Format

(on the company's letterhead duly signed by Authorised wlth Company's Stamp)

Separate format is to be filled up for each project)

EOI for Supply of fly ash from NTPC Thermal Power Project Mouda

1 Name of the interested party ______________________________________

_____________________________________

2 Address ________________________________

3 Nature of business - Ready Mix Concrete (RMC) Manufacturer

- Cement Manufacturer - Trader - Transporter

- Brick, block, tiles or other ash based product

Manufacturer

- Others (if others, please specify)________________

____________________________________________

4 Type of products being dealt.

5 Classification of the Company - Public Limited - Private Limited

- Partnership Firm

- Others (please specify)

6 Contact details Name: _____________________________________

Designation; _________________________________

Tel No : _______________________(with STD code)

Fax No:______________________________________

Mobile No:_________________________________-

Email ID:__________________________________

7 Proposed end use of fly ash - Cement - RMC - Asbestos

- Bricks - Exports

- Others (if others, please specify

8 Location Details of proposed ash Distance:____________________Kms.

utillzatlon unit from NTPC Address:_______________________________

Thermal Power Project

9 Total Requirement of fly ash _____________________ Mts/Annum

10 Requirement of Fly Ash at various prices

*Excluding taxes ,duties &freight

10 Whether willing to enter into MOU. - Yes - No

Date: / / Signature:___________________________________

Name of the Person:__________________________

Designtion:__________________________________

Name of the Company:________________________

Address :____________________________________

_____________________________________

Company Seal: