Tender Form DELH I STA TE CA N CER IN ST IT U T E
Tender Form DELH I STA TE CA N CER IN ST IT U T E
Tender Form DELH I STA TE CA N CER IN ST IT U T E
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ANNEXURE-IIICHECK LI<strong>ST</strong> FOR PREQUALIFI<strong>CA</strong>TION/<strong>TE</strong>CHNI<strong>CA</strong>L BID<strong>TE</strong>NDER ENQUIRY NO. 04/2009DA<strong>TE</strong>D: _______________Due on 21.08.2009 Valid upto 20.08.2011NO<strong>TE</strong>: <strong>Tender</strong>ers must ensure that the following documents/information aresubmitted along with the pre-qualification bid. FAILURE TO SUBM<strong>IT</strong> ANYONE OF THE ESSENTIAL DOCUMENTS SHALL RENDER THE BIDDISQUALIFIED.Sl No. Documents to be submitted YES NO1.23.4.56.7.8.9.10.<strong>Tender</strong> fee (if downloaded from website)EMDOriginal <strong>Tender</strong> <strong>Form</strong> duly signed & stampedProof of Mfg Drugs since last 5 yearsCopy of <strong>IT</strong>R (latest) & PANVAT Clearance Cert./Assessment Order (latest)Copy of Valid Drug LicenseWHO/GMP Certificate (if applicable)Undertaking on the Non Judicial Stamp Paper of Rs. 10/-Pre received Challan (No format prescribed) for refund ofEMDDated: _________Signature of the <strong>Tender</strong>erName & address of the tenderer with stamp:For official use onlyPQB ACCEP<strong>TE</strong>D / REJEC<strong>TE</strong>DIf rejected, then the reason thereof: _______________________________________________________________________________________________________________________________________(To be signed by the <strong>Tender</strong>er, if present, as well as by the DSCI Official in case of rejection of the PQB)Signature (<strong>Tender</strong>er)Dated:Signature (DSCI Official)SIGNATURE SEAL OF THE FIRM Page 14 of 16
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