NOTICE INVITING TENDER

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1 INDIAN INSTITUTE OF TECHNOLOGY INDORE IET-DAVV Campus, Khandwa Road, INDORE, (MP), India Tel: / 737; Fax: Website: Advt.No.: IITI(MM)/NIT/02/ Dt. 14/02/2013 NOTICE INVITING TENDER Sealed Tenders are invited on behalf of the Director, IIT Indore (in Two bid System) from Original Equipment Manufacturers (OEM) their Authorized distributors/ Accredited Indian Agents /sole selling agents for the Supply, Installation, Commissioning & Satisfactory Demonstration of following items: Sl.No Description of Stores Quantity 01. Raman Spectrometer/Microscope System 01 Last date and time for submission of completed Tenders: Up to 3.00 PM on Date and Time of opening of Tenders : At 3.30 PM on Details of the tender document can be availed at Assistant Registrar Page 1 of 16

2 Sealed Tenders are invited on behalf of the Director, IIT Indore (in Two bid System) from Original Equipment Manufacturers (OEM) their Authorized distributors/ Accredited Indian Agents /sole selling agents for the Supply, Installation, Commissioning & Satisfactory Demonstration of following items: Sl. No 1. Description of Stores File No. Quantity Raman spectrometer/microscope System NOTICE INVITING TENDER EMD (in Rs.) in the form of DD/BG/BC Tender Fees in Form of DD (in Rs.) IITI(MM)/PH/1/618/RK/ ,00, Last date and time for submission of completed Tenders : Up to 3.00 PM on Date and Time of opening of Tenders : At 3.30 PM on Note: The Tender Document can be obtained from the Assistant Registrar, IIT Indore, IET-DAVV Campus, E- Block, Khandwa Road, Indore on written request on payment of the non- refundable and non transferable tender document fees as stated above in the form of cross Demand Draft issued by a scheduled bank drawn in favour of Registrar, IIT Indore, payable at State Bank of India, Khandwa Road Indore. Director IIT Indore shall not be responsible for non- receipt of the Tender Documents due to postal delay/loss in transit. The tender complete in all respect along with EMD should reach to this office on or before upto 3.00 PM and will be opened at 3.30 PM at IIT Indore. Tender Documents with detail terms & conditions can be downloaded from our website: Quotations of reputed brand from authorized dealers will only be accepted. Authorized dealers/resell Agents/Channel Partners are requested to attach proof to show that they are authorized to quote the brand that they are offering from the manufacturer. For any issues related to tender please contact Assistant Registrar, Tel: & id arpurchase@iiti.ac.in Page 2 of 16

3 Annexure - 1 ITEM NAME.: RAMAN SPECTROMETER/MICROSCOPE SYSTEM File No: IITI(MM)/PH/1/618/RK/12-13 Sl.No. Item Specification Quantity 1 No. 01. Raman spectrometer/microscope system including a confocal microscope, transfer and filtering optics, an achromatic spectrograph equipped with gratings, multichannel detector, lasers, computer controlled X-Y-Z stages and the relevant software and computer platforms. Details about each component are as follows: 1. Spectrometer: A large focal length (>75cm) reflective achromatic spectrograph equipped with reflective optics a) Spectral Range : ~ nm. b) Spectral resolution: better than 0.40 cm -1 with 1800gr/mm grating at 633 nm excitation. c) Spatial resolution: True confocal microscope: laser diameter smaller than 1 micron and axial confocal performance better than 2 microns. The system should preferably be optimized for 100x objective lens measurement. d) Gratings holographic gratings with ~1800 and ~600 grooves/mm mounted on a motorized turret driven by user friendly software (with free upgradation) for getting variable spectral resolutions. Easy and quick interchange between gratings must be possible without any requirement of realignment. e) Working power: ~220V AC, 50 Hz, Single/triple phase (as appropriate). f) Appropriate interfacing for data transfer preferably with windows based user friendly software and hardware. 2. Entrance optics assembly: a) A filter wheel with several computer controlled neutral density filters for decreasing laser power on sample( 0.01% to 100%). b) Laser line filters. c) An adjustable kinematic rejection filter (Long lasting Dielectric NOTCH filters with NO AGING EFFECT, give option for EDGE filter and quote separately as optional item) mount allowing fine tuning of the filter operation angle for low frequency cut-off adjustment and easy and quick exchange of excitation wavelength. 3. Confocal microscope with high stability : a) Removable bottom stage as option. b) An internal white light illuminator by transmission supplied with an Abbe condenser c) A revolver equipped with 4 plan-achromatic detachable objectivelenses: 5x, 10x, 50x and 100x. d) A USB color TV camera for viewing and recording samples under white light and laser illumination. Video card for digitizing the image of Page 3 of 16

4 sample, using programmed software. 4. Confocal coupling optics between the microscope and the spectrometer: a) A continuous adjustable confocal pinhole from several microns to 1.2 mm driven by software. b) Coupling optics to focus the Raman beam on the entrance slit of the spectrograph (lens system) equipped with a shutter. 5. MICROSCOPE STAGE: Manual stage XYZ motorised stagefor positioning and adjusting the sample. X-Y stage (preferably 75x50 mm) with step-size better than or equal to 0.1 microns. Positioning joystick, necessary software and accessories for automatic acquisition of Raman maps in conventional and XY scan mode. Micrometric computerized z-axis control: Minimum step size is 0.5 micron. Arrangement for liquid samples like Cuvette/vial (similar to HPLC or NMR capillary tubes) arrangement. 6. Air cooled CCD detector: a) The spectral range: range compatible with the spectrometer in section 1. (Separate quotations may be sent for additional grating(s) and detector(s) for upto 2200nm measurement). b) ~ 1024x256 pixels with good efficiency and low dark noise. c) Interface : USB or as necessary and compatible for spectrometer. 7. Lasers and Notch/Edge Filters a) 532nm 100 mw b) 633nm- 100 mw c) 785 nm 100 mw With appropriate coupling optics and Notch/Edge filter to record Raman from 50 cm -1. Good quality Notch filters (MUST NOT AGE with time) with more than 10 years life if not damaged physically. Easy operation and quick and fast changing of optics arrangement must be possible. One of the lasers (preferably 633nm) must be inbuilt for regular operation. Other lasers can be put in a way to do quickly choose the laser, filter and optics without any requirement of realignment. Possibility of upgradation of necessary optics for recording upto (< 10 cm -1 ) spectra. (quote as an optional item for all three above-mentioned excitations). Give the quotations for each lasers/optics assembly separately. 8. Computer and software: a) Software should be compatible with Windows and should be supplied with two computer dongles permitting the control of the instrument, data acquisition, and data manipulation including Raman and photoluminescence mapping and storage option. The software should have advanced chemo-metric and Macro programming capabilities. b) A computer with latest configuration, along with TFT monitor. 9. Accessories (quote separately for each of the accessories) a) XYZ motorised stage (for Raman mapping), X-Y step-size lesser than or Page 4 of 16

5 equal to 0.1 microns. Positioning arrangement, user friendly controller, computer interface card, drive electronics and software. Automated acquisition of Raman maps in conventional and XY scan mode. Micrometric computerized z-axis control: Minimum step size ~ 0.1 micron. b) Temperature controlled stage including temperature controller (77 K to ~900 K) and necessary compatible optics and arrangement for this attachment. Necessary arrangements must be available to enable liquid Helium temperature operation later on. c) High pressure diamond anvil cell for high pressure studies. d) Angle-calibrated rotation stage. e) Power meter working from 400 to 1100 nm. f) Option to couple the Raman system to already existing AIST-NT (SmartSPM 1000), AFM system. After coupling one should be able to use the two systems (Raman and AFM) independently also. IMPORTANT POINTS 1. Vendors are free to quote any additional item(s) separately which may improve the overall performance of the system (Kindly provide justification). 2. The company/vendor/indian representative must agree for two installations of the equipment. Once in the transit campus of IIT Indore and second time in the permanent campus of IIT Indore. Page 5 of 16

6 INDIAN INSTITUTE OF TECHNOLOGY INDORE IET-DAVV Campus, Khandwa Road, INDORE, (MP), India Tel: /737; Fax: Website: To, M/s. Open Tender Enquiry No. INVITATION FOR TENDER (For open tenders only Non-transferable) PART I : IITI(MM)/NIT/02/12-13 Tender Due Date & Time : 11 th March, 2013, Hrs Tender Opening Date & Time : 11 th March, 2013, Hrs EMD AMOUNT : Refer Page 2 Please find the following enclosed in this invitation. 1. Invitation to Tender (Part I) : 2. Tender (Part II) : 3. General Terms & Conditions (Part III) : 4. Techno-Commercial Bid (Part IV) : 5. Price Bid (Part V) : The tenders must be submitted in Two-Bid System i.e. Techno-Commercial Bid & Price Bid The two envelops are to be addressed to The Assistant Registrar, IIT, Indore and marked with our tender enquiry no, due date and opening date on each envelope with your stamp as sender. The two envelopes may be put in one envelope and addressed to the Assistant Registrar, IIT Indore and marked with our tender enquiry number and due date and opening date on each envelope with your stamp as sender. The combined envelope may be put in the tender box placed at IIT Indore, M-Block, 2 nd Floor, IET DAVV Campus, Khandwa Road, Indore submitted by post to Assistant Registrar, IIT Indore before due date and time. EMD must be attached to the Techno-Commercial Bid Only and NOT to the Price Bid. Bids received without EMD will be rejected. Note Non-compliance of the above may disqualify your offer for consideration. Yours sincerely, Assistant Registrar Page 6 of 16

7 TENDER PART II Tender reference No. : Director IIT Indore I/We agree to furnish required supplies/services as detailed in the Techno- Commercial Bid (Part IV) or such portions thereof as you may specify in the Acceptance of Tender/Supply Order at the prices given in the Price Bid (Part V) in accordance with the General Terms and Conditions (Part III) governing the contract/supply order enclosed here to duly accepted on receipt of order for the same I/We agree to hold this offer open until and shall be bound to supply/commission/install the equipment and dispatch the same within the specified period. I/We agree to supply and commission/install the equipment and complete the whole of the work and hand over to the purchaser within the period of.. weeks, from the date of receipt of an intimation from you regarding acceptance of this tender/receipt of supply order. Station : Date : Name : Address : ( ) Signature of Tenderer With Office Stamp Page 7 of 16

8 GENERAL TERMS AND CONDITIONS FOR TENDER PART III 1. Preparation of Tender: (i) The complete tender form should be returned intact whether you are quoting for any item or not. Page should be detached but when items are not being tendered for, the corresponding space should be defaced by mentioning not quoting. (ii) In the event of space on the tender form being insufficient for the required purpose, additional pages may be added. Each such additional page must be numbered consecutively, should bear the tender reference number and be fully signed by you (the supplier). In such cases reference to the additional pages must be made in the tender form. 2. Signing of Tender: (a) The tender is liable to be ignored if complete information is not given therein regarding the particulars, data, specifications asked for in the techno-commercial offer (Part IV) at Schedule of Requirements. Specific attention must be paid to the delivery dates, technical specification, and also the general conditions of contract at Part III and other conditions mentioned at Part IV and Part V. (b) Individual signing the tender or other documents connected with a contract must specify whether he signs as: (i) A sole proprietor of the firm or constituted attorney of such sole proprietor. (ii) A partner of the firm if it be a partnership, in which case he must have authority to refer to arbitration disputes concerning the business of the partnership either by virtue of the partnership agreement or a power of attorney. (iii) Constituted attorney of the firm if it is a Company. NB: a. In case if (ii) above a copy of the partnership agreement or a general power of attorney and in either case attested by a Notary Public, should be furnished to this, or an affidavit on stamped paper of all the partners admitting execution of the partnership agreement or the general power of attorney, should be furnished. b. In case of partnership firms, where no authority to refer disputes concerning the business of the partnership has been conferred on any partner, every partner of the firm must sign the tender and all other related documents. c. A person signing the tender form or any documents forming part of the contract on behalf of another shall be deemed to warranty that he has authority to bind such other and if, on inquiry, it appears that the persons so signing had no authority to do so, the purchaser may, without prejudice to other civil and criminal remedies cancel the contract and hold the signatory liable for all costs and damages. 3. Delivery of Tender: The original copy of the tender form is to be enclosed in two separate envelopes, the envelope containing Part I, II, III and IV and marked as Techno- Commercial bid and another envelope containing only part V marked as Price bid. The two envelopes should be sealed and should bear address of the office, tender enquiry Page 8 of 16

9 no, due date and time. The two envelopes should be put in one envelope and addressed to ASSISTANT REGISTRAR, IIT Indore marked with our tender enquiry number and due date. Director IIT Indore reserves the right to ignore any tender who fails to comply with the above instructions without giving any notice. Bidder: Tenders are invited only from Original Equipment Manufacturers OR their authorized distributors/ dealers, Vendors are requested to attach proof to show that they are the authorized dealers of the brand that they are quoting for the manufacturers of the product. Quotations of internationally recognized brand from authorized dealers only will be accepted. Tender Documents will be available on institute website: the same can be downloaded and submitted along with a Demand Draft of Rs. 1000/- as cost of each tender document, for all vendors. Demand Draft should be enclosed with Techno-Commercial Bid. Earnest Money and cost of tender document - in the form of Demand Draft/BG from any Nationalized Bank in favour of the Registrar, IIT Indore payable at Indore. Bids received without EMD will be rejected. 4. Latest Hour for Receipt of Tender: Your tender must reach this office not later than Hrs on the due date. Tenders sent by hand should be put in the tender box at Main Office, IIT Indore/ submitted by post to ASSISTANT REGISTRAR IIT INDORE. The institute shall not be responsible for any kind of late/wrong delivery of tender. Bidder must ensure bid reaches to the correct person on time. 5. Period for which the offer will remain opened: (i) Firms tendering should note the period for which it is desired that their offers should remain open for acceptance. If the day up to which the offer is to remain open is declared a holiday for Govt. offices, the offer shall remain open for acceptance till the next working day. (ii) Quotations qualified by such vague and indefinite expressions such as subject to immediate acceptance, subject to prior sale, etc will not be considered. 6. Opening of Tenders: The firm shall be at liberty to be present or authorize a representative to be present at the opening of the tender at the time and date as specified in the schedule. The name and address of the representative who would be attending the opening of the tender on behalf of the firm should be indicated in the tender. Please also state the name and address of firm s permanent representative, if any. Generally, the techno-commercial offer will be opened on the day specified for opening. 7. Right of Acceptance: This office does not pledge itself and reserves to itself the right of accepting the whole or any part of the tender or portion of the quantity offered and the firm shall supply the same at the rate quoted. The firm shall be at liberty to tender for the whole or any portion or to state in the tender that the rate quoted shall apply only if the entire quantity is taken from the firm. 8. Items supplied are subject to inspection and acceptance and the supplier should collect/ replace the rejected items at his cost and risk. Page 9 of 16

10 9. Delayed supplies: In case of delayed supplies, liquidated damages (LD) at the rate of 0.5 percent per week of delay with a maximum of 10 percent will be levied. In case of further delay the institute shall cancel the P.O. at its own discretion or/and may impose LD beyond 10% as to be decided by the competent authority. 10. Registration: Registration with any IIT is mandatory. In case a bidder is not registered with any IIT, their registration with any Central Govt. Organization/Public sector shall be considered. OR the bidder must be OEM/Sole distributor in India of OEM. Registration implies having provided equipment to any IIT. 11. IIT Indore reserves the right to accept or reject or cancel any or all enquiries or quotations or bids at any stage without assigning any reason thereof. Proof of Registration OR OEM Certificate/ Sole Distributorship Certificate MUST be attached. 12. No correspondence/discussion/visits whatsoever will be entertained on the subject unless specifically called by this office after opening the tenders for technical discussions/ price negotiations. Any violation of this will render the quotations invalid and the firm is liable to be blacklisted. 13. Director reserves the right to call for techno-commercial/price negotiations. The company should depute competent representative for such discussion/negotiations whenever called for and he shall be competent to take on the spot decisions. 14. Drawings/specifications sent along with this letter should be returned along with the firm s quotation or regret letter. 15. The firm may give any of their commercial term, if required, in their techno-commercial offer only, and price quotation should contain only price. 16. Please inform the Director in writing whether the owner of the firm or any of their partners/employees has close relations working with IIT Indore. This is for record only. 17. The instructions about bidding given in this advertisement and the Tender Documents should be read thoroughly before bidding. Director, IIT Indore reserves the right to accept or reject any or all quotations at any stage without assigning any reason whatsoever it may be. 18. Office stamps of tenders must be affixed below their signatures. For Director, IIT Indore Page 10 of 16

11 TECHNO-COMMERCIAL BID Part IV 1. Tender reference no. : 2. Name of tenderer : 3. Due date & time : 4. Opening date & time : 5. The tender shall remain valid for acceptance for 120 days, from the date of tender opening. 6. Amount of EMD Rs. DD No. dt. Note: EMD should be enclosed along with the Price Bid. 7. Schedule of Requirements: Sl.NO. Description & nature of Supplies/Services Qty Required Place & dates on which delivery is to be made Specifications (Attach additional sheets. Drawings etc. if necessary ) CONDITIONS FOR TECHNO-COMMERCIAL BIDS TECHNICAL 1. Give brief description of item/equipment/material with accessories. Items offered should conform to BIS (ISI) specifications or as explicitly stated. In case specifications offered are different, separate comparative technical specifications sheet shall be attached with details such as Sl.NO, specifications offered deviations if any, and remarks. Any product brief, test certificates available may be enclosed. 2. List of spares, if applicable should be attached. 3. Any optional, if offered, be provided with their full technical details including their use and advantage. 4. Drawings: Drawings supplied by this office are to be returned along with your tender Page 11 of 16

12 COMMERCIAL 1. The normal payment terms are 100% payment after inspection, installation and acceptance of stores at IIT Indore (For indigenous orders). And for Imported items payment will be through Letter of Credit (LC). LC will opened for 100% order value on acceptance of the order and submission of the Proforma Invoice but 80% shall be released against dispatch documents and balance 20% after successful inspection, installation and commissioning as well as acceptance of the user department. 2. Give details of installation and commissioning except price which will be only in price bid (if applicable). 3. Warranty may be quoted as per the Standard Manufacturer Terms. Price for the additional warranty must invariably be quoted for three years. 4. Delivery desired is within 90 days from the date of releasing the supply order. Specify your delivery period. 5. In case of delayed supplies, liquidated damages at the rate of 0.5 percent per week of delay with a maximum of 10 percent will be levied. 6. Vendors must submit 10% of the order value as Performance Bank Guarantee (PBG) in favour of Registrar IIT Indore, payable at Indore for two months beyond the duration of warranty/guarantee period before release of final payment. The PBG must be submitted from an Indian Scheduled Bank. PBG format at ANNEXURE Delivery: Free delivery at IIT Indore in case of indigenous orders. In case of imported offers standard Inco-terms shall be applicable. The bidders must quote both in FOB/FCA and CIP/CIF value for deciding the mode of shipment. 8. Indicate mode of dispatch. Rail/Road/ Air/ Sea. 9. In case equipment offered requires maintenance after the expiry of the warranty, please indicate approximate cost of comprehensive and on call basis maintenance and also availability of local support or otherwise. 10. Please note clearly that faxed, mailed and opened quotations are liable to be rejected. Tender Reference No. : Full Address : (Signature of Tender issuing authority) For Director, IIT Indore Fax : Signature of Tenderer: Name in Block Letters : Station : Office Stamp : Date : Page 12 of 16

13 INDIAN INSTITUTE OF TECHNOLOGY INDORE IET-DAVV Campus, Khandwa Road, INDORE, (MP), India Tel: /737; Fax: Website: PRICE BID PART V 1. Tender reference No. : 2. Name of tenderer : 3. Due date & time : 4. Opening date & time : 5. The tender shall remain valid for acceptance for 120 days, from the date of tender opening. 6. Amount of EMD Rs. DD No dated Bank:. 7. Rates for items given in Techno-commercial offer at Schedule of Requirements are as follows. Adhering to the format given below is a Pre-requisite for considering your quotations: Sl. No. (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) Description A/U Qty offered Brief description, basic price without duties if any, of complete equipment/item/material with all accessories. Customs duty, if any Excise duty, if any VAT/CST Installation and commissioning cost, if any Training cost, if any Total cost (in figures & words) For octroi if applicable, necessary, certificate will be issued Any other Unit price Total cost (Rs.) Note: Separate list should be attached where required in the same format giving details of each item and cost. However, total cost must be mentioned at Sl.No.7 (vii) above. Page 13 of 16

14 OTHER CONDITIONS FOR PRICE BIDS 1. No unilateral revision in price will be admissible. 2. Rates should be quoted in the accounting units (A/U) mentioned in this enquiry. Rates must be quoted clearly on free delivery basis at IIT Indore and total value is also indicated in words. 3. Any optional indicated in techno-commercial bids must be priced separately. 4. In case spares/accessories are applicable, their list and price should be clearly indicated separately. 5. The price must be stated for each item separately. The percentage of reduction, in the unit price should also be quoted, should an order to that extent be placed with you. (Signature of Tender issuing authority) For Director, IIT Indore Tender Reference No. : Full Address : Fax : Signature of Tenderer : Name in Block Letters : Station : Office Stamp : Date : Page 14 of 16

15 Annexure 2 PERFORMANCE SECURITY FORM MODEL BANK GUARANTEE FORMAT FOR PERFORMANCE SECURITY To,.. WHEREAS. (name and address of the supplier) (hereinafter called the supplier ) has undertaken, in pursuance of contract no.. dated.to supply (description of goods and services) (herein after called the contract ). AND WHEREAS it has been stipulated by you in the said contract that the supplier shall furnish you with a bank guarantee by a scheduled commercial bank recognized by you for the sum specified therein as security for compliance with its obligations in accordance with the contract; AND WHEREAS we have agreed to give the supplier such a bank guarantee: NOW THEREFORE we hereby affirm that we are guarantors and responsible to you, on behalf of the supplier, up to a total of. (amount of the guarantee in words and figures), and we undertake to pay you, upon your first written demand declaring the supplier to be in default under the contract and without cavil or argument, any sum or sums within the limits of (amount of guarantee) as aforesaid, without your needing to prove or to show grounds or reasons for your demand or the sum specified therein. We further undertake to pay the Purchaser any money so demanded notwithstanding any dispute or disputes raised by the supplier(s)/vendor(s) in any suit or proceeding pending before any court or Tribunal relating thereto, our liability under this present being absolute and unequivocal. The payment so made by us under this bond shall be a valid discharge of our liability for payment there under and the supplier(s)/vendor(s) shall have no claim against us for making such payment. We hereby waive the necessity of your demanding he said debt from the supplier before presenting us with the demand. We further agree that no change or addition to or other modification of the terms of the contract to be performed there under or of any of the contract documents which may be made between you and the supplier shall in any way release us from any liability under this guarantee and we hereby waive notice of any such change, addition or modification. This guarantee shall be valid until the... day of, 20. (Signature of the authorized officer of the Bank) Name and designation of the officer Seal, name & address of the Bank and address of the Branch Phone No., Fax No. & id. Page 15 of 16

16 MODEL BANK GUARANTEE FORMAT FOR FURNISHING BID SECURITY (EMD) Whereas (hereinafter called the tenderer )has submitted their offer dated. for the supply of... (hereinafter called the tender ) against the Purchaser s tender enquiry No...KNOW ALL MEN by these presents that WE.of.. having our registered office at. are bound unto.(hereinafter called the Purchaser)in the sum of.. for which payment will and truly to be made to the said Purchaser, the Bank binds itself, its successors and assigns by these presents. Sealed with the Common Seal of the said Bank this day of.20 THE CONDITIONS OF THIS OBLIGATION ARE: (1) If the tenderer withdraws or amends, impairs or derogates from the tender in any respect within the period of validity of this tender. (2) If the tenderer having been notified of the acceptance of his tender by the Purchaser during the period of its validity:- a) If the tenderer fails to furnish the performance security for the due performance of the contract. b) Fails or refuses to accept/execute the contract. We undertake to pay the Purchaser up to the above amount upon receipt of its first written demand, without the purchaser (IITI) having to substantiate its demand, provided that in its demand the purchaser will note that the amount claimed by it is due to it owing the occurrence of one or both the two conditions,specifying the occurred condition or conditions. We further undertake to pay the Purchaser any money so demanded notwithstanding any dispute or disputes raised by the supplier(s)/vendor(s) in any suit or proceeding pending before any court or Tribunal relating thereto, our liability under this present being absolute and unequivocal. The payment so made by us under this bond shall be a valid discharge of our liability for payment there under and the supplier(s)/vendor(s) shall have no claim against us for making such payment. This guarantee will remain in force up to and including 45 days after the period of tender validity and any demand in respect thereof should reach the bank not later than the above date. Signature of the authorized officer of the Bank. Name and designation of the officer. Seal, name & address of the Bank and address of the Branch Phone No., Page 16 of 16

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