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SECTION HEADING GOES HERE

If yes, state whether you are a Director or have a Controlling or other substantial interest in the bidding company.

……………………………………………..………………………………………

DECLARATION

I, THE UNDERSIGNED (NAME) …………………….……………………………….…………

CERTIFY THAT THE INFORMATION FURNISHED IN PARAGRAPH 2 ABOVE IS CORRECT. I ACCEPT THAT PARLIAMENT MAY ACT AGAINST ME IN TERMS OF PARAGRAPH 23 OF THE GENERAL CONDITIONS OF CONTRACT (GCC) SHOULD THIS DECLARATION PROVE TO BE FALSE.

………………………………….. ……………………………………..

SignatureDate

…………………………………. …………………………………………….

PositionName of bidder

Procurement of Catering Services forTaking Parliament to the People: T9/2/2010

INITIAL: _____________

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