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Application No

2006

Leader
Other members of the
consortium, if any

Name
(Nationality)
Name
(Nationality)

Page 1 of 2

9
1 Enter 'OK' if all criteria have been satisfied, otherwise enter 'a', 'b', 'c', etc to record any criteria which have not been satisfied

Short-listed? (Y/N)

A(dded)/E(liminated)/R(etained)
after re-examination

Comments

(OK/a/b/) 2Technical capacity?

Professional capacity?
(OK/a/b/) 2

Lot no :
Economic & financial
capacity? (OK/a/b/) 1

Declarations? (Y/N)

Contract title :

(Y/N)Eligible nationality?

Standard application
form duly completed
and only 1 application
submitted per candidate
Y/N)

Within deadline? (Y/N)

LONG LIST
Publication reference :

Application No

2006

Leader
Other members of the
consortium, if any

Name
(Nationality)
Name
(Nationality)

10

11

12

13

14

Chairperson's
name

Chairperson's
signature

Date

Page 2 of 2

Short-listed? (Y/N)

A(dded)/E(liminated)/R(etained)
after re-examination

Comments

(OK/a/b/) 2Technical capacity?

Professional capacity?
(OK/a/b/) 2

Economic & financial


capacity? (OK/a/b/)

Declarations? (Y/N)

(Y/N)Eligible nationality?

Standard application
form duly completed
and only 1 application
submitted per candidate
Y/N)

Within deadline? (Y/N)

Long list

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