VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
___________________ Signature & Stamp of bidder
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
TENDER
DOCUMENT FOR TECHENICAL PROPOSAL (Framework Contract)
For Purchase of
Lab Material Consumable
Price Rs. 500/-
Tender No 01
VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
TERMS & CONDITIONS
1. General: 1.1 Any offer not received as per terms & conditions of the tender enquiry is liable to be
ignored and also no offer shall be considered if:
received without Bid Security
It is received after the time and date fixed for its receipt
Not signed & stamped by authorized person on each page of tender documents
The offer is ambiguous
The offer is received by fax or e-mail
The offer is from a black listed firm
Offer received with shorter validity than required
The offer is for store not conforming to specifications indicated in the tender enquiry.
Offered rate is received other than original tender documents
Any conditional offer
Not meeting technical evaluation criteria as mentioned at Clause: 13 of tender documents
1.2 Offer rates (in Pak Rupees) will remain valid for a period of 01 Year (July 2018 to June 2019)from the date of opening the tender. No change in price will be made in case of Pak rupees variation against US$ or any other currency.
1.3 The cover envelope should indicate particulars of tender, and date of opening. The envelope must be properly sealed.
1.4 The purchaser reserves the right to issue order in full / partial quantity or as per requirement.
1.5 The Bid Security shall be forfeited if:
a. The acceptance of tender is not received within ten days of issuance of order b. The offer is withdrawn, amended or revised. c. The contractor fails to execute the contract strictly in accordance with terms and
conditions.
1.6 The bidder should indicate their National Income Tax No. / Sales Tax No. and circle of Income Tax Department.
1.7 The contractor will be responsible for the free replacement of stores if the same is found to be substandard and or at variance with the specifications given in the supply order within one week. Store offered of specifications superior to the one specified in the tender enquiry may be accepted subject to approval of competent authority.
1.8 Items should be brand new and in original manufacturers packing.
1.9 One-year free service and supply of spare parts must be guaranteed by the bidder.
1.10 Offered rates will be on basis of free delivery to VTIand shall include all taxes.
1.11 Quantity of any item can be increased or decreased by the purchaser.
1.12 Whole tender can be cancelled by the Competent Authority of the institute without assigning any reason before acceptance of the bid as per PPRA Rule 2014, Clause 35.
1.13 Purchase order will be issued by the Vocational Training Institute Kot Momin after signing the agreement with bidder.
2. Delivery Period: Delivery period will be10 Days from the date of issuance of purchase order. 3. Extension of Delivery period: In special circumstances, request for extension of delivery period may be considered by
approving authority on the written request of the firm before the target date of supply. 4. Cancellation / Penalty of Delay: 4.1 If the acceptance of the tender issued during the validity period of the tender is not
acceptable by the bidder, the bid security will be forfeited and the stores can be purchased at his risk and cost.
VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
4.2 In case the offer is withdrawn, amended or revised during the validity period of the tender, the bid security shall be forfeited.
4.3 In case bidder fails to execute the contract in accordance with the terms & conditions laid down in the contract, the bank guarantee/performance guarantee will be en-cashed and the store will be purchased at his risk and cost.
4.4 In case of delayed supply / non supply/partial supply, the purchaser may cancel the supply order or impose appropriate penalty. The penalty may be upto @2% per week.
5. Payment to the Contractors: 5.1 Contractor shall submit invoice against each purchase order, after completion of delivery of
required items. 5.2 Payment will be made through crossed cheque to the supplier against invoice after 100%
completion of delivery, satisfactory performance against eachpurchase as it is framework tender within 30 days after issuance of satisfactory report by the VTI.
5.3 Payment against partial supply will not be made.
6. Bid Security: 6.1 Bid Security 2% of estimated cost will have to be deposited along with tender. It should
be in the form of Bank Draft / Call Deposit in thefavorPrincipal VTI Kot Momin. 6.2 Bid Security of successful bidder shall be refunded on successful completion of supply or
submission of required performance bond. Whereas bid security of unsuccessful bidders will be refunded on the approval of tender by Competent Authority.
7. Delivery / Inspection of store The Material will be inspected by the VTI through authorized personnel and will reject the
material, if not found according to the given specification. The delivery of the material will be made in the premises of VTI campus.
8. Deduction of Taxes: Any taxes (if applicableGST, Income Taxes or any other tax) will be deducted before making
payment as per Government instructions/ notifications. 9. Payment of sales & other taxes, duties, levies: Purchase shall be made from the firms registered with income /sales tax. Sales and other such
taxes, import duty, surcharge and other will be liability of the supplier. Vender will get the shipment cleared from customs at his risk and cost, Certificate / letter for exemption of GST and WHT can be provided by the supplier toVocational Training Institute (VTI) if required as per government instructions.
10. Performance Bond: 06Months performance bond / CRD to the satisfaction of VTI Kot Momin equivalent to 5% of the
total contract value will have to be furnished at the time of signing of contract. Guarantee will be returned after successful completion of the contract period.
11. Termination of Contract:
1. The procuring agency may reject all bids or proposals at any time prior to the acceptance of a bid or proposal.
2. The procuring agency shall upon request communicate to any bidder, the grounds for its rejection of all bids or proposals, but shall not be required to justify those grounds.
3. The procuring agency shall incur no liability, solely by virtue of involving sub-rule (1) towards the bidders.
4. The bidders shall be promptly informed about the rejection of the bids, if any.
12. Dispute Resolution: In case of any dispute before or after the execution of contract, matter will be resolved as per PPRA Rules’ Clause 67&68. The dispute arising after the contract shall be resolved in the following manner/mechanics 12.1 The arbitrator will be Mr. M. FarrukhSajjad Area Manager N III, PVTC Lahore. 12.2 The contractor shall provide his grievances in writing within 15 days after the dispute
VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
12.3 The arbitrator shall decide the matter after hearing both parties within 30 days after receiving the written complaints from the contractors.
12.4 The decision of the arbitrator shall be final and binding for both the parties.
13. Information about firms (Company Profile): The firms shall supply information along with tender about the following: a. List of customers b. Company profile mentioning at least one year. c. Copy of NTN and GST certificate. d. Company should be supplier of same products from at least last one year. e. Annual turnover of Company for the last one year.
14. Bid / Tender opening procedure a. The bid shall comprise a single package containing two separate envelopes. Each
envelope shall contain separately the financial proposal and the technical proposal; b. The envelopes shall be marked as “FINANCIAL PROPOSAL” and “TECHNICAL PROPOSAL”
in bold and legible letters; c. Initially, only the envelope marked “TECHNICAL PROPOSAL” shall be opened; d. The envelope marked as “FINANCIAL PROPOSAL” shall be retained in the custody of the
procuring agency without being opened; e. The technical proposal shall be evaluated in a manner prescribed in advance as
mentioned in the tender documents, without reference to the price and any proposal may be rejected which does not conform to the specified requirements / specifications;
f. During the technical evaluation no amendments in the technical proposal shall be permitted;
g. The financial proposals of bids meeting the technical specifications after technical evaluation shall be opened publicly at a time date and venue announced and communicated to the bidders in advance. The financial bids of unsuccessful bidders will be returned unopened after technical evaluation
15. General Information
a. This contract is valid for 01 Year (01 July 2019 to 30 June 2020), but may be extended by competent authority subject to good performance and no change in the rates once quoted in this tender.
b. Supply of Lab material consumable will be made within 10 days after issuance of supply order. In case of late supply, the competent authority may impose the penalty of up to 2% per day up to 10% of total worth of that very specific order.
c. As it is a framework tender so payment will be made on completion of each supply order whenever it is required during the year. Moreover, Payment will be made through crossed cheque to the supplier against invoice after satisfactory report from purchase committee within 30 days.
d. Any escalation in quoted rates will not be entertained during the contract period. e. Management of VTI Kot Momin reserves the right to get the quality of lab material tested from
anywhere at the cost of firm on each supply. f. The supplier will be responsible for fitting, alteration and replacement of lab material
accordingly. In this regard luggage charges will be the sole responsibility of supplier. g. The supply will be made in the premises of VTI Kot Momin. Delivery Charges, lab test, bank
charges and any kind of charges will be paid by the supplier. h. The Management of VTI Kot Momin may change the quantity of lab material during the Contract
period. i. The Performance Bond/Bank Guarantee will be fortified if supplier fails in execution of contract
within 10 days of awarding tender, or if he withdraws from tender at any stage.
VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
Sr.
No
Name of
Product Specification Qty Specification
Dress Making Trade
01 Cloth (Meter) Cotton for Ladies Suiting
Cotton for Gents Suiting
02 Tread Reels For stitching
03 Buckram (Meter)
Latha Buckram
04 Collar (02 Piece) 10 Inches
05 Brown Paper Sheet with Line
06 Hand Needles 4,5,6,9,10 Nos.
07 Machine Needles
16,18 Nos.
08 Button (Box
For gent’s shirt
For Ladies shirt
Titch Button
Fancy Button
09 Zip (Dozen 06 Inches
10 Laisses (Yard) Different Sizes&Colors
11 Fabric Colors
Silk Fabric Colors
Pearl Fabric Colors
Pigma Gutta
12 Brushes 0-9 Nos.
13 Mirrors (pkt) Different Sizes for Balochi
Embroidery
14 Designing Books Embroidery, New Fashion
Design Books
15 Fomic Sheets (Sheet
For decoration purpose
16 Elastic (Meter Different sizes
17 Machine Oil (Liter)
For sewing machines
18 Machine Foot For sewing machines
19 Pent Hook For sewing machines
20 Opener For sewing machines
21 Tailoring Chalk (Box
For highlighting
22 Piping (Meter Different designs
23 Paper Pins (Box For Drafting
24 Dori/Lace Different designs
VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
Computer Application & OP Trade
01 Key Board USB A4 Tech or Equivalent
02 Mouse USB A4 Tech or Equivalent
03 Power Cable Branded, 02 Pin
04 VGA Cable Branded, 02 Pin
05 CD’s Spool All CD’s Original
06 Recordable CD’s Spool Maxell, 1-16 X or above
07 Networking Material I/O Ports, RJ 45
08 Cables
Power Cables, VGA Cable, HTMI Cables
09 Paper Rim (80g A4, Legal Size
10 Toner For Practical Work
11 Refills for White Boards
12 Erasable Marker For Board Markers
13 Liquid Cleaner Best Quality
14 Dusting Cloth Best Quality
15 UTP/STP Cables Best Quality
Beautician
1 Cleansing Milk (500ml Golden Girl, Swiss Gold
or Equivalent
2 Facial Spunch Medium Size
3 4
Facial Band Best Quality
Tissue Party Pack
5 Cotton Roll Best Quality
6 Towel (Medium Size Best Quality
7 Hand Washer (250ml Lux or Equivalent
8 Eye Shaid Kit Huda Beauty,
Makhmal, Glamours or Equivalent
9 Maskara Huda Beauty or
Equivalent
10 Eye Bro Pencil Christine or Equivalent
11 Lip Pencil & Lip Gloss Christine or Equivalent
12 Eye Lashes Plus Gum Best quality
13 Lip Stick Christine or Equivalent
14 Talecomb Best quality
15 Bleach Powder (500g Derma Herb, Glame Beauty or Equivalent
VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
16 Soft Wax (500g Best quality
17 Hot Wax (kg Best quality
18 Perming Lotion (300ml Christine Palet or
equivalent
19 Hair Spray (200ml Nove, Keune or
Equivalent
20 Sticking Cape Best quality
21 Appron Best quality
22 Hair Color Garnier or Equivalent
23 Manicure& Pedicure Kit (Large Size
Dermacoz, Go for Glow or Equivalent
24 Thread Peelon, Cotton Peel or
Equivalent
25 Mehndi (Box Best Quality
26 Nail Polish Remover Christine or Equivalent
27 Nail Polish One Tech, Christine or
Equivalent
28 Working Clubs Rubber
29 Perming Pins Best quality
30 Joorra Pins Best quality
31 Talcum Powder (Large Size
Bearfoot, Hemalia or Equivalent
32 Facial Ki 300ml (Simple, Herbal, Medicated & Whitening)
Derma Hurb, Dermacos, Den by or
Equivalent
33 Soothing Lotion Golden Girl or
Equivalent
34 Developer(10,20,30,40) 1000 ml
Best Quality
35 Bowls Best Quality
36 Brushes for Die(Large & Small)
Best Quality
37 Shampoo 400ml Pantene, Sunsilk or
Equivalent
38 Conditioner 400ml Pantene, Sunsilk or
Equivalent
39 Hair Brushes Best Quality
40 Blow Dry Brush Different Size
41 Sticking Powder BC Plus, Bremode or
Equivalent
42 Sticking Color BC Plus, Bremode or
Equivalent
43 Sticking Paper (Roll Best Quality
44 Perming Paper Best Quality
45 Hair Straightener Cream 500ml
BC Plus, Bremode or
Equivalent
46 Hair Mousse Nova, Keuneor
Equivalent
VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
47 Invisible Pins Best Quality
48 Hair Jel (Large Nova, Keune or
Equivalent
49 Hair Roller Best Quality
50 TV Paint Stick Crylone, Original or
Equivalent
51 Pain Cake & Aqua Base Crylone, Christine or
Equivalent
52 Loose Powder Naked or Equivalent
53 Liquid Foundation Mablion, Huda Beauty
or Equivalent
54 Face Shinner Christine or Equivalent
55 Makeup Spunch Best Quality
56 Eye Liner Huda Beauty or
Equivalent
57 Eye Shimmer Huda Beauty or
Equivalent
58 Make Up Brush Naked or Equivalent
59 Blush on Kit Attiude, Glamours or
Equivalent
60 Hair Styling Wigs Best Quality
61 Hair Capsules Keuneor Equivalent
62 Dettol (100ml N/A
63 Paraffin Wax Best Quality
64 Hair Rebounding Cream (500ml
Christine, BC Plus, Bremode or Equivalent
65 Nail Art Kit Organza or Equivalent
66 Protein Treatment Kit Bremode, BC Plus or
Equivalent
67 Skin Polish Rivaj Plus or Equivalent
68 Hair Extensions Best Quality
69 Hair Pads Basic Colors, Revlon or
Equivalent
70 Hair Styling Net Kuene or Equivalent
71 Phenyale Best Quality
72 Liquid Cleaner for Tools Best Quality
73 Bleach Jar Kuene or Equivalent
74 Mineral Mask Best Quality
75 Pealoff mask Best Quality
76 Toner Best Quality
77 Cellscealer Best Quality
78 Eye Kajal Pencil Best Quality
79 Face shiner loose Kuene or Equivalent
VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
80 Lip gloss (mate) Best Quality
81 Section pins Best Quality
82 Scissors Best Quality
83 Tweezers Best Quality
84 Poni tails Best Quality
85 Comb set Best Quality
86 Bleach brush Best Quality
Name of Firm _____________________________
Address: _____________________________
_____________________________
Phone: _____________________________
N.T.N No. _____________________________
GST No. _____________________________
Contract Person / Designation: _____________________________
Cell _____________________________
Email: _____________________________
Signature of Supplier Stamp of Supplier
VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
TENDER DOCUMENT FOR FINANCIAL PROPOSAL
(Framework Contract)
___________________
Signature & Stamp of bidder
Tender No 01
VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
Price Quoted Performa
Sr.
No
Name of
Product Specification Specification.
Unit Price with all taxes
Rs.
Dress Making Trade
01 Cloth Cotton for Ladies Suiting
Cotton for Gents Suiting
02 Tread Reels For stitching
03 Buckram Latha Buckram
04 Collar (02 Piece) 12 Inches
05 Brown Paper Sheet with Line
06 Hand Needles 4,5,6,9,10 Nos.
07 Machine Needles
16,18 Nos.
08 Button
For gent’s shirt
For Ladies shirt
Titch Button
Fancy Button
09 Zip 06 Inches
10 Laisses Different Sizes
11 Fabric Colors
Silk Fabric Colors
Pearl Fabric Colors
PigmaGutta
12 Brushes 0-9 Nos.
13 Mirrors Different Sizes for Balochi
Embroidery
14 Books Designing Embroidery, New Fashion
Design Books
15 Formic Sheets For decoration purpose
16 Elastic Different sizes
17 Machine Oil For sewing machines
18 Machine Foot For sewing machines
19 Wire Hook For sewing machines
20 Opener For sewing machines
21 Tailoring Chalk For highlighting
22 Piping Different designs
23 Paper Pins For Drafting
24 Dori/Lace Different designs
VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
Computer Application & OP Trade
01 Key Board HP/DELL USB Keyboard
02 Mouse
Optical Laser 3D HP USB Mouse
03 Power Cable Branded, 03 Pin
04 VGA Cable Branded, 03 Pin
05 CD’s Spool All CD’s
06 Recordable CD’s Spool Maxell, 1-16 X or above
07 Networking Material I/O Ports, RJ 45
08 Cales
Power Cables, VGA Cable, HTMI Cables
09 Paper Rim A4, Legal Size
10 Toner For Practical Work
11 Refills for White Boards
12 Erasable Marker For Board Markers
13 Liquid Cleaner Best Quality
14 Dusting Cloth Best Quality
15 UTP/STP Cables Best Quality
Beautician
1 Cleansing Milk Golden Girl or
Equivalent
2 Facial Spunch Medium Size
3 4
Facial Band Best Quality
Tissue Party Pack
5 Cotton Roll Best Quality
6 Towel Best Quality
7 Hand Washer Lux or Equivalent
8 Eye Shaid Kit Huda Beauty,
Makhmal, Glamours or Equivalent
9 Maskara Huda Beauty or
Equivalent
10 Eye Bro Pencil Christine or Equivalent
11 Lip Pencil & Lip Gloss Christine or Equivalent
12 Eye Lashes Plus Gum Best quality
13 Lip Stick Christine or Equivalent
14 Talecomb Best quality
15 Bleach Powder Derma Herb, Glame Beauty or Equivalent
16 Soft Wax & Material Best quality
VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
17 Hot Wax Best quality
18 Perming Lotion Christine Palet or
equivalent
19 Hair Spray Nove, Keune or
Equivalent
20 Sticking Cape Best quality
21 Appron Best quality
22 Hair Color Garnier or Equivalent
23 Manicure& Pedicure Kit Dermacoz, Go for Glow
or Equivalent
24 Thread Peelon, Cotton Peel or
Equivalent
25 Mehndi Best Quality
26 Nail Polish Remover Christine or Equivalent
27 Nail Polish One Tech, Christine or
Equivalent
28 Working Clubs Rubber
29 Perming Pins Best quality
30 Joorra Pins Best quality
31 Talcum Powder Bearfoot, Hemalia or
equivalent
32 Facial Kitt (Simple, Herbal, Medicated &Whitening)
Derma Hurb, Dermacos, Den by or
equivalent
33 Soothing Lotion Golden Girl or
Equivalent
34 Developer(10,20,30,40) Best Quality
35 Bowls Best Quality
36 Brushes for Die(Large & Small)
Best Quality
37 Shampoo Pantene, Sun silk or
Equivalent
38 Conditioner Pantene, Sun silk or
Equivalent
39 Hair Brushes Best Quality
40 Blow Dry Brush Different Size
41 Sticking Powder BC Plus, Bremode or
Equivalent
42 Sticking Color BC Plus, Bremode or
Equivalent
43 Sticking Paper Best Quailty
44 Perming Paper Best Quailty
45 Hair Straightener Cream BC Plus, Bremode or
Equivalent
46 Hair Mousse Nova, Keuneor
Equivalent
47 Invisible Pins Best Quality
VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
48 Hair Jel Nova, Keuneor
Equivalent
49 Hair Roller Best Quality
50 TV Paint Stick Crylone, Original or
Equivalent
51 Pain Cake & Aqua Base Crylone, Christine or
Equivalent
52 Loose Powder Naked or Equivalent
53 Liquid Foundation Mablion, Huda Beauty
or Equivalent
54 Face Shiner Christine or Equivalent
55 Makeup Spunch Best Quality
56 Eye Liner Huda Beauty or
Equivalent
57 Eye Shimmer Huda Beauty or
Equivalent
58 Make Up Brush Naked or Equivalent
59 Blush on Kit Attitude, Glamours or
Equivalent
60 Hair Styling Wigs Best Quality
61 Hair Capsules Keune or Equivalent
62 Dettol Best Quality
63 Paraffin Wax Best Quality
64 Hair Rebounding Cream Christine, BC Plus,
Bremode or Equivalent
65 Nail Art Kit Organzaor Equivalent
66 Protein Treatment Kit Bremode, BC Plus or
Equivalent
67 Skin Polish Rivaj Plus or Equivalent
68 Hair Extensions Best Quality
69 Hair Pads Basic Colors, Revlon or
Equivalent
70 Hair Styling Net Kuene or Equivalent
71 Phenyale Best Quality
72 Liquid Cleaner for Tools Best Quality
73 Bleach Jar Kuene or Equivalent
74 Mineral Mask Best Quality
75 Pealoff mask Best Quality
76 Toner Best Quality
77 Cellscealer Best Quality
78 Eye Kajal Pencil Best Quality
79 Face shiner loose Kuene or Equivalent
80 Lip gloss (mate) Best Quality
VOCATIONAL TRAINING INSTITUTE KOT MOMIN Government of the Punjab
MohalaTarranwala near Sabzi Mandi Kot Momin, District Sargodha. Ph.048-6681666. Email. [email protected]
81 Section pins Best Quality
82 Scissors Best Quality
83 Tweezers Best Quality
84 Poni tails Best Quality
85 Comb set Best Quality
86 Bleach brush Best Quality
1 Date of Submission / Opening:
Tender form can be obtained immediately after publication of this add and
Receipt of tenders : January 15, 2020 till 10:00 AM
Opening of tenders : January 15, 2020 till 10:30 AM
At Vocational Training Institute, Kot Momin, Mohala
Tarran near Sabzi Mandi Kot Momin District Sargodha.
Name of Firm _____________________________
Address: _____________________________
Phone: _____________________________
N.T.N No. _____________________________
GST No. _____________________________
CDR / DD No. _____________________________
Contract Person / Designation: _____________________________
Cell _____________________________
Email: _____________________________
Complete Address. _____________________________
Signature of Supplier Stamp of Supplier