Public Works Department

|| AFFIDAVIT || (On Non Judicial Stamp of Rs. 50) I/we who is/ are Self (status in the firm/ company) and competent for submission of the affidavit on behalf of M/S (contractor) do solemnly affirm an oath and state that: I/we am/are fully satisfied for the correctness of the certificates/records submitted in support of the following information in bid documents which are being submitted in response to notice inviting e-tender No.----------------------for Innova for use of govt. work to Assistant Project Director PWD PIU Jabalpur (name of work) dated ----------------- issued by the Public works department PIU Divisonal Project Engineer Jabalpur (name of the department). I/we am/ are fully responsible for the correctness of following self-certified information/ documents and certificates: 1. That the self-certified information given in the bid document is fully true and authentic. 2. That: a. Term deposit receipt deposited as earnest money, demand draft for cost of bid document and other relevant documents provided by the Bank are authentic. b. Information regarding financial qualification and annual turnover is correct. c. Information regarding various technical qualifications is correct. 3. No close relative of the undersigned and our firm/company is working in the department. Signature with Seal of the Deponent (bidder) I/ We, above deponent do hereby certify that the facts mentioned in above paras 1 to 3 are correct to the best of my knowledge and belief. Verified today ------------------------(dated) at JABALPUR (place). Signature with Seal of the Deponent (bidder) Note: Affidavit duly notarized in original shall reach at least one calendar day before opening of the bid. Section 2 –Annexure - B