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Form PG3A-2

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kaniz.fatema.zahera
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22 views2 pages

Form PG3A-2

Uploaded by

kaniz.fatema.zahera
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Tenderer Information Sheet (Form PG3A-2)

[The Tenderer shall fill in this Form in accordance with the instructions indicated below No alterations to its format shall be
permitted and no substitutions shall be accepted]

Invitation for Tender No: Memo No-2024/DC (Procurement & Workshop/401 Date 13/05/2023
Tender Package No: Lot No-01-31
1. [Eligibility Information of the Tenderer [ITT Clauses 5 & 26]

1.1 Tenderer's Legal Name

1.2 Tenderer's legal address in


Country of Registration

1.4 Tenderer's Year of Registration

1.5 Tenderer's legal status [complete the relevant box]


Proprietorship
Partnership
Limited Liability Concern
Government-owned Enterprise
Others
[please describe, if applicable]

1.6 Tenderer's Authorised


Representative Information
Name
National ID number
Address
Telephone/Fax Numbers
Email-address
1.7 Litigation [ITT Cause 13
A No pending litigation [if no pending litigation put Tick Mark in Box]
B. Pending litigation
Year Matter in dispute Value of pending claim in Value of Pending Claim as
Taka percentage of Net worth

1.8 Tenderer to attach photocopies of the original [All documents required under ITT Clauses 5 and 26]
documents
The Following two information are applicable for national tenderers
_______________________________________________________________________________
Updated parts_2018-04-01-16-58-34-STD-PG3A_Frame-work-contract-07-12-17Frame Work Contract_12 12 2017 53

1.9 Tenderer's Value Added Tax


Registration (VAT) Number

1.1 Tenderer's Tax Identification


0 Number (TIN)
[The foreign Tenderers, in accordance with ITT Sub Clause 5.1, shall provide evidence by a written declaration to that
effect to demonstrate that & meets the criterion)

2. Qualification Information of the Tenderer [ITT Clause 28]


2.1 General Experience in the supply of Goods and related services of Tenderer [State years of experience]

2.2 Specific Experience of satisfactory completion of supply of similar Goods


Contract No [insert reference no] of [insert year]

Name of Contract [insert name]

Award date [insert date]


Completion date [insert date)
Total Contract Value [insert amount]
Procuring Entity's
Name
Address
Tel/Fax
e-mail
Brief description with justifications [state justification in support of its similarity compared to
of the similarity compared to the
the proposed supply]
Procuring Entity's requirement

2.3 Supply and/or production capacity of Goods are:


Year Quantity Type of Goods

2.4 Liquid assets available


No Source of Financing Amount Available

____________________________________________________________________
Updated parts_2018-04-01-16-58-34-STD-PG3A_Frame-work-contract-07-12-17Frame Work Contract_12 12 2017 54

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