general terms and conditions for empanelment of firms/suppliers ...

9.10.11.12.13.14.15.16.Name of Bankers withaddresses & telephone nos.Is the Firm is registered under theFactory Act? If so, statea) Licence Number:b) Date of last renewal oflicence(Copy of licence tobe enclosed)c) PANd) ESIS No. if anye) EPF Registration No. if anyWhether holding certificate underShops & Establishment Act, dulyRenewed (Copy should be enclosed)State the latest Income TaxAssessed year and the amount ofTax assessed (Copies of last 3years, IT Returns, Balance Sheets& Revenue A/c to be enclosed)Turn over for last three F YearsFY. 2010-2011……………….F.Y. 2009-2010……………….F.Y. 2008-2009 ………………Are you agreeable to makedeliveries to Corporation's Officeswithin and out of Begusarai when sodirected?Are you agreeable to abidestrictly by the Terms andConditions of the Tenders andContracts. (copies annexed)If your firm is empanelled with any officeof L I C Of India or any other PSU(Central) , please give name and address17.Name, Addresses and TelephoneNos. of some of your most valuedclients(Separate List may be attached)18.19.Approximate value of your output peryearMention any other specialties of yourEstablishmentNote: Please type this form or fill it legibly in ink. If space provided is insufficient, pleasetype or write the replies on a separate sheet giving appropriate question number and attachit to the form.