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BHARAT SANCHAR NIGAM LTD. - WTR - BSNL

BHARAT SANCHAR NIGAM LTD. - WTR - BSNL

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1. Full Name of the firm<br />

and Registered Address<br />

SECTION –IX<br />

PROFILE OF THE TENDERER<br />

( To be filled by the Tenderer)<br />

2. Whether it is sole proprietary<br />

A) or Partnership firm / Private Ltd Company<br />

B) If ''Sister Concern '' Name & Address<br />

of Parent Firm<br />

3. Name of Sole propriter / name of partner /<br />

Name of Directors<br />

4. Name of person authorized to enter into<br />

and execute contract agreement and capacity<br />

in which He is authorized.<br />

5. Detailed designation of work carried out by<br />

the firm in last two years with name of clients,<br />

nature and value of work done for each .<br />

( Document is to be attached )<br />

6. Is the firm registered with any Govt. / Semi<br />

Govt. undertaking / Private. If so furnish the<br />

details of registration.<br />

7. Permanent Income Tax Number.<br />

8. Service Tax Registration Number and period of validity<br />

I/We hereby certify that the above information is true and correct to the best of my knowledge and belief.<br />

Date :<br />

Signature of the tenderer with stamp.<br />

Place:<br />

(Note : Separate sheet may be attached where space provided against any clause is insufficient )<br />

26 Signature & Seal of the Tenderer

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