ANNEXURE-D

(Bidder is required to submit following Undertaking on Company’s Letter Head.

If bidder fails to submit this undertaking, the bid will not be evaluated)

UNDERTAKING

I hereby undertake that, in compliance to GeM GTC Clause No.-29 (One Bid per Bidder), I have submitted only
one bid in this tender. Violation of GeM GTC Clause No.-29, observed during evaluation or subsequent
processing of this tender or during execution of work, will result in bid (s) disqualification/contract cancellation,
forfeiture of EMD and initiation of necessary administrative actions against the firm (s) as per GeM guidelines. I
will be solely responsible for all such administrative actions.
It is certified that:

a) Only one bid has been submitted in the subject tender.

b) Any sister/Associated/Allied concerns has not participated in the subject tender.

c) Only one unit has participated in the tender, in case of more than one unit having common business
ownership/management.

d) GeM GTC Clause No.-29 is fully complied.

Duly signed & sealed by: Authorised Representative of the firm

Name & Post held:

Dated: ………
 ANNEXURE-M

Make in India (MII) DECLARATION

Format for Certification under “MAKE IN INDIA” Policy

CERTIFICATE TO BE SUBMITTED BY LOCAL SUPPLIER

In line with Government Public Procurement Make in India (MII) Order No. P-45021/2/2017-BE-II dt.
15.06.2017 and No.:P-45021/2/2017-PP(BE-II) dt. 19.07.2024 along with clarifications/amendments and
other references as issued by competent authority in this respect from time to time, we hereby certify that
we :

i. M/s.__________________________________________(supplier name) are Local Supplier

meeting the requirement of Minimum Local Content as per below declaration and as
defined in above cited Order/Circular for the material with respect to GeM Bid/Tender
No._________________________________________________________.

i. Name of the Original Equipment Manufacturer (OEM) of the Offered Product:

______________________________________________________________________________
ii. Details of Location (Complete Address of OEM) at which local value addition will be made is
as follows:
______________________________________________________________________________
______________________________________________________________________________
DECLARATION
Minimum Local Content (in %) for item/s offered with respect to subject bid/tender is declared as
below :

Accordingly, we declare to be

a. Class-I Local Supplier (50% or more Local Content)

b. Class-II Local Supplier (Minimum 20% but less than 50% Local Content)

NOTE:
Non - Local suppliers as per MII order dated 04.06.2020 are not eligible to participate in subject bid.
In case participating bidder is a Non-Local Supplier, may please submit a separate declaration in
self-certified format. However, false declaration should not be given under any circumstances.
Sr. No. (i) to (iii) as above are to be clearly furnished.
Make in India Declaration is to be submitted by Original Equipment Manufacturer (OEM) only.
“Local Content” means the Amount of value added in India which shall, unless otherwise
prescribed by the Nodal Ministry, be the total value of the item procured (excluding net domestic
indirect tax) minus the value of imported content in the item (excluding all custom duties) as a
proportion of the total value, in percent.

With respect to subject bid conditions we certify and declare that,

We do not fall under the category of Non-Local Supplier as per MII Order, dtd.: 19/07/2024.
We also understand, false declarations will be in breach of the Code of Integrity under Rule 175(1)(i)(h) of
the General Financial Rule for which a bidder or its successors can be debarred for up to two years as per
Rule 151(iii) of the General Financial Rules along with such other actions as may be permissible under law.

Seal and Signature of Authorized Signatory

 MANDATE FORM TO BE FILLED BY THE BIDDER

(A) BIDDER IS REQUESTED TO PLEASE FURNISH FOLLOWING DETAILS ALONGWITH THE BID
(Please fill data correctly):-

1. NAME OF BIDDER : __________________________________________

2. ADDRESS :___________________________________________
:___________________________________________

3. E-mail ID :___________________________________________

4. CIN OF BIDDER. :___________________________________________

(Mandatory for company)

5. NAME OF BANK :___________________________________________

6. BANK ADDRESS :___________________________________________

____________________________________________

7. IFSC CODE OF BANK :______________________________________________

8. BANK ACCOUNT NO. (Please attach copy of cancelled cheque)

9. GeM BID NO. :_____________________________________________

10. PAN NO. OF BIDDER :______________________________________________

11. GSTIN OF BIDDER :_______________________________________________

(B) THE FOLLOWING ADDITIONAL DETAILS MAY BE PROVIDED IN CASE YOU HAVE PAID EMD
AMOUNT THROUGH NEFT/RTGS/IMPS/EBANK/UPI Etc.- This is applicable only when EMD
payment is applicable in GeM Bid.

i. Bank transaction/transaction Particulars: -

ii. Payment made through NEFT/RTGS/IMPS/EBANK/UPI etc: -
iii. Payment date: -
iv. Amount paid: -

DATE : ___________________________ _______________________________

(AUTHORISED SIGN. WITH SEAL)

TO: MANAGER (FINANCE & ACCOUNTS)

RAWATBHATA RAJASTHAN SITE

Note: -The above details are required to be submitted mandatorily with GeM Bid for consideration of your
Bid/Offer.
 Annexure-F

PO No. Invoice No. & Date :

Declaration Form for GST

The Supplier/Contractors while submitting their bill to the Paying Authority shall furnish the
following certificates:

Certified that: (Please Tick all appropriate boxes)

(a) Additionally Input Tax Credit under GST availed against invoices submitted here under is
Rs.__________________.
(a) Certified that the goods and services on which GST has been charged are not exempted under
the GST Act or the rules made there under and the amount charged on account of GST on these
goods and services are not more than what is payable under the relevant act or the rules there
under.
(b) Certified that we have taken into account all input tax credits available under GST and have not
loaded the same in the basic price while furnishing their bids.
(c) Certified that in respect of amount of taxes claimed in the bill no claim is pending for refund/or is
admissible for refund from any other agency and /or no other tax credit is available in respect of
the same. In the event of getting refund in whole or in part of the element of GST claimed from
Government, the same shall be passed on the benefit to the Purchaser by remitting the amount
equivalent to the amount of refund obtained.
(d) Certified that the GST charged herein the invoices has been/ shall be deposited within the due
date and the Invoices details have been/ shall be populated in GSTR1/ANX-1 of the GSTN portal
facilitating Input Tax Credit to the Purchaser.
(e) Certified that we have complied with the Anti-profiteering measure provisions under CGST/
SGST/UTGST Acts and passed on commensurate reduction of price to the purchaser.
(f) Certified that a quarterly statement shall be submitted to NPCIL confirming the payment of GST
invoiced on NPCIL along with copy of GST paid challan.
(g) Certified that in case of any change in the invoice which has been accepted by the Purchaser in
the IMS portal, the corresponding amendment in the Original Invoice shall be made by the
supplier/contractor, by raising Debit Note/Credit Note or any other document, as applicable,
within the timelines stipulated under the GST Act.

Declaration Form for TDS

The Supplier/Contractor while submitting their bill to the Paying Authority shall furnish the following
certificates:
Certified that: (Please Tick all appropriate boxes):
(a) Whether Provisions of Section 194Q are applicable (For Supply of Goods worth 50 Lakhs p.a ):
YES/NO
(b) We have filed the return of income for the previous 2 years (AY _____ & AY______) preceding the
year in which tax is liable to be deducted, within the prescribed time limit and hence, confirm that
applicable rate of TDS is at Normal Rate (0.1% as on date)
(c) We have linked the PAN to Aadhar and the PAN is not inoperative (applicable in case of
Individuals)

Incomplete information against point (a), (b) & (c) above under Declaration form for TDS, shall be subject
to deduction of tax at higher rate as applicable (5% as on date)

Signature of Contractor or their Authorised Representative with company seal.