Professional Documents
Culture Documents
Empanelment Form
Empanelment Form
Office:
Phone:
Fax:
E-mail:
Year of establishment:
Bank accounts number with Branch Name and IFSC code of the bank:
Details regarding any civil suit/litigation in the contracts executed by the Applicant [Corporate] during
the last 5 years. Give details if any:
iii Undertaking and Declaration as stipulated in Annexure III A and III B respectively in the EOI
document.
1
Annexure II
Office:
Phone:
Fax:
E-mail:
Qualification:
Years of experience:
PAN no.:
(Please attach the copy)
Bank accounts number with Branch Name and IFSC code of the bank:
Details regarding any civil suit/litigation in the contracts executed by the Applicant [Individuals] during
the last 5 years. Give details if any:
2
Annexure III A
UNDERTAKING
I/We do hereby understand and agree that the results produced, or the information derived during the
process of any research assignment will be completely owned by Export-Import Bank of India (EXIM
Bank), and I/we will have no right over utilising them for any other purpose. I/we also agree that EXIM
Bank will have the prerogative whether or not to acknowledge the Consultant
[Individuals/Corporate/Research Institution or Research Entity] in the final report. The decision taken by
EXIM Bank in this respect will be binding and agreeable to me/us.
Signature
Seal
Date:
Place:
3
ANNEXURE III B
DECLARATION
Signature
Seal
Date:
Place:
4
SCHEDULE