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NIT No. Shivira-Sec/Secondary/ICT/Evalution/2010-11 Dtd: 13/01/2011

TENDER FORM

a.

Name of the tendering authority

Commissioner

b.

Address

Department of Secondary Education, Bikaner, Rajasthan 91-0151-2522238 91-0151-2201861 commsecedu@yahoo.com

c.

Telephone Tele-Fax e-Mail

I.

Addressed to:

  • II.

    NIT Reference: NIT No. Shivira-Sec/Secondary/ICT/Evalution/2010-11 Dtd: 13/01/2011

  • III.

    Other related details: -

    • 1.

      Name of Tenderer

2.

Name & Designation of Authorized Signatory

3.

Registered Office Address

4.

Work/ Factory/ Go-down Address

5.

Rajasthan Office

Address

6.

Jaipur Office

Phone Contact Person Address

Phone Contact Person

Fax:

Fax:

7.

Year of Establishment

8.

Type of Firm

Put Tick () mark

9.

Telephone Number(s)/ Mobile

Public Limited

Private Limited

Partnership

Proprietary

10.

Website

  • 11.

    Fax No.

  • 12.

    Email Address

Note: Please attach list of offices situated in Rajasthan along with address and phone & Fax numbers. IV. The cost of the Tender Document amounting to Rs. 1000/- (Rupees One Thousand Only) has

been deposited vide cash receipt / DD/ Banker's cheque no. dated in __________ __________ favour of the Commissioner, Secondary Education payable at Bikaner. V. I/We agree to abide by all the conditions mentioned in this Tender Document issued by the Tendering Authority and also the further conditions of the said Tender Notice given in the

NIT: Shivira-Sec/Secondary/ICT/Evalution/2010-11 Dtd: 13/01/2011 Tenderer

Page 3 of 14

Signature & Seal of the

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