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22.02.2012 - Western Coalfields Limited

22.02.2012 - Western Coalfields Limited

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Annexure ABidder ID Card Form(Please fill up using Black Ball Pen and attach One [1] Passport Sized Photograph)mjunction Bidder ID1. Organization Name: _____________________________________________2. Authorized Signatory’s Details:NameDesignationMobile No.Landline No.Fax No.AddressE-mail AddressPAN No.TIN/VAT/CST No3. I/We would like to receive the Bidder ID Card through - Tick (√ ) Any *Courier / Regd PostPersonally from mjunction OfficeDate :Place :Signature of Authorized Signatory / Representative• Note: Bidder ID Card would be sent through Courier by default if option is not chosen.

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