FORM - No. 1-H
FORM - No. 1-H
APPLICATION FOR TENDER FOR RCC / ERCC [See rule 35(iv)] 1. 2. 3. 4. 5. 6. Contract Type RCC/ ERCC Contract Area Mineral Contract Period Reserve Price Tenderers Name Registration No. and validity (i) For individual Fathers Name Complete Postal address Telephone No. Cell No. Fax No. PAN No. Bank name & Account No. (ii) For Partnership Firm / Company / Association of persons Complete Postal Address Telephone No. Cell No. Fax No. PAN No. Bank name & Account No. (iii) Details of Power Attorney holder Name Fathers NameComplete Postal address Telephone No. Cell No. : : : : : : : : : : : : : : : : : : : : : : : : : : :
Fax No. PAN No. Bank name & Account No. 7. Tender Amount (Yearly) In figures In words 8. Details of Earnest Money Bankers cheque/Draft No./ Date/ Amount
: : : : : : : :
Note: The earnest money shall be 10% of tender amount mentioned by the tenderer at serial number 7 of this form. 9. Details of mining leases/ prospecting licences/ : RCC/ ERCC Contracts/ any other concession held by tenderer/ all partners/ all directors 10. (i) (ii) Enclosures An attested copy of registration of contactor as per rule 32(4) for RCC/ERCC contract. An affidavit of tenderer/ all partners of firm/ all directors of company regarding no dues, affidavit should not be older then 15 days. Power of attorney/ copy of resolution, whichever is applicable. : : : Yes Yes / / No No
(iii)
Yes
No
I / We declare that particulars given are correct and I/We, will furnish any other details required in this connection. I /We, further declare that all the terms and condition of the bid have been read out and I/We accept all the terms and conditions of the bid.