Samsung Electronics Co.

, Ltd
Manufacturer & Suppliers
M-10, M- Block Market, Ground Floor,
Greater Kailash-1, Delhi 110048
Ref.No-SAM/1248/2021/25 Date- 30-11-2021

Form -3

MANUFACTURER'S AUTHORIZATION FORM

To:
The Central In-Charge,
Sports Authority of India,
Training Centre, Major Dhyanchand Stadium,
Cantt, Bareilly (U.P.)

WHEREAS [Samsung Electronics Co., Ltd] who are established and reputable manufacturers of
[Electricals & Electronics] having factories at [M-10, M-Block Market, Ground Floor, Greater
Kailash-1, Delhi 110048]

do hereby authorize [GS General Suppliers, 132 Bannuwal Nagar, 100fita road, Delapeer Izzat
Nagar, Bareilly, Mobile-8899197487, E-mail- gsgeneral.suppliers1006@gmail.com] to submit a
bid, and subsequently negotiate and sign the Contract with you against IFB No.[SAI/STC/BLY/ Sct-
Misc Eqpt /2020-21/ for the above goods manufactured by us.

We hereby extend our full guarantee and warranty as per Clause 9 of the Conditions of Contract for the
goods offered for supply by the above firm against this Invitation for Bids.

p
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_______________________________________
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[signature for and on behalf of Manufacturer]

Note: This letter of authority should be on the letterhead of the Manufacturer and should be
signed by a person competent and having the power of attorney to bind the Manufacturer.
It should be included by the Bidder in its bid.