DECLARATION FORM. To The ………………………….. ……………………………….. ……………………………….. ……………………………….. Tender Notice No. : Name of Work : Dear Xxx, I/We, the undersigned, having examined the Tender Documents as above hereby submit this tender amounting to the sum as per the enclosed price part and should the same be accepted, hereby undertake to execute the complete works as set-forth in the Scope of Works, Technical Specification & Tender drawings in accordance with the Terms & Conditions of Tendering, or in default thereof to forfeit and pay to Uranium Corporation of India Ltd., the sum of money mentioned in the relevant portion of Tender document. I/We, agree to abide by this Tender for the period of …… ( ) months from the date fixed for opening of the same and in default agree that the amount of Xxxxxxx Money deposited along with this tender may be forfeited. I / We, undertake to complete the whole works covered under this tender within a period of ………. from the date of letter of acceptance. The Xxxxxxx Money for a value of Rs as required in Notice Inviting Tenders in the form of …………. is being enclosed duly endorsed in favour of ………………………. …………………………………………………………………………………………………… If this tender is accepted, I / We shall deposit the sum to constitute the security deposit required by the relevant terms of contract. We also undertake, as required, to enter into a contract with , by executing an Agreement in the prescribed contract Agreement Form enclosed along with this tender document and till such time the agreement be not executed, we shall be bound by the terms and conditions of the tender document and subsequent letter, minutes of discussions and letter of acceptance. Signature of Tenderer Name : Address Dated………… day of ……… 200 ……. Witness : Name : Address : ARTICLES OF AGREEMENT made and entered into this day of TWO THOUSAND TWELVE at Jaduguda between Uranium Corporation of India Limited (A Government of India Enterprise) having its registered office at Jaduguda Mines, Dist. Singhbhum (East), Jharkhand – 832 102 (hereinafter referred to as the Corporation) which expression shall unless repugnant to the context includes its successors and/or assigns of one part and M/s
DECLARATION FORM. Date Media Council of Kenya, Ground Floor, Britam Centre Ragati Road, Upper Hill P.O Box 43132 – 00100, Nairobi, Ladies and Gentlemen, The Tenderer i.e. (full name and complete physical and postal address) declare the following: -
a) That I/ We have not been debarred from participating in public procurement by anybody, institution or person.
b) That I/ We have not been involved in and will not be involved in corrupt and fraudulent practices regarding public procurement anywhere.
c) That I/We or any director of the firm or company is not a person within the meaning of paragraph 3.2 of ITT (Eligible Tenderers) of the Instruction to Tenderers.
d) That I/ We are not insolvent, in receivership, bankrupt or in the process of being wound up and is not the subject of legal proceedings relating to the foregoing.
e) That I/We do hereby confirm that all the information given in this tender is accurate, factual and true to the best of our knowledge. Yours sincerely, Name of Tenderer Signature of duly authorised person signing the Tender Name and Designation of duly authorised person signing the Tender Stamp or Seal of Tenderer
DECLARATION FORM. This form must be completed by the tenderer and submitted with the tender documents.
DECLARATION FORM. Date To The tenderer i.e. (name and address) declare the following:
a) Has not been debarred from participating in public procurement.
b) Has not been involved in and will not be involved in corrupt and fraudulent practices regarding public procurement.
DECLARATION FORM. 3.1 The Tenant shall furnish to the Landlord the completed and executed Declaration Form attached as Attachment 4 by 10 July 2012. If the Tenant fails to furnish the said Declaration Form by the specified date mentioned above (or such other date or dates as the Landlord may agree), the Landlord may terminate the lease by giving to the Tenant not less than one (1) month’s notice in writing.
3.2 Upon the expiry of such notice, the Term and the lease shall absolutely cease and determine and if the Tenant has already taken possession of the Premises, the Tenant shall deliver vacant possession of the Premises to the Landlord in accordance with the Covenants without compensation from or any claim whatsoever against the Landlord but without prejudice to any right of action of the Landlord against the Tenant in respect of any antecedent breach of the terms, covenants and conditions on the part of the Tenant contained in the Covenants, this Offer Letter and Side Letter(s), if any. Upon such termination, the Landlord shall forfeit and retain all monies paid by the Tenant under the provisions of the Offer Letter and/or the Covenants, including but not limited to, the amounts set out in the Statement of Accounts attached to this Offer Letter as Attachment 3 for its own benefit without affecting any other remedy of the Landlord, at law or in equity.
DECLARATION FORM. Date To The tenderer i.e. (name and address) declare the following: Has not been debarred from participating in public procurement. Has not been involved in and will not be involved in corrupt and fraudulent practices regarding public procurement. Title Signature Date (To be signed by authorized representative and officially stamped) I/We/Messrs……………………………………………………………………………. of Street, Building, P O Box…………………………………………………………… ………………………………………………………………………………………….. Contact/Phone/E mail………………………………………………………………….. declare that Public Procurement is based on a free and fair competitive Tendering process which should not be open to abuse. I/We ..………………………………………………………………………………….. declare that I/We will not offer or facilitate, directly or indirectly, any inducement or reward to any public officer, their relations or business associates, in connection with Tender/Tender No ………………………..………………………………………………. for or in the subsequent performance of the contract if I/We am/are successful. Authorized Signature................................................................................................ Name and Title of Signatory……………………………………………………………
DECLARATION FORM xxxxxxxx.xxx
DECLARATION FORM. This form may take 15 minutes to complete. Some of the information is pre-filled for your convenience. If the information is inaccurate, you can delete and fill in correctly. Please submit this completed form together with your acceptance. Name of Company/Firm (as in ACRA) : Fluidigm Singapore Pte. Ltd. Company’s Mailing Address: Blk 0000 Xxx Xx Xxx Xxx 0 #00-00 Xxxxxxxxx XX Xxxxxxxxx 000000 Telephone: 63201600 Facsimile Number: 63201607 Website: xxx.xxxxxxxx.xxx Company Registration No: 200311994M Company’s Country of Origin: USA Company’s Principle Activity: manufacturing and R & D Note: If you are a foreign firm or a company in formation, please provide a local contact address and telephone number, where possible.
DECLARATION FORM. This form may take 15 minutes to complete. Some of the information is pre filled for your convenience. If the information is inaccurate, you can delete and fill in correctly. Please submit this completed form together with your acceptance.
DECLARATION FORM. INSTRUCTIONS: Complete this Declaration for each member of the household. LAST NAME FIRST NAME RELATIONSHIP TO HEAD OF HOUSEHOLD SEX DATE OF BIRTH SOCIAL SECURITY # ALIEN REGISTRATION # ADMISSION NUMBER If applicable NATIONALITY (Enter the foreign nation or country to which you owe legal allegiance. This is normally but not always the country of birth.) SAVE VERIFICATION #
