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2019 04 18 19 03 24 Forms - Web Developer - National 1

Forms_Web-Developer_National

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Rowdy Chowdhury
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20 views

2019 04 18 19 03 24 Forms - Web Developer - National 1

Forms_Web-Developer_National

Uploaded by

Rowdy Chowdhury
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Forms

Form A: Application Submission Form

Form B: CV of the Applicant

Form C: Remuneration and Reimbursable


Form A. Application Submission

[Location: dd/mm/yy]

To:
Director General, CPTU &
Project Director
Digitizing Implementation Monitoring and Public Procurement Project (DIMAPPP)
Central Procurement Technical Unit (CPTU)
IMED, Ministry of Planning
Sher-e-Bangla Nagar, Dhaka-1207

Dear Sir:

I am hereby submitting my Application to provide the consultancy Services for Web


Developer (National) {contract package # CPTU/S-19 (b)} in accordance with your Request for
Expression of Interest dated [dd/mm/yy].

I undertake, if I am selected, to commence the consulting Services for the assignment


within the time limit agreed during negotiation of the contract.

I understand that you are not bound to accept any Application that you may receive.

Yours sincerely,

Signature Print
name Address:
Tel:
Attachment:
Form B. Curriculum Vitae (CV) of the Applicant
1. PROPOSED POSITION [From the Terms of Reference, state the
FOR THIS PROJECT position for which the Consultant well
be engaged.]
2. NAME OF PERSON [state full Name]

3. DATE OF BIRTH dd/mm/yyJ

4. NATIONALITY

5. MEMBERSHIP IN [state rank and name of society and


PROFESSIONAL SOCIETIES year of attaining the rank]

6. EDUCATION [List all the colleges/universities which


the Applicant

Attended, stating degrees obtained, and


dates, and list any other specialized
education of the Applicant]

7. OTHER TRAINING [indicate significant training since


degrees under EDUCATION were
obtained, which is pertinent to the
proposed tasks of the Consultant]
8. LANGUAGESs DEGREE OF
PROFICIENCY Language : Speaking: Reading: Writing
e.g, English 'Fluent: Excellent:
Excellent
9. COUNTR1ES OF WORK
EXPERIENCE
10. EMPLOYMENT
RECORD
[starting with present/recent position list in [The applicant should clearly
reverse order [every employment held and distinguish whether as an “employee”
state the start and end dates of each or as a “Consultant: or “Advisor” or
employment] “Specialist”]. [ The applicant should
clearly indicate the position held and
give a brief description of the duties in
which the Applicant was involved].
11. From: To:
(a) EMPLOYER 1 (Name and
address with contacting
reference) Position:
Brief description of the duties:
12. (b) EMPLOYER 2 (Name and From: To:
address with contacting
reference)
Position:
Brief description of the duties:
……………….

13. COMPUTER LITERACY AND


SKILL
14. LIST OF PUBLICATIONS, IF
ANY
15. WORK UNDERTAKEN THAT
BEST ILLUSTRATES THE
CAPABILITY TO HANDLE THIS
ASSIGNMENT
16. ADDRESS (PERMANENT AND
MAILING (INCLUDING
MOBILE, TELEPHONE AND E-
MAIL
17. REFERENCES

Certification
[Do not amend this certification]

I, the undersigned, certify that (i) I was not a former employee of the Client immediately before the submission of
this proposal, and (ii) to the best of my knowledge and belief, this CV correctly describes myself, my qualifications,
and my experience. I understand that any wilful misstatement described herein may lead to my disqualification or
dismissal, if engaged.

Signature

Print Name

Date of Signing
Form C. Indicative Remuneration & Expenses

(1) Remuneration

Rate/month (In BDT.) Staff Time (No. of Month) Total (In BDT.)

48

(2) Reimbursable

Description of Cost Items Rate/Unit Total Unit Total Amount


(In BDT.)
(a) Per diem Allowance out-site
Dhaka
(b) Travel Costs out site

(c) Other Travel Costs

(d) Communication Charges

(e) Reproduction of Reports

(f) Other Expenses

Contract Celling (1) + (2)

N.B.: All calculation of remuneration and reimbursable are exclusive of AIT and VAT.
The final contract amount will include AIT and VAT and be determined at the time of
negotiation.

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