OFFICE OF THE DIRECTORATE OF INCOME TAX,(VIG.),NORTH ...

TECHNICAL BIDANNEXURE-IIS.NO. PARTICULARS TO BE FILLED BY THE BIDDER1. Name of the Service Provider.2. Detailed office address of the ServiceProvider with Office Telephone Number, FaxNumber and Mobile Number and name ofthe contact person.3. Date of establishment of the Serviceprovider.4. The Turn-over / Gross Receipts from themanpower supply / provision / outsourcingactivities of the Service Provider.5. Copies of Profit & Loss Account & BalanceSheets for F.Y. 2009-10, 2010-11 & 2011-12enclosed.6. Whether registered with concernedGovernment Authorities like EPF & ESI(Copies of certificates of registration to beenclosed).7. PAN/TAN Number (Copy to be enclosed)8. Service Tax Registration Number (Copy ofregistration certificates to be enclosed).9. Details of Earnest Deposit.(i) Amount(ii) Draft No.(iii) Date(iv) Issuing Bank10. Whether the Service Provider has beenblacklisted by any Government Departmentor any criminal case is registered againstthe firm or its owner/partner anywhere inIndia.11. Length of experience in the field.12. Experience in dealing with Govt.Department (Indicate the names of theDepartment and attach copies of contractsorder placed on the Service Provider)13. Whether a copy of the terms and conditions(Annexure-I), duly signed, in token ofacceptance or the same, is attached.14. Whether Service Provider profile isattached.F.Y. 2009-10:F.Y. 2010-11:F.Y. 2011-12Yes/No