Embed Size (px)
Citation preview
Page 1/20
Government of India Department of Space
U.R.RAO SATELLITE CENTRE BENGALURU – 560 017.
Phone: +91-080-25084370, Fax: +91-080-25205283
Ref No: PUR/EOI-14/ISIR 2017-0-40446-01 14.05.2018
“EXPRESSION OF INTEREST” FOR DEVELOPMENT, FABRICATION, TESTING AND SUPPLY OF TELEMETRY AND TELECOMMAND PROCESSOR (TTCP) SYSTEM
U.R.Rao Satellite Centre [URSC] (Formerly known as ISRO Satellite Centre), HAL Airport Road, Vimanapura Post, Bengaluru - 560 017 of Indian Space Research Organisation [ISRO] under Department of Space, Government of India is the lead Centre of ISRO for Design, Development, Fabrication and Testing of all Indian made Satellites. As a sequel to its mandate of spacecraft realisation, the Centre is engaged in the development of cutting-edge technologies of relevance to its Satellite building activities and setting up of infrastructure for Design, Development, Fabrication and Testing of Spacecraft.
URSC invites the Expression of Interest [EOI] from Indian Industries/Vendors who have or are interested to take part in Development, Fabrication, Testing and supply Of Telemetry And Telecommand Processor (TTCP) System., Brief Specification is available in the website www.isro.gov.in under ‘Tenders’. Interested Vendors having sufficient know-how, experience and financial background are invited to express their interest for the Development, Fabrication, Testing and supply of Telemetry and Telecommand Processor (TTCP) System in URSC, Bengaluru. Along with “Expression of Interest”, please furnish the following information also in detail: 1 Registered address with Phone, Fax,
Email, Web etc. 8 Capital and Turnover for last Three
years with copy of latest Annual Report
2 Company Status (Proprietary / Partnership / Private Ltd. Etc.) with Name and Address of Proprietor, Partners, Board of Directors etc.
9 Financial Capacity / Credit facilities available
3 Associates : (a) Indian (b) Foreign 10 Name and Address of Bankers 4 List of Major Customers with full
address and their Contact Persons 11 Trade Association to which you
belong to 5 Details of other Contracts, if any now
in hand 12 Establishment & GST Registration
Number 6 Details of Infrastructure Facilities
owned / available 13 Nature of Business
7 A brief process involved for Development, Fabrication, Testing and supply of Telemetry and Telecommand Processor (TTCP) System.
14 Any other information Vendor considers relevant
Page 2/20
Pre-EOI Meeting:
A Pre-EOI meeting is arranged by URSC, Bengaluru in order to have a better understanding of our Invitation to EOI document, clarify doubts if any, and other allied technical details. The interested Vendor[s] are hereby requested to take part in the Pre-EOI meeting on the Date, Time and Venue mentioned here below:-
Date & Time :
30-05-2018, From 09:30 Hrs (IST) Venue : 2nd Floor ICA Conference Hall, Main Building
U.R.RAO Satellite Centre HAL Airport Road, Vimanapura Post Bangalore-560017
Focal Point : Shri. P. Unnikrishnan Email: [email protected]
Vendor[s] may please provide the details of their Representative[s] taking part in the Pre-EOI meeting well in advance in order to arrange Security clearance for entering into our Premises. Data required for Security Clearance:
1. Name of the visitor 2.Nationality 3.Date of Birth 4. Place of Birth 5.Gender 6. Occupation 7. Name and Address of Organization/Company
Please note that request for “preponement/postponement of Pre-EOI meeting” will not be entertained under any circumstances. The EOIs of the Vendors who do not participate in the Pre-EOI Meeting will not be considered and shall be disqualified.
EOI must be submitted along with the signature of Authorized signatory. EOI is to be submitted before the specified date and time along with the non–refundable Document Fee of Rs. 500/- in the form of Demand Draft, drawn in favour of Accounts Officer, URSC, Bengaluru, failing which EOI will not be considered. The MSME/NSIC/PSU & Foreign Vendors directly submitting their EOIs are exempted from payment of Document Fees. MSME & NSIC to furnish their valid MSME/NSIC Certificates along with the EOI. EOI with all the above information shall reach the undersigned, quoting above reference number on or before the due date and time. Last date for submission of EOI : 14/06/2018 at 14:00 Hours IST Opening date of EOI : 14/06/2018 at 15:00 Hours IST This proposal is initiated as a Pre-EOI Qualification. URSC reserves the right to accept or reject all or any such “Expression of Interest”, without assigning any reasons what so ever.
HEAD, PURCHASE & STORES
Page 3/20
ANNEXURE-4
ISRO
Proposal for Expression of Interest (EoI)
For
Development, Fabrication, Testing and Supply of Telemetry and Telecommand
Processor (TTCP) System
May, 2018
SPACECRAFT CHECKOUT GROUP U.R.RAO SATELLITE CENTRE,
BENGALURU
Page 4/20
Contents 1. EOI OBJECTIVE ................................................................................... 5
2. MODUS OPERANDI .............................................................................. 5
3. INTRODUCTION ................................................................................... 8
3.1. SCOPE.............................................................................................. 8 3.2. STRUCTURE OF THE EOI ............................................................... 8
4. INSTRUCTIONS TO VENDORS ........................................................... 8
4.1. STRUCTURE OF THE RESPONSE............................................................ 8 4.2. CLARIFICATIONS CONCERNING THE EOI ................................................ 9 4.3. SUBMISSION OF PROPOSALS ................................................................ 9 4.4. PROPOSED CALENDAR OF EVENTS ..................................................... 10 4.5. PRESENTATION OF PROPOSALS .......................................................... 10 4.6. EVALUATION CRITERIA ....................................................................... 10 4.7. EVALUATION OF VENDOR ................................................................... 14 4.8. COMPLIANCE MATRIX TO BE FILLED BY VENDOR .................................. 14 4.9. VALIDITY PERIOD OF PROPOSALS ....................................................... 15 4.10. RETENTION OF PROPOSALS / PROPRIETARY INFORMATION / CONFIDENTIALITY ........................................................................................ 15
5. SYSTEM DESCRIPTION .................................................................... 16
5.1. TTCP SYSTEM ............................................................................... 16 5.2. TTCP COMPUTER ......................................................................... 17 5.3. TTCP TM HARDWARE EQUIPMENT ............................................ 17 5.4. TTCP TC HARDWARE EQUIPMENT ............................................. 18
6. STATEMENT OF WORK..................................................................... 18
7. ANNEXURE-1 (BIDDER’S PROFILE) ................................................ 19
Page 5/20
1. EoI Objective
Driven with the mandate of realizing 12-18 Satellites Per Annum, SIG/URSC is
planning to involve technically suitable and competitive vendors for Development,
Fabrication, Testing and Supply of Telemetry and Telecommand Processor (TTCP) for
its activities.
The purpose of this EoI is to invite proposals from the potential Vendors to
Development, Fabrication, Testing and Supply of Telemetry and Telecommand
Processor to URSC. On successful completion of EoI an RFP may be released and
on completion of RFP stage, depending on the response of Vendors and their
capability, most competitive Vendor shall be selected to take up the activity.
2. Modus Operandi The Intending Vendor are advised to read the EoI documents, Terms and Conditions
and other details carefully relating to the work contemplated in the required
Development, Fabrication, Testing and Supply activities and fully acquaint themselves
as to all conditions and matters which may in anyway affect the work or cost thereof.
The intending Vendor shall mean Single Vendor only and no consortium is
entertained. The Vendor shall be deemed to have known the nature, scope and
magnitude of the work. Vendor should express the interest only if he considers himself
eligible and if it is in possession of all documents required as per the EoI. The
Vendors are required to study EoI document and express interest after carefully
examining all instructions, eligibility criteria, forms, terms, standards and specifications
as per the EoI document with full understanding of its implications.
If the Vendor is found ineligible after opening of the EoI, his EoI document shall
become invalid ipso facto, and costs of the tender document and processing fees, as
applicable shall not be refunded. EoI which are not in compliance with our EoI
conditions shall be rejected, without assigning any reasons thereof. Failure to furnish
all requisite information or and/or documents shall result in repudiation of the EoI.
Notwithstanding the foregoing, U.R.Rao Satellite Centre [URSC], Bengaluru reserves
Page 6/20
the right to assess the capability of the Vendor to perform the Contract keeping in view
the overall interest of URSC. In the event, the Vendor capability and capacity are
found to be unsatisfactory; URSC reserves the right to reject the EoI document,
without assigning any reasons thereof.
Any neglect or omission or failure on the part of the Vendor in obtaining necessary
information as stated above or in any other matter affecting the Vendor shall not
relieve him from any risks or liabilities or the entire responsibility for completion of the
Development, Fabrication, Testing and Supply of Telemetry and Telecommand
Processor (TTCP) & associated Activities in accordance with the EoI Documents.
The requirements stated herein below are a minimum and URSC reserves the right to
request for any additional information and also reserves the right to reject the EoI
document of any Vendor, if in the opinion of URSC, the qualification or data is
incomplete or if the Vendor is found not qualified to satisfactorily perform the Contract.
The Vendor shall bear all costs and expenses associated with preparation and
submission of EoI document including post EoI clarifications, discussions, technical
and other presentations and URSC shall in no case be responsible or liable for such
costs, regardless of the outcome of the EoI process. The Vendor shall also not be
entitled to claim any costs, charges and expenses incidental to or incurred by him
through or in connection with the submission of the EoI or its consideration by URSC,
even though URSC may elect to modify or withdraw the Invitation to EoI or not to
accept the EoI.
At any time prior to the deadline for submission of EoI, URSC may for any reason on
its own initiative modify the EoI document by amendment. The amendment shall be
notified in writing or by fax or e-mail to the Vendor or uploaded online on the website.
URSC shall bear no responsibility or liability arising out of non-receipt of the same in
time or otherwise. Notwithstanding the above, URSC may at its discretion extend the
deadline for submission of EoI in order to afford reasonable time to Vendor to take into
account the amendment in preparing the EoI.
All the EoI must be submitted before the time and date fixed for the receipt of EoI as
set forth in the EoI document. URSC shall not be responsible for non- receipt of EoI
Page 7/20
due to any postal delays/loss of EoI documents in transit and delay due to
customs/courier, etc. and it shall be the sole responsibility of the Vendor to ensure
delivery of the EoI within the time fixed. URSC reserves the right to accept or reject
any of the EoI in full or part without assigning any reason thereof. EoI received after
stipulated time and date shall be rejected.
EoI documents shall be uploaded on the URSC website i.e. www.isro.gov.in.
Interested Vendor may download the EoI document from website and submit their
response to EoI along with prescribed Tender Fee (in the form of Demand Draft/Bank
Draft) as per details mentioned in the Tender Notification.
In the event Vendor request for EoI Documents by post, the postal envelope must be
marked as “Request for EoI Documents”.
If the EoI opening date happens to be on an unidentified Holiday due to any reason,
including Force Majeure, tender(s) shall be opened on the next working day.
Vendor shall submit EoI document only in sealed envelopes, super-scribing the
Tender Number and the due date of opening of the Tender. The EoI shall be complete
in respect of all technical specifications, instructions, drawings, pamphlets and
catalogues, as per the EoI document. Failure to furnish all information as per the
requirements of the EoI document and submission of EoI not substantially responsive
to the EoI document shall render the EoI/Vendor liable for rejection. Any/all EoI by
way of fax/e-mail shall not be accepted.
The Vendor should provide along with his EoI document the Name of his Bankers, if
required by U.R.Rao Satellite Centre [URSC], Bengaluru.
The Suppliers need to get enrolled in the e-tender portal to access tender and submit
their offer online during RFP stage. Vendor need to have Digital Signature Certificate
as detailed on URSC e-portal and corporate e-mail ID to register on the above portal.
Page 8/20
3. INTRODUCTION U.R.RAO Satellite Centre (URSC) is the lead Centre in India for design, development,
integration and testing of spacecraft.
Telemetry and Telecommand Processor (TTCP) is an indigenously developed system
used for spacecraft Telecommand up link transmission and Telemetry downlink
reception during spacecraft checkout. The hardware for TTCP system consists of high
speed ADC-DAC boards, FPGA boards, AGC amplifier, IF amplifier, IF filters and
power modules, many of which are COTS (Commercial off the Shelf) modules.
This Expression of Interest (EoI) provides the necessary information to assist
competent vendors to prepare their proposals in response to this EoI.
3.1. SCOPE This chapter provides the structure of this EoI and general instructions for the vendors.
3.2. STRUCTURE OF THE EoI INSTRUCTIONS TO VENDORS SECTION-4 SYSTEM DESCRIPTION SECTION-5 STATEMENT OF WORK SECTION-6
4. INSTRUCTIONS TO VENDORS The following instructions shall be followed by the vendors for submitting proposals in response to this EoI.
4.1. Structure of the Response 4.1.a These Guidelines have been prepared to assist vendors in generating the
proposals in response to the URSC Expression of Interest (EoI). URSC
reserves the right to revise the requirements as may evolve based on
interaction with vendor during evaluation of EoI.
4.1.b The cost of preparing proposals in response to this EoI shall be borne
solely by the Vendor and the release of this EoI does not bind any financial
or other obligation on the part of URSC.
Page 9/20
4.1.c URSC reserves the right to consider the vendor in the RFP Process for the
whole or any part of the work defined in the EoI. URSC also reserves the
right not to float the RFP or float in partial/modified version.
Participation of Vendors for Pre-EoI Meeting: A Pre-EoI Meeting is
arranged at U.R.Rao Satellite Centre, Bengaluru in order to have a better
understanding of the EoI document with regard to Technical and
Commercial aspects, clarify doubts if any, and other allied technical details.
Participation in the pre-EoI meeting is compulsory for the prospective
vendors. The Vendors who do not participate in the Pre-EoI Meeting, such
Expression of Interest will not be considered and it will be disqualified.
Vendor who have participated in Pre-EoI meeting are only eligible to Bid
their response for this EoI.
4.1.d RFP if issued, will be given only to the Vendors who participated in EoI.
4.2. Clarifications Concerning the EoI 4.2.a Clarifications concerning the EoI may be submitted by e-mail to the URSC
contact point indicated below.
Head, Purchase and Stores U.R.Rao Satellite Centre, Old Airport Road Bangalore – 560017, India E-mail: [email protected]
4.2.b Vendors shall not contact URSC for information on the progress or possible
outcome of the evaluation.
4.3. Submission of Proposals 4.3.a Complete proposals must be received by the URSC at the address given
below, not later than the date and time specified in the EoI cover letter.
Head, Purchase and Stores U.R.Rao Satellite Centre, Old Airport Road Bangalore – 560017, India E-mail: [email protected]
Page 10/20
4.3.b Proposal must also include the name of the point of contact, together with
the designation, appropriate contact number and e-mail address.
4.4. Proposed Calendar of Events
SL No. Event Date 1 Pre-EoI meeting 30-05-2018
2 Last date for submission of Proposal 14-06-2018 14:00 Hrs
4.5. Presentation of Proposals 4.5.a Proposals in response to this EoI shall be submitted in electronic form
along with two set of Hard copies.
4.5.b Vendors are also requested to provide a transmittal letter, signed by an
authorized company official, with respect to the technical commitments
made in the proposal.
4.5.c All parts of the proposal and communications relating thereto shall be in
English.
4.6. Evaluation Criteria The evaluation criteria used by URSC to determine the acceptability of
proposals at any stage and eventual technical discussion with one or more
selected vendors will include the following.
4.7.a Vendor Assessment Criteria-A: Compliance of all points in Criteria-A is
mandatory. Vendor shall submit relevant documents against each
compliance statement
4.7.b Vendor Assessment Criteria-B: Vendor shall secure minimum qualifying
mark in each category and 60% in aggregate.
Page 11/20
Table-1: Vendor Assessment Criteria-A Serial
No Criteria Compliance
(Yes/No)
1 An Indian Company would be deemed to
be owned by Indian Citizen and by an
Indian Company if more than 51 percent of
equity interest in the company is
beneficially owned by Resident Indian
Citizens and Indian Companies that are, in
turn, ultimately owned and controlled by
Resident Indian Citizens.
2 Vendor shall provide the SMD soldering
facility details
Vendor shall provide relevant documents to
support the claim
3 Vendor shall have ESD controlled
laboratories for handling and testing ESD
sensitive components.
Vendor shall provide relevant documents to
support the claim, including recent audit
certification
Page 12/20
Table-2: Vendor Assessment Criteria-B Serial
No Criteria Mark
(min. for Qualifying)
% Weight
1 Average Annual Turnover (in crores) during last three financial years (2015-2017) Score 1.1 Minimum turnover of rupees
three crores. Out of that, - one or more orders are of
value rupees two Crores and above
AND - orders of value at least
rupees 50 Lakhs and above, totaling to at least rupees one crore.
10
1.2 Minimum turnover of rupees three crores. Out of that, - two or more orders are of
value rupees one Crore and above
AND - orders of value at least
rupees 50 Lakhs and above, totaling to at least rupees one crore.
9
1.3 Minimum turnover of rupees three crores. Out of that, - one or more orders are of
value rupees one Crore and above
AND - orders of value at least
rupees 50 Lakhs and above, totaling to at least rupees two crores.
8
1.4 Minimum turnover of rupees three crores. Out of that, six
6
6 25%
Page 13/20
or more orders are of value rupees fifty lakhs and above.
Vendor shall submit Last 3-yearswork Order copies and IT returns with audited copy, failing which EoI will not be considered.
2 Past experience in the area of PCB(Printed Circuit Board) design, handling FPGA & RF components, RF & Baseband testing and related fabrication & testing. Score Experience of five year or more
10
Experience of four year 9 Experience of three year 6
Vendor shall submit Work Order and Completion Certificatesin support of the experience.
6 25%
3 Past experience in executing projects in the field of electronics for R&D Institutions / Government Organizations / PSU(Public Sector Government Undertaking)in India during last five financial years (2013-2017) Score Three Projects or more executed
10
Two Projects executed 9 One Project executed 6
Vendor shall submit relevant Work Order / Completion Certificates to support the claim
6 25%
4 Infrastructure for carrying out the fabrication and testing activities Score Fabrication AND testing carried out at Vendor’s
10
6 25%
Page 14/20
premises Testing carried out at Vendor’s premises
6
Vendor shall provide relevant documents to support the claim
4.7. Evaluation of Vendor
4.7.a Method of Conversion of Marks into Percentile for Criteria-B:
Vendors securing minimum qualifying mark against each requirement
(sl no 1 to 4) are only considered for Percentile calculation.
Mark scored in each requirement (Sl. No. 1 to 4) are multiplied by 2.5
and all are added to get the Percentile of the Vendor.
4.7.b Vendor meeting all the requirements in Criteria-A and securing 60% or
above in Criteria-B will be considered to take part in RFP. However, based
on the Vendor responses URSC holds the final decision on the evaluation
process.
4.8. Compliance Matrix to be filled by Vendor
COMPLIANCE STATEMENT
(to be provided by the bidder with EoI on their letter head)
Sl No
Particulars Yes/No Remarks
1. Whether a copy of the Establishment Registration Certificate is enclosed
2. Whether a copy of PAN Card is enclosed 3. Whether a copy of TAN Card is enclosed 4. Whether a copy of the AADHAR Card/ Udyog AADHAR
Card in enclosed
5. Whether a copy of last 3 years IT return filled by the establishment (Form-16) is enclosed
Page 15/20
6. Whether a copy of the valid Goods and Service Tax Registration Certificate is enclosed
7. Whether a copy of the valid Registration /Licence obtained with the labour Department is enclosed.
8. Whether copy of Financial Statements like profits & Loss Account, Balance sheet etc., in support of financial turnover of the establishment is enclosed
9. Whether copy of statement of Bank A/C for the last financial year in the name of the Establishment is enclosed.
10. Whether the Annexure-1(Details of the Bidders Establishment) is duly filled in and signed
11. Whether the Offer is valid for 180 days from the date of opening of the Tender
Date:............................ (Signature of Authorized Signatory with seal) Place : ........................ Name in full :
4.9. Validity Period of Proposals 4.9.a The proposals shall remain valid for a period of 6 months from the due date
for submission of proposals.
4.10. Retention of Proposals / Proprietary Information / Confidentiality
4.10.a All documents submitted in response to the EoI shall become the property
of URSC. Any information in such documents, which is proprietary to the
vendor, should be specifically identified as such. Proprietary information
shall not be deemed to include information that is obtainable from another
source or is becomes available in the public domain. Notwithstanding the
foregoing, URSC may disclose proposals, including proprietary information,
to appropriate personnel selected by URSC for evaluation purposes.
4.10.b All information contained in this EoI is proprietary information of URSC and
is protected under Indian law.
Page 16/20
4.10.c All the information contained in this EoI is confidential and cannot be
disseminated to third parties or used by any recipient of this EoI for any
purpose other than answering to this EoI. No public statement or press
release shall be issued by the recipient regarding this EoI, the information
contained within, or the EoI process without the prior written authorization
of URSC.
5. SYSTEM DESCRIPTION Telemetry and Telecommand Processor (TTCP) is an indigenously developed system
used for spacecraft Telecommand uplink transmission and Telemetry downlink
reception during spacecraft checkout. The hardware for TTCP system consists of high
speed ADC-DAC boards, FPGA boards, AGC amplifier, IF amplifier, IF filters and
power modules, many of which are COTS (Commercial off the Shelf) modules.
5.1. TTCP SYSTEM
5.1.a TTCP System consists of three different and separate hardware
equipments.
I. TTCP Computer equipment
II. TTCP Telemetry(TM-H/W) hardware equipment.
III. TTCP Telecommand (TC-H/W) hardware equipment.
5.1.b TTCP System refers to above three hardware equipment put together
5.1.c Equipment refers to any one of the above hardware unit
5.1.d Module refers to functional hardware which is procured / assembled and
tested independently. These modules are in-turn integrated within the
equipment (viz. Power module, FPGA board, AGC module etc.)
5.1.e Each equipment additionally includes software (Application software,
embedded firmware and flash files for FPGA).
Page 17/20
Figure 1. TTCP system
5.2. TTCP COMPUTER This equipment is a generic server class computing system, with specific
requirements. Detailed specifications including operating systems and drivers to be
pre-installed will be provided.
5.3. TTCP TM HARDWARE EQUIPMENT This equipment consists of following modules namely filter, AGC, ADC-DAC board,
FPGA board, TM Custom interface board and interface connectors. Detailed
specifications will be provided.
Figure 2. Modules in TTCP TM HARDWARE EQUIPMENT
TTCP TM- H/W
TTCP TC- H/W
TTCP COMPUTER
Page 18/20
5.4. TTCP TC HARDWARE EQUIPMENT This equipment consists of following modules namely filter, IF amplifier, ADC-DAC
board, FPGA board, TC Custom interface board and interface connectors. Detailed
specifications will be provided.
Figure 3. Modules in TTCP TC HARDWARE EQUIPMENT
6. STATEMENT OF WORK This section provides nature of work and the responsibilities of the vendor involved in
“Development, fabrication, testing and supply of Hardware for TTCP system”.
The major activities are as listed below:
6.1.a Procurement of components, modules and computer
6.1.b PCB design and fabrication
6.1.c PCB/Module level assembly and testing
6.1.d Front and back panel design and fabrication for Hardware equipments
(TTCP TM HARDWARE EQUIPMENT and TC HARDWARE
EQUIPMENT)
6.1.e Module interconnection and fabrication of Hardware equipments (TTCP
TM HARDWARE EQUIPMENT and TC HARDWARE EQUIPMENT)
Page 19/20
6.1.f TTCP Equipment level testing
6.1.g TTCP System level testing as per RFP (including 168hrs burn-in).
6.1.h TTCP System delivery at URSC.
7. ANNEXURE-1 (BIDDER’S PROFILE)
Sl. No.
Details Requested Bidders Response
1. Name of the Company /Firm and Address : 2. Year of Establishment: 3. Status of the firm:
(Whether Pvt. Ltd. Company / Public Ltd. Company / Partnership Firm/etc.):
4. Name of the Chairman / Managing Director /CEO (as the case may be):
5. Whether registered with the Registrar of Companies / Registrar of Firms in India? If so, mention number and date and enclose Registration Certificate copy:
6. Name and address of Bankers: A) B)
7. Financial Turnover of the Company/ Firm in 2014-15, 2015-16 and 2016-17: (Please attach a copy of audited Profit & Loss Account for the above three years): 2014-15: 2015-16: 2016-17:
8. Whether registered for sales & service tax purposes? If so, mention number and date. Also furnish copies of sales tax and service tax Registration Certificate:
9. Permanent Account Number ( Furnish copies of Income tax clearance certificates):
10. Under which Act/ Rule the service Provider/Bidder / Tendering Company / Firm / Agency is registered
Page 20/20
Note: - 1. If any of the above columns are kept unfilled and not supported by documentary proof, such EoIs will be summarily rejected by the Service Receiver.
DECLARATION
I/We hereby declare that the information furnished above are true and correct to the best of my / our knowledge and belied Date: ............................ (Signature of Authorized Signatory with seal) Place: ........................ Name in full:
