4-Laning of Dhaka-Chittagong - Roads and Highways Department

4-Laning of Dhaka-Chittagong - Roads and Highways Department 4-Laning of Dhaka-Chittagong - Roads and Highways Department

11.06.2014 Views

2nd Dhaka-Chittagong National Highway (Expressway) Request for Qualification Document Signed:___________________________ Name: _____________________________ For and on behalf of: ___________________________________________________ (Name of Applicant or leading investor of a joint venture) Signed:_________________________ Name: _______________________________ For and on behalf of: ___________________________________________________ (partner of a joint venture) Signed:_______________________ Name: _________________________________ For and on behalf of: ___________________________________________________ (partner of a joint venture) Signed:_________________________ Name: _______________________________ For and on behalf of: ___________________________________________________ (partner of a joint venture) Signed:_______________________ Name: _________________________________ For and on behalf of: ___________________________________________________ (partner of a joint venture) Note: The applicant must know that not more than five firms are allowed to make a Joint Venture under this Project. Roads and Highways Department 31

2nd Dhaka-Chittagong National Highway (Expressway) Request for Qualification Document 10.3 FORM III: POWER OF ATTORNEY TO THE SIGNATORY 2 TO WHOM IT MAY CONCERN Mr./Ms._________(name of the person(s)), residing at_________(address), acting as_________(designation and name of the organization), and whose signature is authorized below, shall be the person on behalf of________(name of the Investor) to provide information and respond to inquiries etc. as may be required by the Roads and Highways Department, Ministry of Communications or any governmental authority in connection with the “Construction of 2nd Dhaka-Chittagong National Highway (Expressway) in Bangladesh on Public- Private Partnership (PPP) Basis” and is also hereby authorized to sign and file relevant documents in response to the above. (Authorized signature to be given here) Name: Designation: Organization: Seal of the Organization: 2 Power of Attorney to be provided on a non-judicial stamp of Taka 150 / or as permissible under the laws of the respective country. Roads and Highways Department 32

2nd <strong>Dhaka</strong>-<strong>Chittagong</strong> National Highway (Expressway)<br />

Request for Qualification Document<br />

Signed:___________________________ Name: _____________________________<br />

For <strong>and</strong> on behalf <strong>of</strong>: ___________________________________________________<br />

(Name <strong>of</strong> Applicant or leading investor <strong>of</strong> a joint venture)<br />

Signed:_________________________ Name: _______________________________<br />

For <strong>and</strong> on behalf <strong>of</strong>: ___________________________________________________<br />

(partner <strong>of</strong> a joint venture)<br />

Signed:_______________________ Name: _________________________________<br />

For <strong>and</strong> on behalf <strong>of</strong>: ___________________________________________________<br />

(partner <strong>of</strong> a joint venture)<br />

Signed:_________________________ Name: _______________________________<br />

For <strong>and</strong> on behalf <strong>of</strong>: ___________________________________________________<br />

(partner <strong>of</strong> a joint venture)<br />

Signed:_______________________ Name: _________________________________<br />

For <strong>and</strong> on behalf <strong>of</strong>: ___________________________________________________<br />

(partner <strong>of</strong> a joint venture)<br />

Note: The applicant must know that not more than five firms are allowed to make a<br />

Joint Venture under this Project.<br />

<strong>Roads</strong> <strong>and</strong> <strong>Highways</strong> <strong>Department</strong> 31

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