Name of the company : ______________________________________

Mailing address :          ______________________________________

                                  ______________________________________

Contact Executive :      ______________________________________
(Name & designation)
Tel: ____________________      Fax: __________________________

E-mail: _______________________ website: ____________________

VAT/TIN No. _______________     Service Tax No. ________________
(Please attach copies of certificates and latest returns)

Annual turnover during last fiscal Rs._____________________
(attach copy of auditedBalance Sheet)

Details of tender cost   DD No._____________dated________________

                                 Drawn on _______________________________

                         Or ITPO’s Receipt No. ____________dated__________