NTPC Limited

(A Govt. of India Enterprise)

Darlipali Super Thermal Power Project

Notice Inviting Tender( NIT)

NIT No: 40035920

A. NTPC invites on-line bids from eligible bidders for the below mentioned package, as per the scope of work briefly mentioned here in after.

B. Brief Details

Bid Invitation Number

40035920

NIT Date

16.03.2015

Name of the Job

Construction of plant boundary wall for Darlipali STPP,Stage I(2x 800MW)-PACKAGE-C

Estimated Cost in INR

Rs 584.07 Lakh

Document sale Commencement Date

23.03.2015

Document sale Close Date

06.04.2015 up to 17:30Hr

Source NIT

Darlipali Super Thermal Power Project, Sundargarh

Contract Classification

Works

Last Date of Queries, if any

13.04.2015

Last Date and Time for Bid Submission

20.04.2015 at 15:30 Hr

Bid Opening Date & Time (Technical)

20.04.2015 at 16:00 Hr

Price Bid Opening Date & Time

PRICE Bid opening date shall be communicated separately to the technically qualified bidders.

Cost of bid document in INR

Rs 4500.00

EMD in INR

INR 11,69,000.00

NOTE: Bid are to be Submitted latest by Last Date and Time for Bid Submission mentioned above, beyond which System will not allow to submit the bid

C. Initial Steps for participation in our e-tender is as per the table mentioned below

Type of Vendor

Required for viewing our tender document

Vendors already having SRM vendor code and Password

1) Before download/viewing our tender document, party has to pay requisite tender fee either through payment gate way by clicking on “pay tender fee” after login in our SRM site or send Crossed Demand Draft/ Pay Order/Bankers Cheque in favour of NTPC Limited payable at Sundargarh, Odisha of requisite amount directly to us, which should reach us preferably three working days prior to Last Date of document sale period.

Vendors already having SAP vendor code, but does not have SRM login id and Password

1. Duly Filled Annexure-1 (format given below) should reach us at least five working days prior to Last Date of document sale period.

2) Before download/viewing our tender document, party has to pay requisite tender fee either through payment gate way by clicking on “pay tender fee” after login in our SRM site or send Crossed Demand Draft/Pay Order/ Banker Cheque in favour of NTPC Limited payable at Sundargarh, Odisha of requisite amount directly to us, which should reach us preferably five working days prior to Last Date of document sale period with Duly Filled Annexure-1.

New Vendor neither having any vendor code in SAP nor

any SRM login ID and Password

1. Duly Filled Annexure-2 (format given below) and scanned/photo copy of PAN card (self Attested) along with the detailed address and EFT form (Annexure-2A) with certification from the banker should reach us at least seven working days prior to Last Date of document sale period.

2. Before download/viewing our tender document, party has to pay requisite tender fee either through payment gate way by clicking on “pay tender fee” after login in our SRM site or send Crossed Demand Draft/Pay Order/Bankers Cheque in favour of NTPC Limited payable at Sundargarh, Odisha of requisite amount directly to us, which should reach us preferably seven working days prior to Last Date of document sale period with Duly Filled Annexure-2.

Note:

· The agency can login e-tender site (SRM login site) for participation in our tendering after complying to above. The agency can reach our e-tender site SRM login site directly through below mentioned address.

https://etender.ntpclakshya.co.in/sap/bc/gui/sap/its/bbpstart

They can also access our e-tender site(SRM login site) through www.ntpctender.com and clicking on Login (e-Tender).Bidders are also advised to go through in detail of the content in the links viz “Bidders Manual”, “Guidelines to Bidder” and “FAQs” in the said website (NTPC-eTender)

· Small Scale Industries registered with NSIC/OSIDC shall be exempted from payment of cost of tender document. This shall be subject to submission of a self certified legible copy of valid registration certificate giving details, such as ‘items / services for which registered, validity, monetary limits etc’.

· NTPC takes no responsibility for any loss/delay/non-receipt of applications/ tenders sent by post.

I. TENDERS ARE HEREBY INVITED ON BEHALF OF NTPC LIMITED FOR THE WORK MENTIONED AT PAGE NO. 01 OF THIS NIT, FOR NTPC LIMITED, DARLIPALI SUPER THERMAL POWER PROJECT, SUNDARGARH, ODISHA

A. A complete set of bid documents may be purchased by any interested bidder on submission of a written application and payment (non-refundable) of the cost of bidding documents as mentioned above in the form of a Crossed Demand Draft/Pay Order/ Banker Cheque in favour of NTPC Limited payable at Sundargarh, Odisha. Cash payment/money order will not be accepted. Requests for tender documents must be sent to ‘address for communication’. Requests received after the last date as mentioned, due to delays of postal/courier services or requests without requisite cost of tender documents shall not be entertained

B. Small Scale Industries registered with NSIC/OSIDC shall be exempted from payment of cost of tender document. This shall be subject to submission of a self certified legible copy of valid registration certificate giving details, such as ‘items / services for which registered, validity, monetary limits etc’.

C. The bidding documents can also be downloaded from http://www.ntpctender.com on registration and online payment (non-refundable) towards cost of bidding documents and the downloaded documents can be used for bidding purpose.

D. Issuance of bid documents to any bidder shall not construe that such bidder is considered to be qualified. The qualification status shall be examined by the tender committee during the process of bid evaluation.

E. Earnest Money Deposit(EMD)/Bid Security

Bid Security/EMD and Letter Of Undertaking (format enclosed in the bid document ) shall be submitted in a sealed envelope, which should be superscribed “Name of Package…..”, NIT ref no. … due on date of Bid Opening : from ____________________________ (Name and Address of bidder).” , separately offline by the stipulated bid opening date and time at the address of communication given below. Any bid without an acceptable Bid Security/EMD shall be treated as non-of responsive by the employer and shall not be opened.

The EMD offered shall, at bidders option, be in the form of (i) A Crossed Demand Draft/Pay Order/Bankers Cheque in favour of NTPC Limited payable at Sundargarh, Odisha or (ii) an unconditional and irrevocable Bank Guarantee (BG) from any of the banks specified in the bidding documents. The format of Bank Guarantee towards bid security shall be in accordance with the ‘Proforma for BG’ included in the bidding documents. While getting the Bank Guarantee issued, Bidders are requested to ensure compliance to the points mentioned in Bank Guarantee Verification Check List in the bidding documents. Bidders are required to fill up this check list and enclose the same along with the bank guarantee. EMD for an amount less than or equal to Rs.50,000.00 shall not be accepted in the form of bank guarantee. EMD shall not be accepted in any other form.

The bid security shall remain valid for a period of forty five (45) days beyond the original bid validity period or beyond any extension in the period of bid validity subsequently requested.

ANY BID NOT ACCOMPANIED BY AN ACCEPTABLE BID SECURITY WITHIN THE SCHEDULED TIME SHALL BE REJECTED BY THE EMPLOYER AS BEING NON-RESPONSIVE AND BID SHALL NOT BE OPENED.

NSIC / SSI units and Registered Cooperative Societies of Land Oustees, for the items / services for which such units are registered, shall be exempted from payment of Bid Security / Earnest Money Deposit. Eligible NSIC/SSI units shall be exempted from paying Security Deposit (SD) upto the monetary limit for which the unit is registered with NSIC/ OSIDC. This shall be subject to submission of a self certified legible copy of valid registration certificate giving details, such as ‘items / services for which registered, validity, monetary limits etc’ in the EMD envelope.

II. SCOPE OF WORK :

The scope of work includes Construction of plant boundary wall for Darlipali STPP as per the Technical Specifications, Bill of Quantity, drawings for construction, latest CPWD specifications and as per direction of Engineer In- Charge(EIC).

III. SALIENT TECHNICAL FEATURE :

Darlipali Super Thermal Power Project (DSTPP) is a Unit of NTPC Limited, in Tangarpali Block under, Sundargarh Sadar Sub-Division of Sundargarh Dist of ORISSA.

NTPC/DSTPP Located North of Raigarh- Jharsuguda NH-200 and is approachable from Gandhi Chowk (near Brajrajnagar) through 15 KMs long single lane village road.

Nearest major Towns : Jharsuguda about 25 KMs, Sundargarh about 28 KMs

Nearest Railway Station: Brajrajnagar 20 KMs, Jharsuguda about 25 KMs

Nearest Airport : Raipur (Chhattisgarh) 300 KMs, Bhubaneswar 330 KMs

PROPOSED CAPACITY

Phase - I: 2 Units each 800 MW - Total 1600 MW

IV. DETAILS OF WORK

The broad scope of work under this package shall include civil, structural, architectural works related to construction of Boundary Wall.

The work shall generally involve excavation and filling, cast-in-situ concrete works, reinforcement, formwork and staging, joints in concrete, dismantling, chipping and making

an opening in PCC / RCC, pre-cast cement concrete works, structural steel fabrication and erection, masonry and allied works, external and internal finishes etc. all complete. as per Technical Specifications,Tender Drawings and instructions of the Engineer.

The agency has to arrange all the materials and manpower required to complete the work as a whole including cement and reinforcement steel, barbed tape and other fixtures.

These salient technical features as mentioned herein is only to facilitate the prospective bidders to prima-facie understand the requirements under the tender and shall not in any way limit or alter the scope of work and technical features/ specification of equipment/ systems/ services covered in the bidding documents. Detailed provisions with regard to scope of work and technical features/ specification of equipment/ systems/ services, contained in the bidding document shall be final and binding.

Electricity supply required for the construction and water for the construction / other requirement shall be arranged by agency at its own cost.

V QUALIFYING REQUIREMENTS

In addition to satisfactory fulfillment of the Qualifying requirements stipulated in Section –ITB (Instruction to Bidders) of the Bid Documents, the bidder should also meet the qualifying requirements stipulated hereunder.

1.0 The bidder should have executed the works of “Residential/ non residential/Industrial buildings/structures or Boundary walls which should include Brick or RR Masonry work or concrete work meeting any one of the following criteria during the last 07(seven) years reckoned as on date of bid opening:

(i) Single order of value at least Rs 467.26 Lakhs

OR

(ii) Two orders of value at least Rs 292.04 Lakhs each

OR

(iii) Three orders of value at least Rs. 233.63 Lakhs each

In Clause 1.0 above, the word “executed” means the bidder should have achieved the criteria specified in the above qualifying requirement within the preceding seven year period reckoned as on last date notified for receipt of bid even if the contract is not completed/closed.

2.0 A The average annual turnover of the Bidder, in the preceding three (3) financial years as on date of bid opening shall not be less than INR 876.11 Lakhs (Indian Rupees Eight Crore Seventy Six Lacs Eleven Thousand only).

B The net worth of the bidder on the last day of the preceding financial year shall not be less than 25 % of the paid up share capital.

C In case the bidder is not able to furnish its audited financial statement on stand alone entity basis, the unaudited unconsolidated financial statements of the bidder can be considered acceptable provided the bidder furnishes the following further documents on substantiation of its qualification.

i. Copies of the unaudited unconsolidated financial statement of the bidder along with copies of the audited consolidated financial statements of the Holding Company.

ii. A Certificate from the CEO / CFO of the Holding Company, as per format enclosed in the bid documents, stating that the un-audited unconsolidated financial statement form part of the Consolidated Annual Report of the company.

In cases where audited results for the last preceding financial year are not available, certification of financial statements from a practicing Chartered Accountant shall also be considered acceptable.

D In case a bidder does not satisfy the financial criteria, stipulated at para A and / or para B above on its own, the Holding company would be required to meet the stipulated turnover requirements at para A above, provided that the net worth of the Holding Company as on the last day of the preceding financial year is at least equal to or more than the paid-up share capital of the Holding Company. In such an event, the bidder would be required to furnish along with its bid, a Letter of Undertaking from the holding company, supported by Board Resolution, as per format enclosed in the bid documents, pledging unconditional and irrevocable financial support for the execution of the Contract by the bidder in case of award.

E The unutilized line of credit for fund based and non-fund based limits and with cash and bank balances including fixed deposits of the bidder as on a date not earlier than 15 days prior to the date of bid opening, duly certified by Bankers shall not be less than INR 244.13 Lakhs. In case certificates from more than one banks are submitted, the certified unutilized limits shall be of the same date from all such banks.

F Where another Company of the group acting as the Treasury Centre is responsible for Treasury Management of the bidder having combined credit / guarantee limit for the whole group, the bidder would be required to provide a Banker’s certificate regarding the unutilized line of credit for fund based and non-fund based limits together with cash and bank balances including fixed deposits available to such Treasury Centre. Further, Treasury Centre shall certify that out of the aforesaid limits certified by the bankers, the bidder shall have access to the line of credit of a level not less than the amount specified at para E above. In proof of this, the bidder would be required to furnish along with its bid, a Letter of Undertaking from the Treasury Centre, supported by a Resolution passed by the Board of Directors of the holding company, as per the format enclosed in the bid documents, pledging unconditional and irrecoverable financial support for the execution of the contract by the bidder in case of award.

G In case the Bidder’s unutilized line of credit for fund based and non-fund based limits specified at para E above is not sufficient, a comfort letter from one of the bankers specified in the bid documents unequivocally stating that in case the bidder is awarded the contract, the Bank would enhance line of credit for fund based and non-fund based limits to a level not less than the specified amounts to the bidder or to the Treasury Management Centre as the case may be, shall be acceptable

Notes:

(i) Net worth means the sum total of the paid up share capital and free reserves. Free reserves means all reserves credited out of the profits and share premium account but do not include reserves credited out of the revaluation of the assets, write back of depreciation provision and amalgamation. Further any debit balance of Profit and Loss account and miscellaneous expenses to the extent not adjusted or written off, if any, shall be reduced from Reserves and Surplus.

(ii) Other income shall not be considered for arriving at annual turnover.

(iii) For unutilized line of credit for fund based and non-fund based limits and turn over indicated in foreign currency, the exchange rate as on seven days prior to the date of bid opening shall be used.

VI SPECIAL INSTRUCTION

(A) Introduction:

NTPC Limited, Darlipali STPP has floated total three number NITs/BIs for package “Construction of plant boundary wall for Darlipali STPP,Stage I(2x 800MW)” viz Package A, Package B and Package C, to meet the required commitment in specified time, wider participation and better resource mobilization the total work The detail of the packages is as tabulated below:

Package no.

NIT/BI No

Description of package in detail

Estimate Rs… Lakh

1

40035917

Construction of plant boundary wall for Darlipali STPP,Stage I (2x 800MW)-PACKAGE-A

Rs 584.07 Lakh

2

40035919

Construction of plant boundary wall for Darlipali STPP,Stage I (2x 800MW)-PACKAGE-B

Rs 584.07 Lakh

3

40035920

Construction of plant boundary wall for Darlipali STPP,Stage I (2x 800MW)-PACKAGE-C

Rs 584.07 Lakh

(B) MODALITIES OF TENDERING, EVALUATION & AWARD OF PACKAGE:

NTPC Limited, Darlipali STPP has floated total three number NITs/BIs for package “Construction of plant boundary wall for Darlipali STPP,Stage I(2x 800MW)” viz Package A, Package B and Package C, to meet the required commitment in specified time, wider participation and better resource mobilization the total work.

EVALUATION & AWARD PROCEDURE:

For arriving at identical financial implication(Award value) for all the three packages as tabulated above (which are being floated on same bill of quantity, specifications, terms & conditions etc), a transparent predefined evaluation procedure as outlined below is to be adopted at the time of evaluation of tender.

a) All the three packages as above would be awarded with same award value.

b) The lowest of the 3 L1 bids for the 3 packages will be considered first for award and if it is awarded, the thus awarded value of the (first)package{the award value for the lowest of the L-1 bidders in three packages}would be the base award value for the other two packages.

c) After deriving the base award value , the respective L1 bidder/s of balance package/s would be asked to offer suitable discount to match their quoted value to the base award value for consideration of award of contract.

d) As soon as the L-1 bidder/s give consent for the base award value , the package referred would be awarded to the respective bidder/s on the base award value.

e) If one or both the L1 bidders do not agree to offer discount and opt out, next acceptable lower bidder (L2) of the respective package, will be invited to offer suitable discount price to match with the base award value for award of the package and the package will be considered for award to him if he offers the discount. Otherwise the process will be repeated sequentially with other lower acceptable bidders till its award of the respective package. If the process fails, NTPC will have the right to re tender the case or decide otherwise.

f) In the event of consideration of award of more than one packages to the same bidder only if the said bidder has average annual turnover (ATO) of value more than or equal to the sum of ATO requirement in the QR of the packages to be considered for award . So willing bidders meeting ATO requirements of more than one package can quote for more than one package.

C The intending bidder have to submit a “Letter of Undertaking PART-II” as per format enclosed in the bid document regarding Unequivocal acceptance to the “MODALITIES OF TENDERING, EVALUATION & AWARD OF PACKAGE” in non judicial Stamp paper prior to bid opening date for the package, failing which the offer may be REJECTED.

IV. GENERAL TERMS AND CONDITIONS

1. DOCUMENTS TO BE SUBMITTED WITH TECHNICAL BID(to be attached in C Folder):

Legible copies of the following documents duly signed by the authorized representative of the bidder are to be submitted in support of the qualifying requirement along with technical bid.

A) (i) Detailed Award letter / Work Order with bill of quantities (ii) proof of value of work executed as mentioned at (B) below

B) Documentary evidence issued by the employer as proof of value of work executed clearly indicating (i) the executed value of the work and (ii) period (giving start date and end date) during which the work has been executed, in the form of job completion certificate / final deviation order / copies of measurement book (R/A bills). An employer means Government / Large Industrial Organizations / Public Sector Enterprises.

C) Audited balance sheet and profit & loss account of last three financial years ending 31st March 2014 (namely 2011-12 , 2012-13 & 2013-2014).

D) Partnership deed/ affidavit for proprietorship/ certificate of incorporation/ articles of association etc with latest changes, if any.

E) Copy of Power of Attorney of Authorized Signatory (if applicable)

F) The bidder should have independent P.F. code number allotted by Regional Provident Fund Commissioner. Copy of PF code allotted by RPFC must be submitted with technical bid.

G) Copy of Sales Tax registration, Service Tax registration, STCC/TIN & PAN.

H) The bidder should possess Service Tax registration number

I) Certificate of compliance of qualifying parameters.

NTPC if so desire may verify the performance of the bidder from their respective clients.

2. Bids should be submitted by 3.30 pm on the scheduled date of opening(After 3.30PM system will not allow) of technical bid and shall be opened online at 4.00 pm , in presence of bidders or their authorised representative who wish to be present.

3. If the last date of receiving application and date of bid opening coincides with a holiday, the date will be shifted to the next working day.

4. First EMD envelope shall be opened. Technical Bids of bidders who have submitted EMD in acceptable form to NTPC shall be opened online next. If the bidder qualifies as per the QR and terms and conditions of NIT, their price bid shall be opened on on the date to be intimated after evaluation of technical bids.

5. No deviation will be allowed on price basis, period of completion, deduction of security deposit and other statutory deductions. Bids with such deviation shall be considered as non-responsive.

6. NTPC takes no responsibility for any loss/delay/non-receipt of tenders/Requests/EMD/any document sent by post. Offers received late/incomplete are liable for rejection. Sealed bids must be sent at the ‘address for communication’ only.

7. Notwithstanding anything stated above, NTPC reserve the right to assess bidder’s capability and capacity to perform the contract, should the circumstance warrant such assessment in overall interest of the owner.

8. NTPC reserves the right to extend the bid opening date, if required. NTPC also reserves the right to reject or accept any tender without assigning any reasons thereof.

9. Above details are only indicative. Other detailed terms and conditions shall be as per our tender documents. Interested bidders are advised to visit the site and familiarize themselves with the site conditions.

10. Parties blacklisted / banned by any NTPC Unit / Corporate Centre as well as other Public Sector / Government Agencies are NOT eligible to participate.

11. Help Line: Kindly get in touch with following persons for any enquiries pertaining to the NIT for the package :

(i) Shri. Tanmoy Acharya Mob. No: 09437043642 email: tacharya@ntpc.co.in

AGM(C&M),DSTPP

(ii) Shri G B Satapathy Mob. No.:09437048278 email: gbsatapathy@ntpc.co.in

Dy. Manager(C&M), DSTPP

ADDRESS FOR COMMUNICATION:

AGM (Contracts & Materials)

NTPC Limited

Darlipali Super Thermal Power Project

3rd Floor, Amba Tower, Hospital Road,AT/ P.O :Sundargarh,

Dist:Sundargarh Pin Code-770001, Odisha

Phone No.: 06622-274535, Fax No.: 06622-274535


Annexure No 1

Request for Login ID on NTPC e-Tender.

If you are already a supplier/contractor of NTPC, and interested in participating in e-tenders of NTPC, please fill in the following form.

Form B

For Existing Venders:

Existing Vender Code with NTPC: _______________

Phone Number: ____________________ Extn: _________________

Email ID:_______________________________________________________

Contact Person’s Name: ___________________________________________

Designation: _______________________________________________

Mobile NO:……………………………….

Bid Invitation number interested in: _________

DD/BC/Pay Order details as tender fee: Issuing Bank: _____________________________

No: _____________ Date of Issue: __________

Amount: _________ DD/BC/Pay Order Valid till: __________

Address and other detail (Only in case of change)

Name: ___________________________________________________

Address: ___________________________________________________

___________________________________________________

___________________________________________________

State: _________________ City: ____________________

Country: ______________

Pin: _________________

Telephone NO: _______________ Extn: ________

Fax Number: _______________

Email ID: ___________________________________________________

Your Company’s Bank Name _______________________________________

Account Number: ____________________________________

Branch: _____________________________________________

Address: ____________________________________________

_____ ______________________________________

Note: Tender fee payment can be given through DD/BC/Pay Order or payment Gateway. In case the option of DD/BC/Pay Order is opted should be in favor of “NTPC Limited” payable at the Sundargarh

Request for Login may be sent through E-mail or manually sent to Package in charge / Contact person as mentioned in the Bid Invitation.

Annexure No 2

Request for Login ID on NTPC e-Tender.

If you are not a supplier/Contractor of NTPC, and interested in participating in e-tenders in NTPC, please fill in the following.

Form A

New Vender (prospective)

Name: ___________________________________________________

Address: ___________________________________________________

___________________________________________________

___________________________________________________

State: _________________ City: _______________________

Country: ______________

Pin: _________________

Telephone NO: _______________ Extn: ________

Fax Number: _______________

Email ID: ___________________________________________________

Your Company’s Bank Name _______________________________________

Account Number: ____________________________________

Branch: _____________________________________________

Address: _____________________________________________________

________________________________________________________

PAN number: ___________________________________________________

CST number: ___________________________________________________

Excise Regn Number: _____________________________________________

SSI Number: ___________________________________________________

Contact Person’s Name: ___________________________________________

Designation: _____________________________________________

Mobile NO:……………………………….

Bid Invitation number interested in: __________________

DD/BC/Pay Order details as tender fee: Issuing Bank: _____________________________

No: _____________ Date of Issue: __________

Amount: _________ DD Valid till:__________

Note: Please download, print and fill up this form. Submit the forms along with a cancelled cheque to the Package in charge/ Contact person as mentioned in the Bid Invitation along with the DD/BC/Pay Order of required amount.

DD/BC/Pay Order should be in favor of “NTPC Limited” payable at the Sundargarh

Request for Login may be sent through E-mail or manually sent to Package in charge / Contact person as mentioned in the Bid Invitation.

ANNEXURE-2A

(E.F.T)- Form

(TO BE RETURNED TO NTPC LTD)

To,

Finance & Accounts Department

NTPC Limited

Darlipali STPP , Sundargarh

Dear Sir,

Ref: AUTHORISATION OF ALL OUR PAYMNETS THROUGH ELECTRONIC FUND TRANSFER SYSTEM.

We, hereby authorize NTPC Ltd, to make all our payments through Electronic Fund Transfer system. The details for facilitating the payments are given below:

(TO BE FILLED IN CAPITAL LETTERS ONLY)

1. NAME OF THE BENEFICIARY

2. (a)ADDRESS

PIN CODE:

(b)NSIC/ SSI registration no. if any:…………………………… (If yes documents to be submitted)

(c)Type of Firm (Tick One)

Proprietary

Partnership

Company

Document to be submitted

3. TELEPHONE NO. WITH STD CODE / CELL NO (BENEFICIARY)

PHONE NO.

Mobile No

FAX NO.

4. BANK PARTICULARS

A) BANK NAME

B) BANK TELEPHONE NO. (WITH STD CODE)

C) BRANCH ADDRESS & BRANCH CODE OF THE BANK

BRANCH CODE:

BRANCH NAME &

ADDRESS:

PIN CODE

D) BANK FAX NO. (WITH STD CODE)

E) 9 DIGIT MICR CODE OF THE BANK BRANCH

F) 11 DIGIT IFSC CODE FOR THE BANK BRANCH

F) BANK ACCOUNT NUMBER (ENCLOSE COPY OF A CANCELLED CHEQUE)

G) BANK ACCOUNT TYPE (TICK ONE)

SAVING

CURRENT

LOAN

CASH CREDIT

OTHERS

5.

PERMANENT ACCOUNT NUMBER (PAN) (ENCLOSE A SELF ATTESTED COPY OF PAN)

IF OTHERS, SPECIFY (TIN/VAT/SERVICE TAX REGN. NO. )

6. E-MAIL Address for Intimation regarding release of payments

I/ We hereby declare that the particulars given above are correct and complete. If the transaction is delayed or credit is not effect at all for reasons of incomplete or incorrect information, I/ We would not hold the Company responsible.

DATE

SIGNATURE

(AUTHORISED SIGNATORY)

OFFICIAL STAMP

………………………………………………………………………………………………………………………........................................

NAME OF THE BENEFICIARY:

BANK CERTIFICATION:

It is certified that above mentioned beneficiary holds a bank Account No. ………………………………………. with our branch and the Bank Particulars mentioned above are correct.

DATE

SIGNATURE

(AUTHORISED SIGNATORY BANK)

Authorization No.: ……………………………………..

Name of the authorized signatory:

BANK OFFICIAL STAMP

Enclosures: 1) Cancelled Cheque of your bank account.

2) Photocopy of PAN (self attested).

3) Postal Address with Pin Code

4) Documents supporting to the status at 2(b) & (c)