T-5/Tender/OFC Route Mtce /DE (TM) - WTR - BSNL

SCHEDULE --I
(ANNEXURE -B)
QUESTIONNAIRE FORMING PART OF TO BE FILLED IN BY THE TENDERER.
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1. Full Name of the firm :
(In capital)
2. Firms address :
3. Telephone (Nos.) Office / Res/ Mobile No. :
4. Is the firm proprietary or partnership. :
5. Name (s) of proprietor of partner :
6. Detail description of OFC Route Mtce work carried
out in WTR & value of work done for each.
7. Has the firm been black listed by an
organization if so, attach the details
of the same . :
8. Income tax A/C No / PAN No. Service :
Tax No (Attach Copy)
9. Details of past work experience of OFC Route Mtce
work and year. :
Work done for :
Name of the organization :
Value of the work :
Passport
Size
photograph
of
proprietor
Certification from past employers should be enclosed with support of above.
I hereby certify that the above particulars are verified and correct.
Passport
Size
photograph
of Partner
Tender OFC Route Mtce Signature of the tenderer
Seal...............................
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