Banglades Bank Common Services Deparmen-1 (Equipmen Secion) Head Office Moijheel Dhaka-1000 Websie: www.bb.org.bd. Inviaion for Enlismen Applicaions are invied hrough e-endering Sysem for enlismen of supplying & repairing of Phoocopy machine, Franking Machine, Spiral Binding Machine for Bangladesh Bank, Head Office, Dhaka. Necessary informaion is given below : 1. Minisry/Division No applicable. 2. Agency No applicable. 3. Procuring Eniy Name Bangladesh Bank 4. Procuring Eniy Disric Dhaka. 5. Inviaion for Enlismen 6. Inviaion Ref No CSD(Equip:)91/3/2017-02 7. Dae 17/01 /02/2017 KEY INFORMATION 8. Procuremen Mehod Limied Tendering Mehod PARTICULAR INFORMATION 9. Applicaion Closing Dae and Time 12./02/2017, Time : 3.00 PM. 10. Applicaion Opening Dae and Time 12/02/2017, Time : 3.30 PM. 11. Name & Address of he Office(s) Common Services Deparmen-1,(6h Floor, 2nd Annex Building, Bangladesh Bank, Head Office, Dhaka. - Applicaion Form & deails erm & condiions. Availabiliy Websie : www.bb.org.bd. - Receiving Applicaion Form BB websie and Hard copy Documen. INFORMATION FOR Applican 12. Eligibiliy of Applican (1)Minimum 3 years Experience in similar naure of works 13. Price of Applicaion Form (Tk) No applicable 14 Enlismen / Renewal Fee (Tk) (a)enlismen : 5,000/- PROCURING ENTITY DETAILS (2)Saisfacorily compleion of similar naure of works in a single or muliple conrac of Tk.20,00,000/- in any Governmen/Semi-Governmen/Auonomous organizaion/regisered firms of Bangladesh during las 03(hree) years.the Applican shall have o furnish cerificae in his regard from officers no below he rank of Execuive Engineers or equivalen.. (b) Renewal : 2,000/- 15. Name of Official Inviing Applicaion Ms. Nahida Begum 16. Designaion of Official Inviing Applicaion General Manager 17. Address of Official Inviing Applicaion Common Services Deparmen-1, Bangladesh Bank, Head Office, Dhaka. 18. Conac deails of Official Inviing Applicaion Phone : 9530148 Fax : 88-02-9564117 E-mail : nahida.begum@bb.org.bd 19. The Procuring Eniy reserves he righ o accep or rejec any or all Applicaions (Ms. Nahida Begum) General Manager
Applicaion Form for Enlismen Common Services Deparmen-1, (Equipmen Secion) Bangladesh Bank, Head Office, Dhaka-1000.
Applicaion Submission Leer IFE No: Dae:.../02/2016 To General Manager Common Services Deparmen-1 (Equipmen Secion)Bangladesh Bank, Head Office, Dhaka. I/We declare ha, I/we have he legal capaciy o ener ino a conrac wih you, and have no been declared ineligible by he Governmen of Bangladesh on charges of engaging in corrup, fraudulen, collusive or coercive pracices. I/We am/are no submiing more han one Applicaion in his enlismen/ renewal of enlismen process in my/our own name or oher name or in differen names. I/We have examined and have no reservaions o he Documen issued by you. I/We have read he Terms and condiion saed in annexure "A" and properly signed by me/us II/We cerify ha o he bes of my/our knowledge, he informaion provided by me/us is correc and rue. I/We undersand ha if any of he pariculars and saemens provided above is proven o be incorrec and false, my/our enlismen shall be liable o cancellaion. I/We undersand ha you reserve he righ o rejec all he Applicaions or annul he enlismen proceedings wihou incurring any liabiliy o Applican. Signaure of he Applican Name:
Applicaion FOR ENLISTMENT/RENEWAL OF ENLISTMENT [This Form should be compleed and signed by Applican ] To: Dae : General Manager Common Services Deparmen-1 Bangladesh Bank, Head Office, Dhaka. Inviaion for Enlismen No:. Applicaion Type: Firs Time Applicaion Renewal Applicaion [USE MARKS] 1. Informaion of he Applican 1.1 Applican s legal Name: 1.2 Consiuion of Applican: [USE MARKS] Proprieorship Parnership Pv. Ld 1.3 Dae of Consiuion : 1.4 Business/Mailing Address : Vill/Sree:. P.O:. Disric/Ciy:... Pos Code:.. Telephone:. Fax:. E-Mail:.. 1.4 VAT Regisraion Number : 1.5 TIN : 1.6 Personal Informaion of Proprieor/Managing Direcor/... 1.7 Conac Deails Telephone: Fax: E-Mail: 1.8 Pariculars of Bank Accoun Name of he Bank: Branch: A/C No: 2. Oher Informaion of he Applican 2.1 Applican Caegory [USE MARKS] Name:. Male / Female [USE MARKS] Faher s Name: Moher s name: Age: Educaional Qualificaion:.. Naional ID :. Supply of phoocopy Machine, Spiral Binding Machine & Franking Machine. Repairing phoocopy Machine, Spiral Binding Machine & Franking Machine. 2.4 Number of Employees: [Lis of Key Personnel, Bio-daa of Technical Personnel] Technical: Suppor saff: Ohers: 2.5 Financial Resources available o mee he Business cash flow : No Source of Financing Amoun Available
3. Informaion on Debarmen: 3.1 Have you ever been debarred by any Gov. agency Yes No If yes, please sae when and where. [USE MARKS] 4. Qualificaion requiremen: 4.1 (a) Minimum 3 years Experience in similar naure of works (b) Saisfacorily compleion of similar naure of works in a single or muliple conrac of Tk.20,00,000/- in any Governmen/Semi-Governmen/Auonomous organizaion/regisered firms of Bangladesh during las 03(hree) years (c) Valid Trade License (d) TIN Cerificae (e) Va regisraion Cerificae. (f) Ohers qualificaion menioned in he erms & condiions. 5. Aachmen 5.1 1 copy of PP size phoograph of Proprieor/Managing Direcor 5.2 TIN Cerificae 5.3 VAT Regisraion cerificae 5.4 Affidavi/Aricle of Associaion of he Firm (as applicable) 5.5 Valid Trade License 5.6 Bio-daa of Key Technical Personnel 5.7 Phoocopy of NID card of Proprieor/Managing Direcor(According o Sl.01.6) 5.8 An affidavi, confirming ha he Applican has he legal capaciy o ener ino a conrac wih Procuring Eniy, and have no been declared ineligible by he Governmen of Bangladesh on charges of engaging in Corrup, Fraudulen, Collusive or Coercive pracices 5.9. 3(Three) years experience cerificae 5.10 Bank Solvency cerificae 5.11. Manufacurers / Disribuor auhorisaion leer/agency Agreemen. 6. Specimen Signaure of he Applican:
Affidavi o be submied by Applicans (To be execued on non-judicial samp paper)\ I... S/o//D/o... presenly residing a... hereby sae as follows: I was born on... (dae) in ------------------------(name of Disric) I ake oah and solemnly declare/affirm ha, I have he legal capaciy o ener ino a conrac wih Procuring Eniy, and have no been declared ineligible by any of he PE s under any Governmen/semi Governmen/auonomous bodies of Governmen of Bangladesh on charges of engaging in Corrup, Fraudulen, Collusive or Coercive pracices and I furher declare ha I am a Ciizen of Bangladesh. and he pariculars furnished by me above are correc and ha I have no concealed or misrepresened any facs... Signaure of he Applican WITNESSES 1. 2. Sworn o before me This. Day of..20 a.... Noary Public
evsjv `k e vsk Kgb mvwf mmwwcvu g U-1 (BKÿ Bc g U mkkb) cöavb Kvh vjq gwzwsj, XvKv-1000 Websie : www.bb.org.bd. Annexure-"A" evsjv `k e vsk,cöavb Kvh vj qi d UvKwc gwkb, úvbivj evbwûs gwkb, d«vswks gwkb mieivn Ges givgzkvix wn m e wvkv`vix cöwzôvb K 03(wZb) ermi gqv `i Rb ZvwjKvf~³ Ki Yi kz vejx evsjv `k e vsk, cöavb Kvh vj qi Dchy ³ KvR m úv` bi Rb evsjv `kx bvmwik Øviv cwipvwjz h mkj cöwzôvb Abyiƒc Kv R ez gv b wb qvwrz Av Q m me cöwzôvb mg~ ni wbku _ K wb œewy Z kz mv c ÿ ZvwjKvfzw³i Rb Av e`bcî Avnevb Kiv hv Q 01 ZvwjKvfzw³i weáwß Z D jøwlz kz vejx ZvwjKvfz³Ki Yi kz vejxi Awe PQ` Ask e j MY n e 02 Av e`bc Îi mv _ wb œwjwlz KvMRcÎ Aek B `vwlj Ki Z n e (K) UªW jvb m Ýi mz vwqz Kwc (L) AvqKi wbeüb mvwu wd K Ui mz vwqz Kwc (M) f vu wbeüb mvwu wd K Ui mz vwqz Kwc (N) mswkøó Kv Ri 3(wZb) erm ii AwfÁZvi mb`cî (O) h Kvb Zdwmjx e vsk n Z Avw_ K m QjZvi mvwu wd KU (P) g vbyd v vivi/wwwóªwedui A_ivB Rkb juvi/g RwÝ GwMÖ g U (Q) cövcvbui/g v bwrs WvB i± ii 01 (GK) Kwc mz vwqz Qwe (R) Affidavi/Aricle of Associaion of he Firm. (S) Bio-daa of key Technical Personnel. (T) cövcvbui/g v bwrs WvB i± ii b vkbvj AvBwW Kv W i mz vwqz d UvKwc (U) An affidavi,confirming ha he Applican has he legal capaciy o ener ino a conrac wih Procuring Eniy and have no been declared ineligible by he Governmen of Bangladesh on charges of engaging in Corrup, Fraudulen, Collusive or Coercive pracices. 03 ZvwjKvfzw³i ci AeMZ niqv / cî cviqv m Z I Kvb cöwzôvb ci ci 3(wZb) evi `icî `vwl j e _ n j Aby gvw`z mieivnkvix / givgzkvixi ZvwjKv n Z H cöwzôv bi bvg ev` `qv Ges ZvwjKvfzw³i Rb cö`ë RvgvbZ ev Rqvß Kiv n e 04 DËg mvgmöx/kvr cviqvi j ÿ e vsk KZ cÿ mkj ÿ Î me wb œ `i`vzvi `i MÖnY Ki Z eva _vk e bv 05 me ÿ Î ZvwjKvfz³ cöwzôv bi wbku n Z gvjvgvj µq/ givg Zi Rb evsjv `k e vsk eva _vk e bv 06 e vsk KZ K e enz mkj eªvû/g W ji gwkb cöwz hvwmzvg~jk fv e givg Zi e vcv i ZvwjKvfz³ mkj cöwzôvb K Aek B gvbwmkfv e cö Z _vk Z n e 07 Kvh v `k `qv n j AvswkK Kv Ri wecix Z Kvb cökvi wej cwi kva Kiv n e bv 08 mikvix wewa gvzv ek AvqKi, g~j ms hvrb Ki I Ab vb Kvb Ki mikvi KZ K Av ivwcz n j `vwljk Z wej n Z Zv KZ b K i ivlv n e 1
09 AvnevbK Z `ic Îi As K Kvb KvUv- Quov ev NlvgvSv _vk j m ÿ Î `icî MÖnY hvm we ewpz n e bv 10 bzzb gvjvgvj mieiv ni ÿ Î hvm we ewpz n j fwel Z cöwzwu Kv Ri wecix Z mieivnkvixi wej n Z gvu g~ j i 10% wbivcëv RvgvbZ wn m e KZ b K i ivlv n e A_ev e vsk M vivw U `vwlj Ki Z n e hv m šívlrbk Kg m úv`b mv c ÿ diz `qv n e 11 bzzb mieivn I givg Zi ÿ Î Kvb cökvi wg_ v Z_ cö`vb Kiv n j A_ev `ic Îi AvIZvq Bmÿ K Z Kvh v ` k ewy Z kz vejx cwicvj b e _ n j wksev bgybv gvzv ek h_vh_ mvgmöx mieivn bv K i wb œgv bi mvgmöx mieivn Kiv n j Ges Zv m `nvzxzfv e cögvwyz n j mswkøó cöwzôvb K fwel Z `icî `vwl j Awbw` ókv ji Rb A hvm NvlYv A_ev Kv jv ZvwjKvf ³ Kiv n e (Black Lised) Ges wej cwi kva Kiv n e bv 12 evsjv `k e vsk KZ cÿ Kvb KviY `k v bv e wz i K h Kvb ZvwjKvfzw³i Av e`b MÖnY ev evwzj Kivi Ges ZvwjKvfz³ cöwzôv bi bvg ZvwjKv n Z ev` `qvi ÿgzv msiÿy K i 13 Av e` bi ÿ Î Av e`bkvix cöwzôvbmg~n K MZ 03(wZb)eQ i GK ev GKvwaK Kvh v ` k Kgc ÿ $.20,00,000/- (wek jÿ UvKv gvî ) g~j gv bi KvR m úv` bi m c ÿ cögvwbk `wjjvw` `vwlj Ki Z n e 14 Av e`bkvix cöwzôv b mswkøó Kv Ri Rb h _vchy³ AwfÁ KvwiMi/`ÿ cö KŠkjx _vk Z n e Ges m m Kvh ÿ Î h _ó AwfÁZvi cögvbm iæc mb`cî/cöz vqbcîmn GKwU ZvwjKv Av e`bc Îi mv _ `vwlj Ki Z n e 15 cöwzôvb wjwg UW Kv úvbx n j iwr óªkb mvwu wd KUmn Kv úvbxi g gv iûv gi GKwU Kwc Av e`bc Îi mv _ mshy³ Ki Z n e 16 Av e`bkvix cöwzôvb K b~ bc ÿ GKwU eªvû gwk bi (d UvKwc, úvbivj evbwûs,d«vswks gwk bi)g RÝx GwMÖ g U/wWjvikxc/wWwóªweDUvi A_ivB Rkb juv ii mz vwqz Aek B Av e`bc Îi mv _ mshy³ Ki Z n e 17 Av e`bkvix cöwzôv bi wbrm Uwj dvb/d v I h _vchy³ hš cvwz mg wjz DbœZgv bi wbrm KviLvbv/ kv-iæg _vk Z n e DwjøwLZ myweav bv _vk j Av e`b Kivi cö qvrb bb 18 GKK ÿ Î $.10,00,000(UvKv `k jÿ gvî) ch ší KvR Kivi mvg _ i m c ÿ h Kvb Zdwmjx e vs Ki Avw_ K m QjZvi mvwu wd KU 19 ZvwjKvfzw³i ci Kvb cöwzôv bi vb cwiewz Z n j cwiewz Z vb m ú K ZvrÿwYK AÎ Awdm K AewnZ Ki Z n e cwiewz Z vb/wvkvbvi wfwë Z cybivq cwi`k bc~e K ZvwjKvfzw³ envj ivlvi welqwu we epbv Kiv n e 20 givgzkvjxb mg q wbrm KviLvbv/ kviæ g _vkv Ae vq gwk bi Kvb cökvi ÿqÿwz n j Zvi `vq- `vwqz cöwzôv bi gvwj Ki Dci ez v e 21 Kvb ZvwjKvf~³ cöwzôvb K AÎ Awdm n Z Kvh v `k cö`vb Kiv n j Aby gvw`z mg qi g a Kvh m úv` b e _ n j, ev KvR Ki Z Amg_ n j ev KvR Ki Z Kvbfv e e vsk m ú `i ÿwzmvab/aÿsm Ki j e vsk Zvi weiæ h_vh_ AvBbvbyM e e v MÖnb Ki Z cvi e e vsk mswkøó wvkv`v ii ZvwjKf~w³ evwzj/rvgvbz ev Rqvß/Kv jv ZvwjKvf~³KiY/ÿwZcyiY Av`vq ev GKvwaK ` Û `wûz Ki Z cvi e 22 Kvb cöwzôvb Kvb Kv Ri Kvh v `k cövß n j Kvh m úv` bi c~e AbygwZ wb q wb qvwrze jvke ji cö ek cvk MÖnbc~e K KvR ïiæ Ki e Ges Zvi kªwgk/ UKwbwkqvb/BwÄwbqvi/ gkvwbk BZ vw` ai bi wb qvwrz jvke ji wbivcëvi e e v mswkøó cöwzôvb wbr `vwq Z MÖnY Ki e hw` Kvb Kvi b `~N Ubv ev ÿqÿwz/asmnvbx/g Zz nq Zvi m ú~b `vq`vwqz ZvwjKvfz³ cöwzôvb wbr `vwq Z MÖnY Ki e 2
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