDER’S PERFORMANCE STATEMENT FORM<br />

(For A Period of Last 3 Years)<br />

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

Order placed by (full<br />

add<strong>res</strong>s<br />

of<br />

purchaser)<br />

Order No.<br />

and date<br />

Description and quantity<br />

of ordered equipment<br />

Price<br />

Date of completion<br />

of delivery as per<br />

Contract/Actual<br />

Remarks <strong>in</strong>dicat<strong>in</strong>g<br />

reasons for late<br />

delivery, if any<br />

Has the equipment been <strong>in</strong>stalled<br />

satisfactory?<br />

(Attach a certificate from the<br />

purchaser/Consignee)<br />

Contact Person<br />

alongwith Tel. NO.,<br />

Fax No. & e-mail<br />

add<strong>res</strong>s<br />

Place :<br />

Date :<br />

Signature<br />

Rubber stamp<br />

Page 20 of 28

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