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Affidavit Format

The document outlines an affidavit format to be submitted by a bidder, affirming their identity and property ownership, and declaring their business intentions. It also includes a non-blacklisting declaration to confirm that the bidder is not blacklisted by any government or regulatory authority. Both sections require signatures and official seals to validate the claims made within.

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dvvnagesh123
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6 views2 pages

Affidavit Format

The document outlines an affidavit format to be submitted by a bidder, affirming their identity and property ownership, and declaring their business intentions. It also includes a non-blacklisting declaration to confirm that the bidder is not blacklisted by any government or regulatory authority. Both sections require signatures and official seals to validate the claims made within.

Uploaded by

dvvnagesh123
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Affidavit Format

(To be submitted by bidder on non-judicial stamp paper of Rs. 10/ (Rupees Hundred only) duly
attested by Notary Public)
Affidavit of Mr..DAKAMARI RAMANA.............................................................
S/o...BHULOKAM............................................................
R/0... 5-141-6-5 FLATNO.207 ..CHINMUSIWADA TEACHERLAYOUT PENDURTHY
VISAKHPATNMAM-530051....................... ...............................................
............................................................................
1. I, the deponent above named do hereby solemnly affirm and declare as under:
(i) That I am theDAKAMARI RAMANA/Authorized signatory Own Property at 5-141-6-5
FLATNO.207 CHINMUSIVWADA TEACHERS LAYOUT PENDURTHY
VISAKHPATNAM-530051.................................................. Having its Head Office/Regd.
Office at..................................................................................
That the Deponent is the Permanemt Resident of The Above Mentioned Adress47-9-25
3RDLINE DWARKANAGAR VISAKHPATNAM-530016
2. That Iam The Depnent Herein and As such I am well Acuainted With the Facts of
this Affidavit Iam Starting Business in Name of PADMA ENTERPRISES
I was Also Partner of the firm it was my own Residence Iam Given Permises Free
of cost
3. That I am making this Affidavit in order to be submitted the Same Before
Concerned Authorities to Show confirm the Above Mentioned Facts on the Stregth
of this Affidavit whatever state herewith above is true and correct.
4.

DEPONENT

Witness

1.

2.
Non-Blacklisting declaration
(To be given on Company Letter Head)

Date:
To,

Sub: Declaration for Non-Blacklisting

Tender Reference No:

Name of Tender / Work: -

Dear Sir,

We hereby declare that we are not blacklisted by any Central/ State Government/ agency of Central/ State
Government of India or any other country in the world/ Public Sector Undertaking/ any Regulatory Authorities in
India or any other country in the world for any kind of fraudulent activities.

Yours Faithfully,
(Signature of the Bidder, with Official Seal)

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