11.07.2015 Views

RFP (Before Pre-Bid) - RISL - Government of Rajasthan

RFP (Before Pre-Bid) - RISL - Government of Rajasthan

RFP (Before Pre-Bid) - RISL - Government of Rajasthan

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<strong>RISL</strong>: <strong>RFP</strong> FOR SETTING UP OF VIDEO CONFERENCE SOLUTION IN RAJASTHAN (BEFORE PRE-BID)23-Aug-131) Addressed to:ANNEXURE-20: TENDER FORMName <strong>of</strong> the Tendering Authority Managing DirectorAddressRajCOMP Info Services Limited (<strong>RISL</strong>)C-Block, I st Floor, Yojana Bhavan, Jaipur (<strong>Rajasthan</strong>)– 302005Telephone 5103902, 2226055Tele Fax 0141-2228701Emailosd.telecom@rajasthan.gov.in (clearly mention theNIB no. in the subject <strong>of</strong> the mail)2) Firm Details:Name <strong>of</strong> FirmName <strong>of</strong> Contact Person withDesignationRegistered Office AddressAddress <strong>of</strong> the FirmYear <strong>of</strong> EstablishmentType <strong>of</strong> FirmPut Tick( ) markPublic LimitedPrivateLimitedPartnershipTelephone Number(s)Email Address/ Web Site Email: Web-Site:Fax No.Mobile NumberMobile:Certification/Accreditation/Affiliation,if AnyProprietary3) The requisite tender fee amounting to Rs. ________/- (Rupees ) has been deposited videDD/BC/receipt no. _______ dated ___________.4) The requisite <strong>RISL</strong> processing fee amounting to Rs. ________/- (Rupees ) has beendeposited vide DD/BC/receipt no. _______ dated ___________.5) The requisite EMD amounting to Rs. ________/- (Rupees ) has been deposited videBanker’s Cheque/ DD No. ___________ dated ___________.6) We agree to abide by all the terms and conditions mentioned in this form issued by the EmpanelmentAuthority and also the further conditions <strong>of</strong> the said notice given in the attached sheets (all the pages<strong>of</strong> which have been signed by us in token <strong>of</strong> acceptance <strong>of</strong> the terms mentioned therein along withstamp <strong>of</strong> the firm).Date:Name & Seal <strong>of</strong> the firm: ________________________Authorized Signatory: ___________________________Seal & Signature <strong>of</strong> the Auth. Sign. Page 137 <strong>of</strong> 147

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