: sales@glassm.co.in

Open : Mon to Sat

: 9945304240

No 114, B Block Upper Ground Floor, IT Park, Hubli, 580029

Forms

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AFFIDAVIT

I son of , aged , residing at do hereby declare and confirm that I have been appointed as the lawful Attorney/authorized representative of which is a company seeking registration in Government of Karnataka’s e-Procurement platform (http://www.eproc.karnataka.gov.in) through resolution of the board of directors of the said company dated 07-10-2015 I affirm that the copy of the board resolution submitted to the Government of Karnataka is a true copy and the same is legally valid.

  1. To submit proposal and participate in all tenders published and handled in the unified e-Procurement platform (http://www.eproc.karnataka.gov.in) of Government of Karnataka on behalf of the company.
  2. To authorize any other individual as ‘nominated user’ to submit a bid, and subsequently negotiate and sign the Contract with any entity, agency or department of the Government of Karnataka (hereinafter referred to as ‘Owner’) for which tenders are floated in the unified e-Procurement platform of Government of Karnataka
  3. To negotiate with the Owner the terms and conditions including price for award of the contract pursuant to the aforesaid Bid and to sign the contract with the Owner for and on behalf of the Company.
  4. To receive, accept and execute the contract for and on behalf of the Company
  5. To do any other act or submit any document related to the above.
  6. Hand over site to the Authorities after execution and obtain completion certificate (as applicable);
  7. To make estimation of the work done from time to time (as applicable);
  8. To make measurements of the work done from time to time(as applicable);
  9. To draw bills in the name of the Company;
  10. To receive payments in favour of the Company against the aforesaid bills from the authorities concerned;
  11. To make correspondence with the said authorities;
  12. To submit any extra claims before the authorities relating to the work;
  13. To appear and represent on behalf of the Company with all other authorities such as State government, Central Government, Electricity board, Telephone Department, RTO office, Income Tax, Sales tax, Labour Departments and such other departments connected to the project and to carry on correspondence with the above in respect of the contract.
  14. To submit any bank guarantee, indemnities, earnest money deposits, etc., as the Owner may require.”

It is expressly understood that the Affidavit shall remain valid, binding and irrevocable till submission of the Contract performance guarantee in terms of all the Contracts for which tender is floated in the unified e-Procurement platform of Government of Karnataka. I and the company hereby agrees and undertakes to ratify and confirm whatsoever the said "Attorney" / "Authorized Representative" quotes in the Bid, negotiates and signs the contract with the "Owner" and / or purports to act on behalf of the "Company" by virtue of this Affidavit and the same shall bind the Company as if done by itself.

“IN WITNESS WHEREOF, I, have signed these presents on this the

PLACE:

DATE:

DEPONENT

NOTARISED:

Print / AFFIDAVIT

Self Authorization

To,

SignX CA

Certifying Authority

Subject: Proof of Sufficient Authorization

Organization Name:

This is to confirm that Mr. with PAN No hereby appointed as Authorized Person to procure Digital Signature Certificates/ eSign from SignX-CA. By this, he/she is authorized to act as an ‘Authorized Signatory’ (as per the definition of Identity Verification Guidelines of CCA) towards further authorizing the enrolments of Organization employees for creation of their KYC account (to enroll for DSC/eSign)

The acts done and documents shall be binding on the Organization. I’m having suitable authority/authorization to provide this authorization on behalf of the Organization.

For the Organization,

(Seal & Signature)

Name: Mr.

Designation:

Mobile:

Print / Self Authorization

(To be printed on organization letter head / Office seal. To be signed by Authorized Signatory the Director / Partner / Proprietor / Authorized Signatory.)

Authorization by Organization

To:

SignX

Certifying Authority

Subject: Proof of Sufficient Authorization

Organization Name:

This is to confirm that Mr. / Ms. having Permanent Account Number (PAN) is hereby appointed as Authorized Person to procure Digital Signature Certificates/ eSign from SignX-CA. By this, he/she is authorized to act as an ‘Authorized Signatory’ (as per the definition of Identity Verification Guidelines of CCA) towards further authorizing the enrolments of Organization employees for creation of their KYC account (to enroll for DSC/eSign)

The acts done and documents shall be binding on the Organization. I’m having suitable authority/authorization to provide this authorization on behalf of the Organization.

For the Organization,

(Seal & Signature)

Name:

Designation:

Mobile:

Print / Authorization by Organization

Identification Form

Attach photo

Print / Identification Form

Authorization & Declaration form

  1. I/We hereby nominate PARVATHI MOUNESH PATIL (Name) PROPRIETOR (Designation/Position) to submit request for registration on IREPS on our behalf. I/We authorize IREPS administratortocreate IREPS user account in his/her name as a primary user.
  2. I/We understand that the primary user so created will act as authorized signatory on our behalf and will be able to submit online bids (digitally signed or otherwise),accept counter offers online, upload digitally signed documents against tenders /auctions, acknowledge receipt of digital documents delivered to us online,update our bank account details or other attributes related to our firm likeaddress/ phone number etc., and perform other related activities on IREPS portal on our behalf.
  3. I/We also understand that the primary user can create other secondary user accounts under the IREPS account of our firm/organization, and these secondary uses will also act as authorized signatories on our behalf, and will be able to perform all activities listed in para 2 above.
  4. I/We also understand that the primary user can make any secondary user theprimary user in his place, and this user can then perform all such activities which the primary users are allowed to perform.
  5. We will be fully responsible and legally liable for all acts of commission or omission carried out by any of our primary / secondary users on IREPS portal.
  6. It will be our responsibility to keep the list and details of the authorized signatories updated at all times, and to ensure deletion of the user account of any authorized signatory (Primary / Secondary user) immediately if he/she leaves our Firm/ Organization, or if his/ her authorization for performing activities on IREPS Portal has been withdrawn by us. In case of our failure to do so, our Firm/ Organization etc. shall be responsible for all liabilities, legal/ financial/ contractual etc. arising out of any activity performed by any such user.

Signature:

Seal of the Firm:

Dated:

(To be signed by authorized director in case of company, authorized partner in case ofpartnership firm, proprietor in case of proprietorship firm, owner in case of Individual,authorized member in case of joint venture and authorized official in cases of Govt.department /PSU.)

Print / Authorization & Declaration form

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AFFIDAVIT

I S/O , aged , residing at hereby declare and confirm that I am an authorized representative ofwhich is a sole proprietorship concern seeking registration in Govt of Karnataka’s e-Procurement platform (http://www.eproc.karnataka.gov.in).

  1. To submit proposal and participate Sin all tenders published and handled in the unified e-Procurement platform (http://www.eproc.karnataka.gov.in) of Government of Karnataka on behalf of the company.
  2. To authorize any other individual as ‘nominated user’ to submit a bid, and subsequently negotiate and sign the Contract with any entity, agency or department of the Government of Karnataka (hereinafter referred to as ‘Owner’) for which tenders are floated in the unified e-Procurement platform of Government of Karnataka
  3. To negotiate with the Owner the terms and conditions including price for award of the contract pursuant to the aforesaid Bid and to sign the contract with the Owner for and on behalf of the Company.
  4. To receive, accept and execute the contract for and on behalf of the Company
  5. To do any other act or submit any document related to the above.
  6. Hand over site to the Authorities after execution and obtain completion certificate (as applicable);
  7. To make estimation of the work done from time to time (as applicable);
  8. To make measurements of the work done from time to time(as applicable);
  9. To draw bills in the name of the Company;
  10. To receive payments in favour of the Company against the aforesaid bills from the authorities concerned;
  11. To make correspondence with the said authorities;
  12. To submit any extra claims before the authorities relating to the work;
  13. To appear and represent on behalf of the Company with all other authorities such as State government, Central Government, Electricity board, Telephone Department, RTO office, Income Tax, Sales tax, Labour Departments and such other departments connected to the project and to carry on correspondence with the above in respect of the contract.
  14. To submit any bank guarantee, indemnities, earnest money deposits, etc., as the Owner may require.”

It is expressly understood that the Affidavit shall remain valid, binding and irrevocable till submission of the Contract performance guarantee in terms of all the Contracts for which tender is floated in the unified e-Procurement platform of Government of Karnataka. I and the firm hereby agrees and undertakes to ratify and confirm whatsoever the said "Authorized Representative" quotes in the Bid, negotiates and signs the contract with the "Owner" and / or purports to act on behalf of the "Firm" by virtue of this Affidavit and the same shall bind the Firm as if done by itself.

“IN WITNESS WHEREOF, I, have signed these presents on this the

PLACE:

DATE:

DEPONENT

Print / Affidavit Proprietorship

Lorem ipsum dolor sit amet consectetur, adipisicing elit. Vel, voluptatibus aliquam doloribus esse in libero recusandae nesciunt tempore sed consequatur perferendis laborum facere, facilis maiores, eos eligendi. Sapiente, esse pariatur? Repellendus doloribus odio quas vero alias sint numquam laboriosam iure nihil optio, praesentium soluta culpa adipisci quidem est nesciunt tempora officia deleniti, similique tempore temporibus quibusdam exercitationem iure cumque odit. Necessitatibus earum mollitia distinctio deleniti. odio quas vero alias sint numquam laboriosam iure nihil optio, praesentium soluta culpa adipisci quidem est nesciunt tempora officia deleniti, similique tempore temporibus quibusdam exercitationem iure cumque odit. Necessitatibus earum mollitia distinctio deleniti. quas vero alias sint numquam laboriosam iure nihil optio, praesentium soluta culpa adipisci quidem est nesciunt tempora officia deleniti, similique tempore temporibus quibusdam exercitationem iure cumque odit. Necessitatibus earum mollitia distinctio deleniti.

AFFIDAVIT

I S/O of aged about residing at .do hereby declare and confirm that I am representing myself as an individual seeking registration in Govt of Karnataka’s e-Procurement platform (http://www.eproc.karnataka.gov.in).

  1. To submit proposal and participate Sin all tenders published and handled in the unified e-Procurement platform (http://www.eproc.karnataka.gov.in) of Government of Karnataka on behalf of the company.
  2. To negotiate with the Owner the terms and conditions including price for award of the contract pursuant to the aforesaid Bid and to sign the contract with the Owner for and on behalf of the Company.
  3. To receive, accept and execute the contract for and on behalf of the Company
  4. To do any other act or submit any document related to the above.
  5. Hand over site to the Authorities after execution and obtain completion certificate (as applicable);
  6. To make estimation of the work done from time to time (as applicable);
  7. To make measurements of the work done from time to time(as applicable);
  8. To draw bills in the name of the Company;
  9. To receive payments in favour of the Company against the aforesaid bills from the authorities concerned;
  10. To make correspondence with the said authorities;
  11. To submit any extra claims before the authorities relating to the work;
  12. To appear and represent on behalf of the Company with all other authorities such as State government, Central Government, Electricity board, Telephone Department, RTO office, Income Tax, Sales tax, Labour Departments and such other departments connected to the project and to carry on correspondence with the above in respect of the contract.
  13. To submit any bank guarantee, indemnities, earnest money deposits, etc., as the Owner may require.”

It is expressly understood that the Affidavit shall remain valid, binding and irrevocable till submission of the Contract performance guarantee in terms of all the Contracts for which tender is floated in the unified e-Procurement platform of Government of Karnataka. I and the firm hereby agrees and undertakes to ratify and confirm whatsoever the said "Authorized Representative" quotes in the Bid, negotiates and signs the contract with the "Owner" and / or purports to act on behalf of the "Self" by virtue of this Affidavit and the same shall bind on me.

“IN WITNESS WHEREOF, I have signed these presents on this the

PLACE:

DATE:

DEPONENT

NOTARISED:

Print / Affidavit Individual

Lorem ipsum dolor sit amet consectetur, adipisicing elit. Vel, voluptatibus aliquam doloribus esse in libero recusandae nesciunt tempore sed consequatur perferendis laborum facere, facilis maiores, eos eligendi. Sapiente, esse pariatur? Repellendus doloribus odio quas vero alias sint numquam laboriosam iure nihil optio, praesentium soluta culpa adipisci quidem est nesciunt tempora officia deleniti, similique tempore temporibus quibusdam exercitationem iure cumque odit. Necessitatibus earum mollitia distinctio deleniti. odio quas vero alias sint numquam laboriosam iure nihil optio, praesentium soluta culpa adipisci quidem est nesciunt tempora officia deleniti, similique tempore temporibus quibusdam exercitationem iure cumque odit. Necessitatibus earum mollitia distinctio deleniti. quas vero alias sint numquam laboriosam iure nihil optio, praesentium soluta culpa adipisci quidem est nesciunt tempora officia deleniti, similique tempore temporibus quibusdam exercitationem iure cumque odit. Necessitatibus earum mollitia distinctio deleniti.

AFFIDAVIT

I, son of , aged about residing at do hereby declare and confirm that I have been appointed as the lawful Attorney/authorized representative of which is a company seeking registration in Government of Karnataka’s e-Procurement platform (http://www.eproc.karnataka.gov.in) through resolution of the board of directors of the said company dated . I affirm that the copy of the board resolution submitted to the Government of Karnataka is a true copy and the same is legally valid.

  1. To submit proposal and participate in all tenders published and handled in the unified e-Procurement platform (http://www.eproc.karnataka.gov.in) of Government of Karnataka on behalf of the company.
  2. To authorize any other individual as ‘nominated user’ to submit a bid, and subsequently negotiate and sign the Contract with any entity, agency or department of the Government of Karnataka for which tenders are floated in the unified e-Procurement platform.
  3. To negotiate with the Owner the terms and conditions including price for award of the contract pursuant to the aforesaid Bid and to sign the contract with the Owner for and on behalf of the Company.
  4. To receive, accept and execute the contract for and on behalf of the Company.
  5. To do any other act or submit any document related to the above.
  6. Hand over the site to the Authorities after execution and obtain a completion certificate (as applicable).
  7. To make estimation of the work done from time to time (as applicable).
  8. To make measurements of the work done from time to time (as applicable).
  9. To draw bills in the name of the Company.
  10. To receive payments in favour of the Company against the aforesaid bills from the authorities concerned.
  11. To make correspondence with the said authorities.
  12. To submit any extra claims before the authorities relating to the work.
  13. To appear and represent on behalf of the Company with all other authorities such as State government, Central Government, Electricity board, Telephone Department, RTO office, Income Tax, Sales tax, Labour Departments and such other departments connected to the project and to carry on correspondence with the above in respect of the contract.
  14. To submit any bank guarantee, indemnities, earnest money deposits, etc., as the Owner may require.

It is expressly understood that the Affidavit shall remain valid, binding, and irrevocable till submission of the Contract performance guarantee in terms of all the Contracts for which tender is floated in the unified e-Procurement platform of Government of Karnataka. I and the company hereby agree and undertake to ratify and confirm whatsoever the said "Attorney" / "Authorized Representative" quotes in the Bid, negotiates, and signs the contract with the "Owner" and / or purports to act on behalf of the "Company" by virtue of this Affidavit and the same shall bind the Company as if done by itself.

“IN WITNESS WHEREOF, I, have signed these presents on this the

PLACE:

DEPONENT

NOTARY

Print / Affidavit Co nominated