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LOK SEVA KENDRA MAWAI - Mandla

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ANNEXURE II ­ ORGANISATIONAL STRUCTURE<br />

1. Name of Entity :<br />

2. Address :<br />

i. Postal Address : _________________________________________________________________<br />

_________________________________________________________________<br />

ii. E‐mail Address<br />

iii. Telephone No.<br />

iv. Mobile No.<br />

: _________________________________________________________________<br />

: _________________________________________________________________<br />

: _________________________________________________________________<br />

v. Fax No. : _________________________________________________________________<br />

3. Name of Partners in case of Partnership Firm/society/ association of persons<br />

i.<br />

ii.<br />

4. Entity Registration Certificate (Number) ____________ (date) ____________<br />

(Attach certified copy of registration)<br />

5. Permanent Account Number:<br />

6. Registration Number and date for Service Tax.<br />

7. Self‐attested copy of Memorandum and Articles of Association in case of a corporate<br />

body or Partnership Deed in case of a firm or Copy of Memorandum and Rules in<br />

case of Society/ MoU in case of association of persons.<br />

8. Particulars of the Authorized Signatory of the Bidder.<br />

i. Name<br />

ii. Designation<br />

iii. Postal Address<br />

iv. E‐mail Address:<br />

v. Telephone No.<br />

Model RFP Document for the use of District e‐Gov Society Prepared by DPSM GOMP<br />

32

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