Indian Institute of Management Raipur - IIM Raipur

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Technical BidSl No.Items1 Name and address of the agency,telephone number, fax, mobilenumber, email address2 Type of organization (Whetherproprietorship, partnership, privatelimited, limited company)3 Name and address of the directors/proprietor /partnersInformation /inputs to be filledby the tenderer (if requiredseparate sheets may beenclosed)4 Year of formation of the company/experience as a house keepingagency5 Branches in other cities in India andcontact details6 Details of registration7 Banker’s name and address(Bank solvency certificate to beattached)8 Total number of employees of theFirm9 Annual turnover for the last three financialyears ((Please enclose copies of ITR/auditedbalance sheet and P&L A/c /etc.)2009-20102010-20112011-201210 Details of registration with statutoryauthorities like PF, Gratuity, ESI etc11 Service tax number/ certificate12 PAN number13 EPF Registration Number14 ESI Registration number15 Experience of similar work in the field duringthe last three years (attach the proof of thesame)10
Copies of relevant documents are to enclosed in support of above information.Undertaking: I hereby certify that all the information’s furnished above are true to my knowledge.I have no objection to Institute verifying any or all the information furnished in this document withthe concerned authorities, if necessary.I also certify that, I have understood all the terms and conditions indicated in the tender documentand hereby accept the same completely.Signature of the Tenderer with official seal/ stampDate:10
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Indian Institute of Management Raipur - IIM Raipur

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