NTPC Limited
(A Government of India Enterprise)
BARH SUPER THERMAL POWER PROJECT
(5X660 MW)
BIDDING DOCUMENTS
FOR
TRANSPORTATION OF COAL BY ROAD FROM CCL SOURCE TO AN AVAILABLE SIDING
AND SUBSEQUENT LOADING INTO RAILWAY WAGONS FOR ONWARD
TRANSPORTATION TO NTPC BARH.
SECTION - I, II, III, IV, V, VI, VII & VIII
BIDDING DOCUMENT NO. 9900166982.
(This document is meant for the exclusive purpose of bidding against this Bid Document No. /
Specification and shall not be transferred, reproduced or otherwise used for purposes other than
that for which it is specifically issued).
BIDDING DOCUMENTS
FOR
TRANSPORTATION OF COAL BY ROAD FROM CCL SOURCE TO AN AVAILABLE SIDING
AND SUBSEQUENT LOADING INTO RAILWAY WAGONS FOR ONWARD
TRANSPORTATION TO NTPC BARH.
FOR
BARH SUPER THERMAL POWER PROJECT
(5X660 MW)
BIDDING DOCUMENT NO. 9900166982
CONTENTS
Section I : Invitation for Bids (IFB)
Section II : Instructions to Bidders (ITB)
Section III : Bid Data Sheets (BDS)
Section IV : General Conditions of Contract (GCC)
Section V : Special Conditions of Contract (SCC)
Section VI : Technical Specification & Drawings (TS)
Section VII : Schedule of Quantities (SOQ)
Section VIII : Forms and Procedures (FP)
SECTION - I
INVITATION FOR BIDS (IFB)
NTPC Limited
(A Government of India Enterprise)
Barh Super Thermal Power Project
NOTICE INVITING TENDER (NIT)
FOR
TRANSPORTATION OF COAL BY ROAD FROM CCL SOURCE TO AN AVAILABLE SIDING
AND SUBSEQUENT LOADING INTO RAILWAY WAGONS FOR ONWARD
TRANSPORTATION TO NTPC BARH.
(Domestic Competitive Bidding)
NIT No: 9900166982 Date: 10.10.2018
1. NTPC invites on-line bids from eligible Bidders for aforesaid package, as per the scope
of work briefly mentioned hereinafter:
2. Brief Details
NIT No.
9900166982
NIT Date
10.10.2018
Document Sale Commencement Date
10.10.2018
Document Sale Close Date & Time
Not Applicable
Source of IFB/NIT
Barh Super Thermal Power Station
Contract Classification
Civil
Last Date and Time for Bid submission
22.10.2018 up to 14:30 Hrs.
Technical Opening Date & Time
23.10.2018 up to 15:00 Hrs.
Price Bid Opening Date & Time
Shall be intimated later on
Cost of Bidding Documents in INR
Rs. 10,620/-
EMD in INR
Rs. 2,000,000.00
Pre-Bid Conference Date & Time (if any)
Not applicable
Last Query Date (if any)
15.10.2018
3.0 Tender Fee, Bid Security and Integrity Pact (if applicable) shall be submitted in a sealed
envelopes separately offline by the stipulated bid submission closing date and time at the address
given below. Any bid without an acceptable Tender Fee, Bid Security and Integrity Pact (if applicable)
shall be treated as non-responsive by the employer and shall not be opened.
4.0 A complete set of Bidding Documents may be downloaded by any interested Bidder. Tender fee
(non-refundable) of requisite value is to be paid in a separate envelope up to the time of scheduled
Technical BOD in the form of a crossed account Payee demand draft in favor of NTPC Ltd., Payable
at SBI NTPC Campus , Barh or directly through the payment gateway. of the cost of the documents.
For logging on to the GePNIC Site, the bidder would require user id and password which can be
obtained by enrolling at GePNIC site. First time users not allotted any vendor code are required to
approach NTPC at least five working days prior to Document Sale Close date along with duly filled in
questionnaire for issue of vendor code and GePNIC user id/password.
5.0 Brief Scope of Work & other specific detail TRANSPORTATION OF COAL BY ROAD
FROM CCL SOURCE TO AN AVAILABLE SIDING AND SUBSEQUENT LOADING INTO
RAILWAY WAGONS FOR ONWARD TRANSPORTATION TO NTPC BARH.
6.0 Prospective bidders from U.P. State are compulsorily required to provide TIN number at the
time of purchase of bidding documents.
7.0 Qualifying Requirements:
In addition to the requirements stipulated in Section ITB (Instructions to Bidder), the
following shall also apply:
1.1.0 Technical Criteria
The bidder should have executed work of Loading, Transportation by road and unloading
of Coal or any other mineral as per the following criteria: `
1.1.1 The bidder must have carried out above work and loading of coal or any other mineral
into rakes for a quantity of at least 50,000 MT of coal or any other mineral in any one
month and 3.375 Lakh MT in any continuous four months in last 36 months prior to techno
commercial bid opening against single order or multiple orders.
Notes for Technical Criteria:
(a) The word “executed” mentioned in clause 1.1.0 means that the Bidder should have
achieved the specified criteria in clause 1.1.0 with any of the following conditions:
(i) The work/order is started earlier (prior to the period stipulated in clause
1.1.0), but completed within the stipulated period. In such cases, entire
executed quantity/value of the relevant work vide that work order shall be
considered for evaluation.
(ii) The work /order is started and completed within the stipulated period as
mentioned in clause 1.1.0. In such cases, entire executed quantity/value of
the relevant work vide that work order shall be considered for evaluation.
(iii) The work/order is started within the stipulated period as mentioned in clause
1.1.0 but not completed as on the last date of stipulated period. In such
cases, “In progress” executed quantity/value of the relevant work certified by
the owner vide that work order as on the last date of stipulated period, shall
be considered for evaluation
The bidder must submit requisite credentials in support of having met the qualifying
requirements. A summary sheet of all documents need to be submitted along with
the technical offer, summary sheet should clearly describe the eligibility credentials.
Credentials may include:
1. Purchase order/ work order copies.
2. Work completion certificate against purchase order/Work Order Copies.
(b) Reference works executed by the bidder as a member of Joint Venture /Consortium/
Associate can also be considered provided:
The allocation of scope of work between the partners of the Joint Venture
/Consortium/Associate is clearly defined in the executed Joint Venture
Agreement/Consortium Agreement/Deed of Joint Undertaking and Bidder’s scope of
work and break- up of quantities executed by them as individual contribution in the
Joint Venture/ Consortium/Associate, duly authenticated by the Project Authority,
meet the relevant provisions of Qualifying Requirement. In case the reference work
has been executed by the Bidder in an integrated Joint venture where in allocation of
scope of work and break-up of quantities between the partners is not clearly specified
in the integrated Joint Venture Agreement , then for clause 1.1.1 above, the credit of
executed quantities can be claimed by the bidder in the ratio of bidder’s share in the
integrated Joint Venture Agreement, provided the bidder establishes that it regularly
undertakes works as at clause 1.1.1 above. The executed works/quantities by
integrated Joint Venture shall be duly authenticated by the Project Authoritiy.
(c) Reference work executed by a bidder as a sub-contractor may also be considered
provided the certificate issued by main contractor is duly certified by Project Authority
specifying the scope of work executed by the sub-contractor in support of qualifying
requirements.
1.2.0 Financial Criteria
(a)The average annual turnover of the Bidder in the preceding three (03) financial years
as on the date of Techno-Commercial bid opening should not be less than INR 2071
Lakh (Indian Rupees Two Thousand Seventy One Lakh only).
In case the Bidder does not satisfy the average annual turnover criteria stipulated above
on its own, its Holding Company would be required to meet the stipulated turnover
requirements as 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 the Holding
Company, supported by the Holding Company's Board Resolution, as per the 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.
(b) Net worth of the bidder should not be less than 100% (hundred percent) of its paid-
up share capital as on the last day of the preceding financial year on the date of techno-
commercial bid opening. In case the Bidder does not meet the Net Worth criteria on its
own, it can meet the requirement of Net Worth based on the strength of its Subsidiary
(ies) and / or Holding Company and / or Subsidiary (ies) of its Holding Companies
wherever applicable. In such a case, however, the Net worth of the Bidder and its
Subsidiary(ies) and /or Holding Company and / or Subsidiary(ies) of the Holding
Company, in combined manner should not be less than 100% (Hundred percent) of their
total paid up share capital. However, individually their Net worth should not be less than
75% (seventy-five percent) of their respective paid-up share capitals.
Net worth in combined manner shall be calculated as follows:
Net worth (combined)=(X1+X2+X3) / (Y1+Y2+Y3) X 100
Where X1, X2 X3 are individual net worth which should not be less than 75% (seventy
five percent) of the respective paid up share capitals and Y1, Y2, Y3 are individual paid
up share capitals.
(c) In case the Bidder is not able to furnish its audited financial statements on
standalone entity basis, the unaudited unconsolidated financial statements of the Bidder
can be considered acceptable provided the Bidder further furnishes the following
documents for 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 the Holding Company.
(ii) A certificate from the CEO/CFO of the Holding Company, as per the format enclosed
with the bidding documents, stating that the unaudited unconsolidated financial
statements form part of the consolidated financial statement of the Holding Company.
(iii) In case where audited results for the last financial year as on the date of Techno
Commercial bid opening are not available, the financial results certified by a practicing
Chartered Accountant shall be considered acceptable. In case, Bidder is not able to
submit the Certificate from a practicing Chartered Accountant certifying its financial
parameters, the audited results of three consecutive financial years preceding the last
financial year shall be considered for evaluating the financial parameters. Further, a
certificate would be required from the CEO/CFO as per the format enclosed in the
bidding documents stating that the financial results of the company are under audit as on
the date of Techno-commercial bid opening and the Certificate from the practicing
Chartered Accountant certifying the financial parameters is not available.
Notes for Financial Criteria:
(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
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 annual turnover.
(iii) “Holding Company” and “Subsidiary Company” shall have the meaning ascribed to them
as per Companies Act of India.
8.0 Issuance of Bidding Documents to any bidder shall not construe that bidder
is considered qualified.
9.0 NTPC reserves the right to reject any or all bids or cancel/withdraw the NIT for the
subject package without assigning any reason whatsoever and in such case no
bidder/intending bidder shall have any claim arising out of such action.
10.0 Address for Communication
Additional General Manager, Contract & Materials Department
NTPC Limited,
BARH Super Thermal Power Project,
PO- BARH, Dist.- Patna
PIN- 803215 (Bihar)
Tel. No.:
Fax No.: 06132-240014
e-mail: pankajkumar07@ntpc.co.in
Websites: https://eprocurentpc.nic.in/nicgep/app or www.ntpctender.com or www.ntpc.co.in
11.0 Access To Tender Document:
This is an e- tender case without reverse auction. Tender document can be accessed /
downloaded from NTPC website: www.ntpctender.com.
In case of any difficulty, please contact help desk no- 0120-4200462, 0120-4001002, 0120-
4001005, 0120-6277787
E-Mail :
support-eproc@nic.in
12.0 Tender Fee Payment:
A) Tender fee can be paid through payment gateway or alternatively through demand draft,
in favor of NTPC Ltd., payable at SBI, NTPC Campus.
B) In case of offline payment, the bidder has to submit at NTPC, Barh DEMAND DRAFT
(Non-refundable) for tender fee in favor of NTPC Ltd., payable at SBI, NTPC Campus
Barh Within the scheduled time.
C) The application envelope must be super scribed with Bid Invitation no. 9900166982.
In case a bidder desires to participate in more than one tender, separate application is
required to be made against each NIT accompanying a separate DEMAND DRAFT as
mentioned above.
D) Firms registered with (a)NSIC and (b) Micro & Small enterprises(MSEs) registered with
the National small industries corporation and others are exempted for tender fee
submission. Application along with a copy of Valid NSIC certificate/ Micro & Small
enterprises(MSEs) certificate to be submitted to NTPC Barh, Within the scheduled time.
E) Govt. notification from time to time regarding exemption of tender fee will be
applicable for this tender.
F) Application with all relevant documents should reach in the office of. AGM (C&M) within
the schedule. NTPC will not be responsible in any way for late receipt of request for
tender documents due to any postal delay or delay of any form in transit.
13.0 Bidder can view/download the complete set of Bid document as per the following
procedure.
Required Document for viewing/downloading our tender
document
Vendors can view/download the tender document after logging in
our GePNIC tender site
Step-1: For logging on to the GePNIC Site, the bidder would
require user id and password which can be obtained by enrolling at
GePNIC site.
Step-2 User id is to be forwarded along with user creation
sheet to package dealing executive.
Step-1
The agency has to furnish the followings:
A. Duly Filled Annexure-1 (format given below)
B. PAN card scanned/photo copy (self Attested)
C. EFT form (Format Given Below), duly filled and endorsed by
their banker
D. Copy of PF Documents
E. GST Registration
F. ESI Code / Undertaking for ESI
All these should reach us at least seven working days prior to Last
Date of Tender Fee Payment
Step-2 After compliance of step-1, Follow steps as mentioned
above at Sl. No. 2.
14.0 a) Exemption on Cost of Tender Document: Refer Clause 15 (iii) (c) below.
b) Tender fee is non-refundable.
15.0 Bid Security (EMD):
EMD can be submitted either offline or online.
OFFLINE-
Bidder has to submit earnest money deposit (EMD) in hard copy (offline) of requisite
value in a separate envelope super scribing “EMD Envelope”, which must reach the
office at the address mentioned at Sl. No. 10.0 before the bid submission deadline as
mentioned in the e-tender of our GePNIC 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, 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 / Cross Demand Draft / Banker’s Cheque in favor of NTPC
Limited, payable at Barh.
b. In case EMD amount is >Rs 50,000.00 then, besides above:
Bank Guarantee (BG) from a Nationalized Bank / other banks (as per NTPC
approved list) also will be acceptable. Format of BG against Bid Security and
List of Banks for Bid Security are attached. BG should be unconditional and
irrevocable and should be valid for a period of 45 days beyond the bid validity
period. The Bank Guarantee Verification Check List duly filled in as per
format attached has to be submitted in this regard. Bidder shall ensure that all
the points of check list are replied in “Yes”.
c. SSI units of Bihar / SSI units (of other states) registered with the National Small Scale
Industries Corporation shall be exempted from the payment of Earnest Money Deposit.
Bidders seeking exemption should submit a Photocopy of valid registration certificate
preferably attested by Notary / Gazetted Officer/ Magistrate 1st class, giving details such
as validity.
If the validity of the certificate has expired run the risk of their tenders being
passed over as ineligible for this concession/exemption.
d. Submission of EMD is exempted from
IIMs/ IITs/ NITs/ IISc./ CBRI/ CPRI/ GSI/
CWPRS/ CWC and other Govt. Institutes/agencies
(excluding PSUs).
e. Firms registered with (a) NSIC and (b) Micro & small enterprises(MSEs) registered with
the National small industries corporation and others are exempted from payment of
earnest money deposit(EMD). Application along with a copy of Valid NSIC certificate/
Micro & small enterprises(MSEs) certificate to be submitted to NTPC Barh, within
Schedule for exemption of EMD.
f. Govt. notification from time to time regarding exemption of EMD will be
applicable for this tender.
g. In case of any doubt on eligibility of such exemption/concession, bidder may get
clarification from NTPC official before submission of his bid.
h. The Bid Security of all the unsuccessful Bidders will be returned after award of the Job.
i. The Bid Security shall be forfeited in any of the following circumstances by the Owner
without any notice or proof of damage to the Owner:
ii.If the Bidder withdraws or varies its Bid during the period of Bid validity specified by the
Bidder in the Bid Proposal.
iii.In case the Bidder does not accept the corrections towards the discrepancies in their bid,
where ever the breakup of prices have been asked separately.
iv.If any deviation, variation or additional condition etc found anywhere in our technical and
/ or / Price Bid implicit or explicit, shall stand unconditionally withdrawn, without any cost
implication whatsoever to employer, failing which the bid security shall be forfeited.
v.In the case of a successful bidder, if the bidder fails within the specified time limit to
furnish the acceptance of Letter of Award / Purchase Order.
vi.In the case of successful Bidder, if the Bidder fails, within the time limit, to furnish the
required Contract Performance Guarantee in case the same is required as per
conditions of the P.O / LOA.
vii.If the bidder / their representative commit any fraud while competing for this contract
pursuant to Fraud prevention policy of NTPC.
f. No interest shall be payable by NTPC on the Bid Security.
g. ANY BID NOT ACCOMPANIED BY A BID SECURITY IN A SEPARATE SEALED
ENVELOPE, SHALL BE REJECTED BY THE EMPLOYER AS BEING NON
RESPONSIVE AND RETURNED TO THE BIDDER WITHOUT BEING OPENED.
ONLINE-
EMD can be submitted online also through NTPC payment portal(for details pl go
through online EMD manual in login page )
16.0 No Deviation Certificate:
No deviation, whatsoever, is permitted by the Owner to any provisions of bidding
Documents.
The acceptance of above is an attribute of the on line Bid Invitation and the Bidders are
required to confirm acceptance of Compliance to All Provisions of Bidding Documents
(NIL Deviation Certificate) on line as per format enclosed placed in Schedules and
formats section. Only after acceptance of the above condition the bidder shall be allowed
to submit the bid.
In case any deviations, variations and additional conditions are found anywhere in the
bid (Techno Commercial Bid & Price Bid), the same shall not be given effect to in
evaluation and it will be considered that the bidder complies to all the terms and
conditions of Bidding Documents without any extra cost to the Owner irrespective of any
mention to the contrary, anywhere in the bid, failing which the Bid Security of the Bidder
be forfeited.
17.0 Clarification on Bidding Documents:
Bidder can seek clarifications through e-mail or in hard copy up to the time specified as
mentioned in the bidding document.
The queries will be answered by NTPC and posted in the GePNIC Portal. The bidders
can view all queries and all answers once they are posted in the GePNIC Portal.
18.0 Following documents must be uploaded in the GePNIC Portal, failing which the
offer shall be liable for rejection:
I. Qualifying Requirement (If, required): Total credential to fulfill all the criteria as
mentioned in qualifying requirement of the IFB.
II. Technical Bid:
a.All TECHNICAL DATA SHEETS as per the format provided in the tender
document duly filled.
b.Any other data/information as sought in our tender document
III.Company/Firm Details:
a.Document related to legal status of the Bidder (i.e., Sole Proprietorship Concern/
Partnership Firm/ Private Limited Companies/ Public Limited Companies and
Statutory Corporation/ Consortium/ Joint Venture), Name and address (es) of the
sole proprietor / partners / Board of directors.
b.Memorandum and articles of association/photocopy of partnership deed/affidavit
of proprietorship.
IV. Copy of GST registration certificate.
V. Copy of valid independent PF code no. issued by concerned RPFC.
VI. Copy of PAN card.
VIII. Copy of ESI Certificate/Undertaking for submission of ESI (As per Annexure-X
mentioned in the bid document)
19.0 Participation in the tender does not automatically mean that the bidders are
considered qualified. NTPC shall evaluate the qualifying requirement of each bidder
as per NIT after opening of technical bid and the bids of the bidder who is not
meeting the qualifying requirement shall not be considered.
20.0 NTPC reserves the right to reject any or all bids or cancel/withdraw the invitation for
bids/IFB without assigning any reason whatsoever and in such case no
bidder/intending bidder shall have claim arising out of such action.
21.0 NTPC will not be responsible for any loss/late receipt/non-receipt of applications for
tender documents/bids due to any postal delay or delay, in any form, in transit.
22.0 If the last date for receiving applications/ selling of bids/ date of bid opening
coincides with holiday, the date will be shifted to the next working day.
23.0 Tender document is not transferable.
24.0 Package Co-coordinator:
1. Pankaj Kumar/ Sr. Manager(C&M)/ M - 9431600805/ E-mail -
pankajkumar07@ntpc.co.in
Annexure No 1
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: _____________________________________________
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 in charge/ Contact person as
mentioned in the Bid Invitation along with the DD of required amount.
DD should be in favor of “NTPC Ltd” payable at the ordering location mentioned in the Bid Invitation.
Annexure No 2
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: ________________Pre ERP
Post ERP
Phone Number: ____________________ 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 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: Please tick the appropriate box in front of vender code to indicate whether the vender 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 Ltd” payable at the ordering location mentioned in the Bid invitation.
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-3
E.F.T. Form
(TO BE RETURNED TO THE COMPANY)
To,
NTPC LTD.
Barh Super Thermal Power Project,
BARH- DISTRICT- PATNA
BIHAR- 803215
Dear Sir,
REF: AUTHORISATION OF ALL OUR PAYMENT THROUGH
ELECTRONIC FUND TRANSFER SYSTEM
We, hereby authorize NTPC Ltd., Barh Super Thermal Power Project Barh 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)/MOBILE NO.
4. BANK PARTICULARS
A) BANK NAME
B) BANK TELEPHONE NO. (WITH STD CODE)
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 TYPE (TICK ONE)
SAVING
CURRENT
LOAN
CASH CREDIT
OTHERS
IF OTHERS, SPECIFY
G) BANK ACCOUNT NUMBER
5. PERMANENT ACCOUNT NUMBER (PAN)
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 affected at all for reasons of incomplete or incorrect information, I/We would not
hold the company responsible.
IFSC CODE WHERE ACCOUNT IS MAINTAINED:
SIGNATURE
DATE
(AUTHORISED SIGNATORY)
ANNEXURES: Name:
1. Original Cancelled Cheque
2. Copy of PAN Card
OFFICIAL STAMP
BANK CERTIFICATION:
It is certified that above mentioned beneficiary hold a bank Account no……………..
With our branch and the Bank particulars mentioned above are correct.
SIGNATURE
DATE
(AUTHORISED SIGNATORY)
Authorization No. : ………………………….
Name:
OFFICIAL STAMP
(TO BE FILLED BY ENGINEER-IN-CHARGE)
VENDOR CODE OF BENEFICIARY
The above details have been checked and verified by me.
(ENGINEER-IN-CHARGE)
(SIGN WITH SEAL)
Forwarded to
-HOD(F&A)