(A Government of India Enterprise)

PO:VINDHYANAGAR,DISTT.SINGRAULI (MP) PIN: 486 885

INVITATION TO BID/NOTICE INVITING TENDER

DOMESTIC COMPETITIVE BIDDING

Ref. No. VSTPP/CONTRACTS/ 11/2014

1.NTPC Limited–Vindhyachal Super Thermal Power Project, in Madhya Pradesh, invites e-tender bids / tenders / proposals from eligible bidders for the following packages:

2.Brief Description of NIT

 

 

 

 

Tender Fee

Bid

BOD part

 

 

 

 

Est.

(including

document

 

Sl.

 

 

(A), part

Completion

NIT No.

Name of Work

Cost (

VAT) / Earnest

issue

No.

(B), &

period

 

 

In lacs)

Money (in

period

 

 

 

partC) **

 

 

 

 

 

Rupees)

(from - to)

 

 

 

 

 

 

 

 

 

“Biennial

Job

 

 

14.05.2015

 

 

 

 

contract for maintenance

 

2363.00

To

 

 

01

 

____

06.06.2015

 

24 (Twenty

 

of conveyor belt

& pulley

-----------------

29.06.2015

(40038516)

(Online

four) Months

 

lagging in CHP Stg-I,II,III,IV

 

8,64,000.00

&

 

 

 

 

 

 

 

 

 

at NTPC Vindhyachal”.

 

 

offline)*

 

 

IMPORTANT NOTES:

*Bid document issue time (offline) from 10.00 am to 4.00 pm (Excluding Sunday/Closed Holiday) & dates are as per clause 3

**Date of opening of part (c) shall be communicated only to the bidders, who are found qualified at a later date.

-

Type Of Bidding

: Single stage two envelopes bidding.( price bid

 

 

shall be submitted online)

-Last date of submission of queries by bidders, if any : 15.06.2015

-

Submission of "NO DEVIATION CERTIFICATE"

: To be submitted by bidder invariably as per

 

 

 

 

 

 

format enclosed with tender documents.

 

 

 

 

 

 

(Annexure A-2 (INB)

Note: Bids are to be submitted super-scribing the tender reference. As detailed below

 

PART

Envelope

Mode

Superscription

Remarks

 

 

 

 

on envelop

 

 

 

A

Envelope A

Offline

EMD +

 

It shall be submitted in separate envelope in tender

 

 

 

 

Letter

of

Box containing

 

 

 

 

undertaking+

1. Requisite EMD in valid form

 

 

 

 

No-deviation

2. LETTER OF UNDERTAKING (as per ANNEXURE-

 

 

 

 

Certificate*

 

C, PAGE-10) on the Non-Judicial Stamp paper

 

 

 

 

 

 

of Rs. 10/ & above

 

 

 

 

 

 

3. Duly filled , signed and Stamped “ No

 

 

 

 

 

 

Deviation Statement”

 

B

Envelope B

Online/

Technical Bid*

It shall be submitted in separate envelope in tender

 

 

 

Offline

 

 

Box containing

 

 

 

 

 

 

1. Total credential to fulfill all the criteria as

 

 

 

 

 

 

mentioned in qualifying requirements below

 

C

_______

Online

Price Bid

 

The price bid / rate part shall be submitted online in

 

 

 

 

 

 

SRM

* Name of Package and NIT No are also to be super scribed Followings may kindly be noted that:-

1Price bids shall be submitted online only. No financial terms including discount/premium to be quoted off-line or in c-folder.

2No deviation, whatsoever, is permitted by NTPC, as preparation of price bids, its opening and comparative evaluations are done online

Hence, the quoted amounts as per the system shall only be considered for evaluation any documents/ conditions found offline shall be treated invalid and shall not be considered for evaluation

3.Bidder can view/download the complete set of Bid documents as per the following procedure:

Login

/

Type of Vendor

Required documents for viewing our tender documents

password

 

 

 

 

status

 

 

 

 

A

 

Vendors already having SRM Vendor

Refer Clause No. 4 below.

 

 

code and Password

 

 

B

 

Vendors already having SAP vendor

The agency has to furnish duly filled, signed and stamped Annexure-

 

 

code but does not have SRM Login

II (format attached).

 

 

ID and Password

It shall be submitted up to 01.06.2015 at 4:00 pm at the address

 

 

 

given below at Cl 10.

 

 

 

After obtaining SRM login ID and password , the agency shall

 

 

 

follow as per login password status “A” above. .

C

 

New Vendor neither having any

The agency has to furnish the followings duly filled, signed and

 

 

vendor code in SAP nor any SRM

stamped

 

 

 

Login ID and Password

a) Duly filled Annexure-I (format attached)

 

 

 

b)

Partnership deed/affidavit for proprietorship/certificate of

 

 

 

 

incorporation.

 

 

 

c) PAN Card scanned/Photo Copy (self attested)

 

 

 

d)

Address proof with postal Pin code

 

 

 

e)

Copy of PF Documents

 

 

 

f)

Service Tax Registration

 

 

 

g) EFT FORM with cancelled cheque

 

 

 

All these documents shall be submitted up to 26.05.2015 at 4:00

 

 

 

pm at the address given below at Cl 10.

 

 

 

After obtaining SRM login ID and password , the agency shall

 

 

 

follow as per login password status “A” above. .

Note: Digital certificate (Class-III category is required) is a must for vendors to participate in e-tender. For further details please visit “Guidelines to Bidders” in SRM Login screen.

4.Mode of payment for purchase of tender documents:

a)On-line:

Bidders can view/download the tender documents after logging in our e-tender site:

i)By clicking on “e-tender” in home page of www.ntpctender.com

ii)In the Internet browser directly type the URL

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

After logging to our e-tender site as mentioned above, the bidder shall pay the requisite tender fee through payment gateway by clicking “pay tender fee” as mentioned in the “Bidder’s Manual” and also in Guidelines to Bidders” which are available on the SRM Login screen.

In case of any difficulty, please contact help desk no. 0120-2952319

b) Off-line: Tender fee shall be made in form of Pay order / demand draft / Bankers cheque in favor of NTPC Limited, from any of the list of Nationalized or Scheduled Bank enclosed at ANNEX- III, payable at Vindhyanagr/ Singrauli/ Waidhan of MP, and the same should reach NTPC Vindhyachal in the communication address given at S.No.10. on or before 03.06.2015 at

04:00 pm for vendors mentioned at clause 3A and For vendors mentioned at clause 3 B & 3C on & before dates mentioned at clause 3 B & 3C along with the requisite documents mentioned as per clause 3 “B” & “C” above.

c)Exemptions of cost of tender documents : Refer clause No. 05 (iii) (c)

Request for tender documents received after the offline last date as mentioned at clause 4 b shall not be entertained.

5. Bid Security (EMD): Bidder has to submit earnest money deposit (EMD) of requisite value in a separate envelope offline super scribing “EMD Envelope” containing (Requisite EMD in valid form ,”LETTER OF UNDERTAKING” and “ No Deviation Statement”) as detailed above , the same must reach to the office at the address mentioned below before the bid submission deadline as mentioned in the e-tender of our SRM system.

i)“EMD Envelope” should contain the EMD of requisite value, strictly in valid form as mentioned below at Sl.No.

iii)a)/b) as per applicability or valid supporting document in support of seeking exemption of EMD as iii) c).

ii)If Bid security (EMD), in original, of any agency is not received in a sealed envelope, their bid shall not be opened. If the EMD amount submitted by any agency is less than the stipulated EMD amount their offer shall be rejected.

iii)EMD may be furnished in any of the following forms.

a)For EMD amount of any value : Pay order / demand draft / Bankers cheque in favor of NTPC Limited, from any of the list of Nationalized or Scheduled Bank enclosed at ANNEX- III, payable at Vindhyanagr/ Singrauli/ Waidhan of MP,

b)Unconditional and irrevocable Bank Guarantee from a nationalized bank/ scheduled bank . the bid security shall remain valid for a period of 45 days beyond the bid original bid validity period (180 days) or beyond any extension in the period of bid security . The Bank Guarantee verification check list duly filled in as per format attached as has to be submitted in this regard. Bidder shall ensure that all the points of check list are replied in

 

“Yes”.

 

c) Small Scale Industries registered with the National Small Scale Industries Corporation (NSIC) under single

 

point registration scheme and SSI units registered with MPSSIDC for the said item/ services shall be

 

exempted from payment of Tender Fee. Bidders seeking exemption should enclose a self certified legible

 

copy of valid registration certificate giving details such as items/ services for which registered, validity,

 

monetary limit etc. along with their request of Tender Document. If the validity of the certificate has expired

 

or the stores items are not matching with the tendered items such requests run the risk of their request being

 

passed over as disqualified for this concession/exemption. In case of any doubt on eligibility of such

 

exemption/ concession bidder may get clarification from NTPC Official before submission of their bid.



The bid security of all the unsuccessful bidders will be returned as promptly as possible as per terms of

bidding documents.



No interest shall be payable by NTPC on the Bid Security.

 Any Bid not accompanied by a Bid Security (EMD) , Letter of undertaking and NO DEVIATION CERTIFICATE in a separate sealed envelope, may be rejected on-line by the owner as being non-responsive and the technical bid envelop shall be returned to the bidder without being opened.

6.No Deviation Certificate: Duly filled signed and stamped “NO DEVIATION STATEMENT” shall be submitted as stated in point f ) and also note PART-A of Sl No 2 above .

7.Clarification on Bidding documents: Bidder may seek clarification through e-mail or in hard copy (offline) upto the time specified as mentioned in the bidding document. The queries will be answered by NTPC and posted in the c-folder. The bidders can view all queries and all answers once they are posted in the c-folder.

8.Qualifying Requirements:

Qualifying Requirements for Biennial Job contract for Maintenance of Conveyor Belt and Pulley Lagging in CHP Stage

– I, II, III, IV & Wagon Tippler at Vindhyachal.

1.0

Technical Criteria

 

 

 

 

 

The Bidder should have executed the work(s) of Reclamation of Conveyor Belt /

Conveyor

 

Belt

 

Maintenance (consisting of conveyor belt replacement / conveyor belt jointing / conveyor belt

repair)

/

Maintenance of Pulley Lagging in Thermal Power Stations or Coal Mines, during last 7

(seven) years as on the date

of Techno-commercial bid opening, with order values in any

consecutive twelve (12) months, at

one or

more

locations, as any one of the following :

 

 

 

 

a)Three orders having value not less than ` 86.0 lacs each

OR

b)Two orders having value not less than ` 108.0 lacs each

OR

c)One order having value not less than ` 173.0 lacs

Note : The word “executed” means that the bidder should have achieved the progress specified in the QR even if total contract is not completed / closed.

2.0Financial Criteria :

2.0(a) The average annual turnover of the bidder in the preceding three (3) completed financial years as on date of Techno-commercial bid opening shall not be less than Rs 216.0 lacs (Indian Rupees : Two Hundred and Sixteen Lacs).

2.0(b) The Net Worth of the Bidder as on the last day of the preceding financial year should not be less than 25 % of its paid-up share capital.

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

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

(ii)A Certificate from the CEO/CFO of the Holding Company, as per the format enclosed in the bidding documents, stating the unaudited unconsolidated financial statements from part of the consolidated financial statements of the Holding Company.

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

2.0(d) In case a bidder does not satisfy the financial criteria, stipulated at Cl. 2.0(a) and / or Cl. 2.0 (b) above on its own, its Holding Company would be required to meet the stipulated turnover requirements at Cl. 2.(a) above, provided that the net worth of such 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 Techno-Commercial bid, a Letter of Undertaking from its holding company, supported by Board Resolution of the Holding Company, as per the format enclosed in the bidding documents, pledging unconditional and irrevocable financial support for the execution of the Contract by the bidder in case of award.

2.0(e) The unutilized line of credit for fund based and non-fund based limits 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 Techno-Commercial bid opening, duly certified by its Bankers should not be less than ` 106.0 Lacs (Indian Rupees One Hundred and Six Lacs Only). In case certificates from more than one bank are submitted, the certified unutilized limits shall be of the same date from all such banks.

2.0(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 its bankers, the Bidder shall have access to the line of credit of a level not less than the specified amount at Cl. 2.0(e) above. In proof of this, the Bidder would be required to furnish along with its Techno-Commercial 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 with the bidding documents, pledging unconditional and irrevocable financial support for the execution of the Contract by the Bidder in case of award.

2.0(g) In case the Bidder’s unutilized line of credit for fund based and non-fund based limits stipulated at Cl. 2.0(e) above is not sufficient a comfort letter from one of the bankers specified in the bidding document unequivocally stating that in case the Bidder is awarded the contract, the Bank would enhance the line of credit for fund based and non-fund based limits to a level not less than the specified amounts at Cl. 2.0(e) above to the Bidder or to the Treasury Centre, as the case may be, shall be acceptable.

NOTES :

(i)Net worth means the sum total of the paid up share capital and the free reserves. Free reserve means all reserves credited out of the profits and share premium account but does 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 turnover indicated in foreign currency, the exchange rate as on 7 days prior to the date of techno-commercial bid opening shall be used.

9.General Conditions: (For submission of bid)

a)Sealed tenders signed in all pages should be submitted in two (02) parts, ( as per Sl No -2

Note-2 above)

1.Part (A) for NO DEVIATION CERTIFICATE, EMD and Letter of Undertaking,

2.Part (B) for Technical Bid containing total credential to fulfill all the criteria as mentioned in

qualifying requirements in the tender Box or online.if the technical bid is submitted off line than at least one document must be uploaded in c folder

However the Price part must be quoted in SRM (on line)

b)The bids shall be received upto 10:30 Hrs. on date of Technical Bid Opening (PART-A and PART B in offline and PRICE IN SRM) , and PART A and PART B shall be opened at 11.00 Hrs. on the same date as stipulated above in the presence of bidder, who wish to be present.

c)In case, the date of Bid opening coincides with HOLIDAY, the shifted to next working day at the same time.

d)In the evaluation and comparison of bids, NTPC Limited reserves the right to allow purchase preference to Central Public Sector Enterprises (CPSEs) and Joint ventures with CPSEs as admissible under the existing policy of the Govt. of India.

e)All credentials pertaining to this NIT must be before the date of Bid Opening as mentioned in the NIT.

f)For any postal/communication delay, NTPC Limited will not be held responsible.

g)Details of the work to be executed and terms & conditions of the tender are stipulated in the tender documents.

h)Notwithstanding anything stated above, NTPC reserves the right to assess bidder’s capability & capacity to perform the contract, should the circumstances warrant such assessment in overall interests of the Owner.

i)NTPC reserves the right to issue, reject any or all bids or cancel/withdraw the invitation for bids without assigning any reason whatsoever thereof and in such case no bidder/intending bidder shall have claim arising out of such action.

j)Tender document is not transferable.

k)Package Coordinators of NTPC Vindhyachal :

a.Sh A P TIWARI, DGM (Contracts)

Mobile No.: 9425178227, email id : aptiwari@ntpc.co.in

b.Sh P.K.Gupta, Dy Manager (Contracts)

Mobile No.: 9425823244, email id : pramodkumargupta@ntpc.co.in

10. Address for Communication:

AGM(Contracts)

NTPC Limited

VINDHYACHAL SUPER THERMAL POWER PROJECT PO.VINDHYANAGAR, DIST. SINGRAULI(M.P) 486885. Phone/Fax : 07805-247522

ADDL. GENERAL MANAGER(CS)

Annexure-I

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 the following.

Form-A:

For New Vender (Prospective)

Name

:

_________________________________________________________

Address

:

_________________________________________________________

 

 

_________________________________________________________

 

 

_________________________________________________________

State

:

________________________

City : _____________________

Country

:

________________________

Pin: _____________________

Telephone No.

:

________________________

Extn.: _____________________

Fax No.

:

______________________________

Email ID

:

_________________________________________________________

Your Company’s Bank Name

: __________________________________________________

Account No. :

___________________________________________

Branch

:

___________________________________________

Address

:

_____________________________________________________

 

 

_____________________________________________________

PAN Number

:

______________________________________________________

CST Number:

______________________________________________________

Excise Regn. Number: _____________________________________________________

SSI No.

:

_______________________________________________________

Contact Person’s Name:

_________________________________________________

Designation :

_______________________________________________________

Bid Invitation Number interested in:

___________________________________________

DD details as tender fee: Issuing Bank:

_____________________________________

No. : ___________________________

Date of Issue: ________________________

Amount: ________________________

DD Valid till : ________________________

Note: Please download print and fill this form. Submit it to the Package Incharge/Contact Person as mentioned in the Bid invitation along with the DD of required amount.

DD should be in favor of “NTPC Limited” payable at the ordering location mentioned the Bid invitation.

Annexure-II

REQUEST FOR LOGIN ID ON NTPC e-TENDER

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

Form-B:

For Existing Venders

Existing Vender Code with NTPC : ______________________________ Pre ERP

Post ERP

Telephone No. :

________________________

Extn.: _____________________

Email ID

:

_________________________________________________________

Contact Person’s Name:

___________________________________________________

Designation

:

_________________________________________________________

Bid Invitation Number interested in:

_____________________________________________

DD details as tender fee: Issuing Bank: _____________________________________

No. : ___________________________ Date of Issue: ________________________

Amount: ________________________ DD Valid till : ________________________

Address and other details (Only in case of change):

Name

:

_________________________________________________________

Address

:

_________________________________________________________

 

 

_________________________________________________________

 

 

_________________________________________________________

State

:

________________________

City : _____________________

Country

:

________________________

Pin: _____________________

Telephone No. :

________________________

Extn.: _____________________

Fax No.

:

______________________________

Email ID

:

_________________________________________________________

Your Company’s Bank Name

: __________________________________________________

Account No. :

_____________________________________________________

Branch

:

_____________________________________________________

Address

:

_____________________________________________________

 

 

_____________________________________________________

Note: Please tick the approximate box in front of vendor code to indicate whether the vendor code given is Pre-ERP or Post- ERP.Tender fee payment can be given through DD or Payment Gateway. In case the Option of DD is opted should be in favor of “NTPC Limited” payable at ordering location mentioned in the Bid invitation.

Request for login may be sent through E-mail or manually sent to Package in charge/control person as mention in the Bid Invitation.

Annexure – A2(INB)

NO DEVIATION CERTIFICATE

NAME OF PACKAGE& PROJECT:

Biennial Job contract for maintenance of conveyor belt & pulley lagging in CHP Stg-I,II,III,IV at NTPC Vindhyacha

BIDDING DOCUMENT NO : 40038516

Bidders Name and Address

 

M/s

To, AGM (C&M:CS)

 

NTPC Vindhyachal

Dear sir ,

 

 

 

 

 

With reference to our Bid proposal No .-**

-

 

 

Dt…

for Biennial

 

 

 

 

 

 

 

Job contract for maintenance of conveyor belt & pulley lagging in CHP Stg-I,II,III,IV

at NTPC Vindhyacha bid document no

: 40038516

 

 

 

 

 

 

1.0We here by confirm that we comply with all terms . conditions and specification of the bidding Documents read in conjunction with Amendment (s) /Clarifications(s)/Addenda/ Errata (if any) issued by the Employer prior to opening of Techno – Commercial Bids and the same has been taken into consideration while making our Techno- Commercial Bids & Price Bid and we declare that we have not taken any deviation in this regard.

2.0We further confirm that any deviation, variation or additional condition etc, or any mention contrary to Bidding Documents and its Amendment (s)/ clarification(s)/ Addenda/ Errata (if any) as mentioned at 1.0 above found anywhere in our Techno- commercial Bid and/ or Price Bid, implicit or explicit, shall stand unconditionally with drawn, without any cost implication whatsoever to Employer failing with the bid security shall be forfeited.

Date-

(Signature)____________________

Place : vindhyanagar

(Name

)____________________

 

(Designation

)____________________

 

(Common Seal )____________________

** Agency’s forwarding letter ref No and date , if any, may be entered

Note :. This NO DEVIATION FORMAT must be submitted duly Filled, Signed and Stamped along with BID

LIST OF BANKS

(FOR DEMAND DRAFT / BANKERS CHEQUE / PAY ORDER )

It shall be Payable at Vindhyanagar / Singrauli / Waidhan (M. P.) only

1- UNION BANK OF INDIA

2- STATE BANK OF INDIA

3- AXIS BANK LTD

4- ALLAHABAD BANK

5- BANK OF BARODA

6- CENTRAL BANK OF INDIA

7- DENA BANK

8- ORIENTAL BANK OF COMMERCE

9- PUNJAB NATIONAL BANK

10- ICICI BANK

11- HDFC BANK LTD.

12- IDBI BANK LTD

BANK CODE

IFSC CODE

E.F.T. Form

(TO BE RETURNED TO THE COMPANY)

To

Vindhyachal Super Thermal Power Project

NTPC Limited , P.O. Vindhyanagar

Dist. Sidhi (MP) – 486885

Dear Sir,

REF: AUTHORISATION OF ALL OUR PAYMENTS THROUGH

ELECTRONIC FUND TRANSFER SYSTEM

We hereby authorize Vindhyachal Super Thermal Power Project, P.O. Vindhyanagar, Dist. Sidhi (MP)- 486885 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)

1.NAME OF THE BENEFICIARY

2.ADDRESS

PIN CODE

3.TELEPHONE NO. WITH STD. CODE

4.BANK PARTICULARS

A)BANK NAME

B)BANK TELEPHONE NO.

C)BRANCH ADDRESS

PIN

CODE

D)BANK FAX NO. (WITH STD CODE)

E)9 DIGIT MICR CODE OF THE BANK BRANCH (ENCLOSE COPY OF A CANCELLED CHEQUE)

F) BANK ACCOUNT NUMBER

G) BANK ACCOUNT TYPE ( TICK ONE)

SAVING

 

 

CURRENT

LOAN

CASH CREDIT

OTHERS

 

 

H) IF OTHERS, SPECIFY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

PERMANENT ACCOUNT NUMBER (PAN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

E-MAIL Address for Intimation regarding release of payments

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7a) IFSC CODE

b)BRANCH CODE

c)BANK CODE

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

SIGNATURE

DATE

(AUTHORISED SIGNATORY)

Name :

OFFICIAL STAMP

---------------------------------------------------------------------------------------------------------------------

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.

SIGNATURE

DATE

(AUTHORISED SIGNATORY)

Name:

OFFICE STAMP