INFORMATION FORM. [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.] Date: [insert date (as day, month and year) of Tender submission] ITT No. [insert number of Tendering process] Alternative No: [insert identification No if this is a Tender for an alternative]
INFORMATION FORM. [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.]
INFORMATION FORM. [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.] Date: ………………………………………… [insert date (as day, month and year) of Tender submission] Tender Name and Identification [Insert identification Alternative No.: ................................. [insert identification No if this is a Tender for an alternative] Page of_ pages
INFORMATION FORM. [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.] Date: ………………………………………… [insert date (as day, month and year) of Tender submission] Tender Name and Identification [Insert identification Alternative No.: ................................. [insert identification No if this is a Tender for an alternative] Page of_ pages Tenderer’s Name [insert Tenderer’s legal name] In case of JV, legal name of each member: [insert legal name of each member in JV] Tenderer’s actual or intended country of registration: [insert actual or intended country of registration] Tenderer’s year of registration: [insert Tenderer’s year of registration] Tenderer’s Address in country of registration: [insert Tenderer’s legal address in country of registration] Tenderer’s Authorized Representative Information Name: [insert Authorized Representative’s name] Address: [insert Authorized Representative’s Address] Telephone/Fax numbers: [insert Authorized Representative’s telephone/fax numbers] Email Address: [insert Authorized Representative’s email address] Attached are copies of original documents of [check the box(es) of the attached original documents] For Kenyan Tenderers a current tax clearance certificate or tax exemption certificate issued by the Kenya Revenue Authority in accordance with ITT 3.14. ��Articles of Incorporation (or equivalent documents of constitution or association), and/or documents of registration of the legal entity named above, in accordance with ITT 3.4. In case of JV, letter of intent to form JV or JV agreement, in accordance with ITT 3.1. In case of state-owned enterprise or institution, in accordance with ITT 4.6 documents establishing: Legal and financial autonomy Operation under commercial law Establishing that the tenderer is not under the supervision of the Procuring Entity 2. Included are the organizational chart, a list of Board of Directors, and the beneficial ownership. TENDERER’S ELIGIBILITY- CONFIDENTIAL BUSINESS QUESTIONNAIRE FORM Instruction to Tenderer Tender is instructed to complete the particulars required in this Form, one form for each entity if Tender is a JV. Tenderer is further reminded that it is an offence to give false information on this Form. Tenderer’s details ITEM DESCRIPTION 1 Name of the Procuring Entity 2 Name of the Tenderer
INFORMATION FORM. [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.] Date: ................................................... [insert date (as day, month and year) of Tender submission] ITT No.: ............................................ [insert number of Tendering processes] Alternative No: ................................. [insert identification No if this is a Tender for an alternative]
