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ANNEXUREIII BIDDERDETAILS 1.EarnestMoneyDeposit(EMD) (TobeenclosedwithTechnicalBid) No. RequiredInformation 1 Nameandregisteredaddressofthe Individual/firm/company 2 Legalstatus (Individual / proprietor, partnership firm, limited company, corporation, cooperativesociety,etc. 3 Nameofthecontactperson, Designation,TelephoneNo.,FaxNo., E‐mailid 4 MonthandYearofcommencementof servicebusiness. 5 Statutorydetails (Photocopiestobeattached) 5.1 Registrationnumberofthefirm. (AsperShopandEstablishmentact.) 5.2 PANNo. DemandDraftNo.______________dated ___________for`_______________drawnon(Name oftheBank)________________infavourofThe Director,NationalCentreforCellScience, PunepayableatPune. 5.3 ServiceTax–Registrationnumber 5.4 VAT‐Registrationnumber 6 Details of similar work completed during last five years as per the following (ANNEXUREV)withsupportingPurchase/WorkOrders/documents. 7 FinancialCapabilities Attachlast3yearsincometaxreturns,auditedstatementofaccounts,balancesheet andprofitlossstatement. Details FY2010‐11 FY2011‐12 FY2012‐13 i. AnnualTurnover ii. NetProfit iii Lossifany SignatureandsealofBidder Date: Address: Page25of33