2018-2019 ANNEXURE-A Name and Address of the Tenderer

TIN NO.

Sir, Sub: Submission of tenderfor supply of Bakery Items Ref: Your Tender Notification No.______dated______With reference to the notification by Jawahar Navodaya Vidyalaya, North Canara, rates for Bakery Items with below mentioned technical specification and other specific conditions are appended here under:-

Sl Items Weight qunatiy Remarks No. /Pakcet No. required one weeel Rate 200 grm FRESH ITEMS MUST BE 1 Bread 250 pkt SUPPLIED TO AVOID 2 Gol Bun 200 grm 250 pkt REJECTION 3 Cup Cake 200grm 50 pkt Rich Rusk 150 grm 4 (Special ) 60 pket 5 Butter cookies 200 grm 60 pkt 6 Café cake 100 grm 100 pkt. 7 Khari 200 grm 60 pkt 1 The quantity mentioned is approximate only & may vary. 2 E.M.D. of Rs. 1000/- is compulsory with tender 3 Chairman, PAC is empowered to accept or reject any Rate/Tender

4 DD towards EMD Should be in favour of the Principal, JNV, Malgi on State Bank of India, Malgi (Code 7608) & Cash or outstation cheque/DD will not be accepted. Overwriting should not be made in Tender form. If a figure is to be modified/corrected, it should 5 be cut with single line, the new rate is written on top of that and attested with signature and date failing which that rate will not be accepted 6 TIN Number OR PAN Number, wherever applicable, must be quoted along with copy of the certificate & its annexure Sample(s) wherever asked for must be produced to the Vidyalaya/PAC or Nominated Committee 7 free of cost I/We read the Terms & Conditions, understood everything and accept it Toto without any 8 alteration I/We have thoroughly gone through the terms & conditions noted in this form and agreed to fulfill them. Earnest Money Deposite of Rs.1000/- (Rupees One thousand only) is deposited vide Demand Draft No.______dated ______by Bank

Signature of the Mob. No. party

Name Firm Seal

office use Date only Place PAC.Members

2018 -2019 ANNEXURE -A

Name and Address of the Tenderer TIN NO.

Sir, Sub: Submission of tenderfor supply of Items Ref: Your Tender Notification No.______dated______With reference to the notification by Jawahar Navodaya Vidyalaya, North Canara, rates for Bedding Items with below mentioned technical specification and other specific conditions are appended here under:-

Sl.No. Name of Items Brands Apprximate Each rate Name/ Quantity specificaations required

Bed Sheet (Size 84" x Width 48") Good as per our 1 550 quality cotton Printed sample Cover ( Size 60 cms x 40 cms as per our 3 550 minimum), Good quality cotton Printed, sample as per our 5 Mosquito Net (Nylone) (Size 4' x 6') 90 sample (Size 6 fts x 3 fts 07 kg.) cotton as per our 6 90 sample

Pillow (Size 1 fts x 1.5fts 1.5 kg.) Cotton as per our 7 90 sample

Towel (Size L-120 cm x w 70 cm. cotton ) as per our 8 560 sample

1 The quantity mentioned is approximate only & may vary. 2 E.M.D. of Rs.5000/- is compulsory with tender 3 Chairman, PAC is empowered to accept or reject any Rate/Tender DD towards EMD Should be in favour of the Principal, JNV, Malgi on State Bank of India, Malgi (CodeSBIN.000 7608) & Cash or 4 outstation cheque/DD will not be accepted.

Over writing should not be made in Tender form. If a figure is to be modified/corrected, it should be cut with single line, the new 5 rate is written on top of that and attested with signature and date failing which that rate will not be accepted TIN Number OR PAN Number, wherever applicable, must be quoted along with copy of the 6 certificate & its annexure Sample(s) wherever asked for must be produced to the Vidyalaya/PAC or 7 Nominated Committee free of cost I/We read the Terms & Conditions, understood everything and accept it in Toto 8 without any alteration I/We have thoroughly gone through the terms & conditions noted in this form and agreed to fulfill them. Earnest Money Deposite of Rs.5000/- (Rupees Five thousand only) is deposited vide Demand Draft No.______dated ______by Bank Mob. No. Signature of the party

Date

Place

2018-2019 ANNEXURE-A Name and Address of the Tenderer

TIN NO.

Sir, Sub: Submission of tender for supply of Fish, Dressed Chicken & Eggs Ref: Your Tender Notification No.______dated______With reference to the notification by Jawahar Navodaya Vidyalaya, North Canara, rates for Fish, Dressed Chicken & Eggs with below mentioned technical specification and other specific conditions are appended here under:-

Sl.No. Name of the Items Quantity required quantity per week in kg. Rate 1 Chicken(Dressed broiler per kg chicken without liver,skin and any other wastage in 60 kg. to cut pieces,with Doctor certificate

2 Egg ( Each egg 60 gram ) 3000 Nos. per kg

3 Fish bangdi ( Mackerele) 75 kg. per kg 4 Fish Tharli ( Sardine ) 75 kg. per nos. 1 The quantity mentioned is approximate only & may vary. 2 E.M.D. of Rs. 2000/- is compulsory with tender 3 Chairman, PAC is empowered to accept or reject any Rate/Tender 4 DD towards EMD Should be in favour of the Principal, JNV, Malgi on State Bank of India, Malgi (Code 7608) & Cash or outstation cheque/DD will not be accepted. 5 Overwriting should not be made in Tender form. If a figure is to be modified/corrected, it should be cut with single line, the new rate is written on top of that and attested with signature and date failing which that rate will not be accepted 6 TIN Number OR PAN Number, wherever applicable, must be quoted along with copy of the certificate & its annexure 7 Sample(s) wherever asked for must be produced to the Vidyalaya/PAC or Nominated Committee 8 the supplier should produce the the ertificate of from the vetenary doctor shows the birds are healthy and fit for consumption. 9 I/We read the Terms & Conditions, understood everything and accept it Toto without any alteration

I/We have thoroughly gone through the terms & conditions noted in this form and agreed to fulfill them. Earnest Money Deposite of Rs.2000/- (Rupees Two thousand only) is deposited vide Demand Draft No.______dated ______by Bank

Signature of the Mob. No. party

Name

Date Firm Seal Place Offfice use only

Subjet: Comparative statement for Electrical & Plumbing Items for the the year 2016-2017 1.Name of Department/Section for which purchase is to made______2.Advertisement No. & Date 25/03/2017 Prajwani Daily news paper /Limited enquiary.No. & Date 3. Last date for receipt of quotations 26/04/2017 4. Total Number of enquiry issued ______5. Total Number of quotations received ______6.Name of firms which quotations not received ______7. Details of quotations received and earnest money received ______Sl.No. Name of the Items Quantity required Brand name (Tick Mark % Discount per week ) On MRP. 1 Tube light 40 watt 300 No.s Surya /Bajaj/Cromton 2 60 Watt Bulbs. 200 No.s Surya /Bajaj/Cromton 15 Watt White Colour Bulb. 100 No.s 3 4 Chock 40 w for tubelight 50 No.s Bajaj/Cromton 5 Switches 5 Amps. 50 No.s Achor 6 Tube light starter 200 No.s Surya /Bajaj/Cromton Multi stand wire 1.5 mm.sq. 1 coil. 7 Finolax Multi stand wire 1.00 2 coil. 8 Finolax mm.sq. 9 09 watt LED. Blub 50. No.s Surya /Bajaj/Cromton 5. Hp Bore well Tube 1 No. 10 submersible pump water Texmo/.Unnati pump motor

11 24" Blade Ceiling Fan 10 No.s Oriantal/Usha Fan Rewinding (celling Fan) 20 No.s 12 13 Streetlight Tubelight set 10 Nos. 14 LED Street light set 10 No.s Surya /Bajaj/Cromton 15 Bulket light set (heavy ) 50 Nos. 1 Pole 63 Amps M C B 10 Nos 16 Indo koop

1 Pole 62 Amps M C B 10 Nos 17 Indo koop

2 Pole 63 Amps E L C B 10 Nos 18 Indo koop 400 amps Type DTH 400 L & 01 No. 19 T Make 3 pole MCCB. L & T

400 amps Typee FC/FCB L & 01 No. 20 T Make 4 pole swich gear L & T

250 amps Typee FC/FCB L & 04 Nos. 21 T Make 4 pole swich gear L & T

2 pol 63 Amps MCB . 10 Nos. 22 Indo koop

20 watt LED. Tubelight 100 Nos. 23 Surya /Bajaj/Cromton (Unbrackable )

Plumbing items 10 Nos. 1 2 inch B class 20 fts ligth G.I. Jindal Pipe 2 1/2' G.I.water Top Heavy 100 Nos. 3 2.1/2 inch UPVC PIPE 04 Nos. 4 2.1/2 inch UPVC.Union 04 Nos. 5 2.1/2 inch UPVC.MTA 04 Nos. 6 2.1/2 inch UPVC.FTA 04 Nos. 7 2.1/2 inch UPVC.Tee 08 Nos. 8 2.1/2 inch UPVC.elbow 04 Nos. 9 2.1/2' UPVC Ball volve 04 Nos. 10 1.1/2 inch UPVC PIPE 10 Nos. 11 1.1/2 inch UPVC.Union 10 Nos. 12 1.1/2 inch UPVC.MTA 20 Nos. 13 1.1/2 inch UPVC.FTA 20 Nos. 14 1.1/2 inch UPVC.Tee 20 Nos. 15 1.1/2 inch UPVC.elbow 20 Nos. 16 1.1/2 inch UPVC.Ball volve 10 Nos. 17 1.1/4 inch UPVC PIPE 10 Nos. 18 1.1/4 inch UPVC.Union 10 Nos. 19 1.1/4 inch UPVC.MTA 20 Nos. 20 1.1/4 inch UPVC.FTA 20 Nos. 21 1.1/4 inch UPVC.Tee 20 Nos. 22 1.1/4 inch UPVC.elbow 20 Nos. 23 1.1/4 inch UPVC.Ball volve 10 Nos. 24 1. inch UPVC PIPE 10 Nos. 25 1. inch UPVC.Union 10 Nos. 26 1. inch UPVC.MTA 20 Nos. 27 1. inch UPVC.FTA 20 Nos. 28 1. inch UPVC.Tee 20 Nos. 29 1. inch UPVC.elbow 20 Nos. 30 1. inch UPVC.Ball volve 10 Nos.

Prepared by store Keeper Checked by ______

2018-2019 ANNEXURE-A Name and Address of the Tenderer

TIN NO.

Sir, Sub: Submission of tender for supply of Almehara,Duel desk ,Steel chairs Ref: Your Tender Notification No.______dated______With reference to the notification by Jawahar Navodaya Vidyalaya, North Canara, rates for Furniture s with below mentioned technical specification and other specific conditions are appended here under:-

Sl.No. Particulars Brand QUANTITY Size Rate REQUIRED 6.1/2 ftsx18 inch x 3 fts gauage 1 Almehara 03 Nos. 18 x 20 gauage for Office use

Top M.S.Sheet 16 Guage & 10 Guage Box (Squire) Pipe seating sheets M.S. sheet 16 guage 16 guage of Books selp 2 Duel Desk 20 Nos. Back rest keeping foot rest pipe (Two students seating capacity ) Details Drawing enclosed

Steel 16 gauage pipe & seating seat M.S. sheets 16 gauage 3 S Type Armed chairs 15 Nos. Back rest M.S.sheets 10 inch as per our drawing

Steel Table with steel Top Steel Table with Steel M.S.Sheets Top 16 gauge & 4 Top M.S. Sheets 16 12 Squre pipe 14 gauage as per our drawing Size 3 fts x 2 fts gauage

Steel Table Squire leg 16 Steel Table leg 16 gauage & Top 19 mm waterprof gauage & Top 19 mm 5 12 plywood & Sunmic 2fts x 3 fts waterprof plywood & Sunmic Wooden Chair with Photo copy enclosed (Rostoge ) 6 custion DL 111 R 10

Wooden Chair with Photo copy enclosed (Rostoge ) 7 custion DL 114 C 10

1 The quantity mentioned is approximate only & may vary. E.M.D. of Rs. 2000/- is compulsory with 2 tender 3 Chairman, PAC is empowered to accept or reject any Rate/Tender DD towards EMD Should be in favour of the Principal, JNV, Malgi on State Bank of India, Malgi (Code 7608) & 4 Cash or outstation cheque/DD will not be accepted. 5 Overwriting should not be made in Tender form. If a figure is to be modified/corrected, it should be cut with single line, the new rate is written on top of that and attested with signature and date failing which that rate will not be accepted

6 TIN Number OR PAN Number, wherever applicable, must be quoted along with copy of the certificate & its annexure 7 Sample(s) wherever asked for must be produced to the Vidyalaya/PAC or Nominated Committee free of cost 8 I/We read the Terms & Conditions, understood everything and accept it Toto without any alteration

I/We have thoroughly gone through the terms & conditions noted in this form and agreed to fulfill them. Earnest Money Deposite of Rs.2000/- (Rupees Two thousand only) is deposited vide Demand Draft No.______dated ______by Bank

Mob. No. Signature of the party 2018 -2019 ANNEXURE-A Name and Address of the Tenderer TIN NO.

Sir, Sub: Submission of tender for supply of Grocerry Items Ref: Your Tender Notification No.______dated______With reference to the notification by Jawahar Navodaya Vidyalaya, North Canara, rates for Grocerry Items with below mentioned technical specification and other specific conditions are appended here under:- Sl No. Name of the item Brands Name/ Required Unit Rate per Kg./Ltr. specificaations Per Month OR % Discount on in Kg./% MRP for Branded Discount on Items . MRP.

1 Brocken Dosa Rice Good quality 250 01 kg. 2 Sona Masoori Steam Nandini 3500 01 kg. 3 Sona Masoori Steam GK.Appu 3500 01 kg. 4 Sona Masoori Steam Swastik 3500 01 kg. 5 Wheat Flour Shribhog 1200 01 kg. 6 Wheat Flour Shree 1200 01 kg. 7 Wheat Flour Silver 1200 01 kg. 8 Wheat Flour Coin 1200 01 kg. 9 Wheat Flour Samrat 1200 01 kg. 10 Gram Flour Diamond 35 01 kg. 11 Gram Flour Heera 35 01 kg. 12 Gram Flour Hathoda 35 01 kg. 13 Maida A-1 50 01 kg. 14 Maida Rajaram 50 01 kg. 15 Maida Pari 50 01 kg. 16 Maida Harthi 50 01 kg. 17 Rice Flour Ambika 100 01 kg. 18 Rice Flour Pushti 100 01 kg. 19 Rice Flour Amruth gold 100 01 kg. 20 Rice Flour Laxami 100 01 kg. 21 Avalakki Thick Navsari 300 01 kg. 22 Rawa Upama Royal Gold 100 01 kg. 23 Rawa Upama Golden Bansi 100 01 kg. 24 Rawa Upama Gajraj 100 01 kg. 25 Rawa Upama Laxami 100 01 kg. 26 Rawa Upama 100 01 kg. 27 Rawa Idali Vijay 100 01 kg. 28 Rawa Idali Vasu 100 01 kg. 29 Rawa Idali VIP 100 01 kg. 30 Rawa Idali JNK 100 01 kg. 31 Rawa Sooji Tajmahal 30 01 kg. 32 Rawa Sooji Haathi 30 01 kg. 33 Rawa Sooji GoldenBansi 30 01 kg. 34 Rawa Sooji Diamond 30 01 kg. 35 Moong 100 01 kg. 36 Redgram 100 01 kg. 37 Green Vatana 100 01 kg. 38 White Vatana 100 01 kg. 39 Toordal Gulbarga Bold 600 01 kg. 40 Toordal Pistol 600 01 kg. 41 Toordal Kalash 600 01 kg. 42 Toordal Kingfisher 600 01 kg. 43 Moong Dal Kalash 100 01 kg. 44 Moong Dal Diamaond 100 01 kg. 45 Moong Dal Moong Mogar 100 01 kg. 47 Alsande Red 100 01 kg. 48 Urad dal Double Hiran 200 01 kg. 49 Urad dal Hiran 200 01 kg. 50 Urad dal Dolphin 200 01 kg. 51 Urad dal Bullet 200 01 kg. 52 Urad dal Dove 200 01 kg. 53 Friedgram Dal Nandini 100 01 kg. 54 Friedgram Dal Apple 100 01 kg. 55 Friedgram Dal Amruth 100 01 kg. 56 Whitegram Dollar 150 01 kg. 57 Alsande white 100 01 kg. 58 Gramdal 50 01 kg. 59 Razama Red 50 01 kg. 60 Groundnut 200 01 kg. 61 Sago 10 01 kg. 62 Vermiceli MTR 50 01 kg. 63 Vermiceli Swastik 50 01 kg. 64 Vermiceli Bambino 50 01 kg. 65 Vermiceli 50 01 kg. 66 Sugar 500 01 kg. 67 Jaggery (Red Block) 50 01 kg. 68 Vanaspti Oil (Dalda) Ruchi 50 01 kg. 69 Vanaspti Oil (Dalda) Fortune 50 01 kg. 70 Vanaspti Oil (Dalda) Emami 50 01 kg. 71 Vanaspti Oil (Dalda) Gagan 50 01 kg. 72 Vanaspti Oil (Dalda) Dalda 50 01 kg. 73 Soyabean oil Gemini 450 01 kg. 74 Soyabean oil Dhara 450 01 kg. 75 Soyabean oil Fuchi 450 01 kg. 76 Soyabean oil Fortune 450 01 kg. 77 Soyabean oil Sundrop 450 01 kg. 78 Palmolien Oil Raag 450 01 kg. 79 Palmolien Oil Emami 450 01 kg. 80 Palmolien Oil Shakti Gold 450 01 kg. 81 Palmolien Oil Patanjli 450 01 kg. 82 Vegetable oil Patanjali 450 01 kg. 83 Vegetable oil Shakti gold 450 01 kg. 84 Vegetable oil Raag 450 01 kg. 85 Vegetable oil Emami 450 01 kg. 86 Vegetable oil 450 01 kg. 87 Tamrind Chapati 60 01 kg. seedless 88 Corianderseed 30 01 kg. 89 Degi mirch Suhana 4 01 kg. 90 Degi mirch MTR 4 01 kg. 91 Degi Mirch MDH 4 01 KG. 92 Degi Mirch Patanjali 4 01 kg. 93 Degi Mirch Catch 4 01 kg. 94 Chilly powder Everest 30 01 kg. 95 Chilly powder Eastem 30 01 kg. 96 Chilly powder Suhana 30 01 kg. 97 Chilly powder MTR 30 01 kg. 98 Chilly powder Patanjali 30 01 kg. 99 Cuminseed 15 01 kg. 100 Mustard 15 01 kg. 101 Aniseed 01 kg. 102 Sambar Powdar Suhana 20 01 kg. 103 Sambar Powdar Eastem 20 01 kg. 104 Sambar Powdar Shakti 20 01 kg. 105 Sambar Powdar MTR 20 01 kg. 106 Sambar Powdar Kawad 20 01 kg. 107 Nutmeg 2 01 kg. 108 Mace 2 01 kg. 109 Clove 2 01 kg. 110 Cardamom ( Green ) 2 01 kg. 111 Cinnamon 2 01 kg. 112 Turmeric powder Suhana 30 01 kg. 113 Turmeric powder Kawad 30 01 kg. 114 Turmeric powder MTR 30 01 kg. 115 Turmeric powder Select 30 01 kg. 116 Turmeric powder Patanjali 30 01 kg. 117 White pepper powder MTR 4 01 kg. 118 White pepper powder Suhana 4 01 kg. 119 White pepper pwder Select 4 01 kg. 120 White pepper powder Kwality 4 01 kg. 121 White pepper powder Catch 4 01 kg. 122 Cassia ( Tejpatta) 3 01 kg. 124 Black pepper 2 01 kg. 125 Pickle Mixed Metro 100 01 kg. 126 Pickle Mixed Tooofan 100 01 kg. 127 Pickle Mixed Tiger 100 01 kg. 128 Pickle Mixed S.Kumar 100 01 kg. 129 Pickle Mixed 100 01 kg. 130 Asafoetida Everest 3 01 kg. 131 Asafoetida L.G.555 3 01 kg. 132 Asafoetida Patajali 3 01 kg. 133 Asafoetida 3 01 kg. 134 Garam Masala MDH 3 01 kg. 135 Garam Masala Patanjali 3 01 kg. 136 Garam Masala Easten 3 01 kg. 137 Garam Masala Suhana 3 01 kg. 138 Garam Masala Kawad 3 01 kg. 139 Sabji Masala Patanjali 5 01 kg. 140 Sabji Masala MTR 5 01 kg. 141 Sabji Masala Kawad 5 01 kg. 142 Sabji Masala Catch 5 01 kg. 143 Kolhapuri Jhataka Sriram 10 01 kg. 144 Kasoori Menthi Everest 5 01 kg. 145 Kasoori Menthi peacock 5 01 kg. 146 Kasoori Menthi Rainbow 5 01 kg. 147 Kasoori Menthi MDH 5 01 kg. 148 Puliogere Masala MTR 20 01 kg. 149 Puliogere Masala Suhana 20 01 kg. 150 Puliogere Masala Kawada 20 01 kg. 151 Meat Masala Everest 3 01 kg. 152 Meat Masala Suhana 3 01 kg. 153 Meat Masala MTR 3 01 kg. 154 Meat Masala Kawad 3 01 kg. 155 Meat Masala Catch 3 01 kg. 156 Chicken Masala Suhana 3 01 kg. 157 Chicken Masala MTR 3 01 kg. 158 Chicken Masala Eastern 3 01 kg. 159 Chicken Masala Kawad 3 01 kg. 160 Chicken Masala Cotch 3 01 kg. 161 Tomato Ketchup Patanjallli 36 01 kg. 162 Tomato Ketchup Kissan 36 01 kg. 163 Tomato Ketchup Surabhi 36 01 kg. 164 Table Salt Patanjalli 200 01 kg. 165 Table Salt TATA 200 01 kg. 166 Table Salt Shakti 200 01 kg. 167 Table Salt Star 200 01 kg. 168 Pulao Masala Everest 4 01 kg. 169 Pulao Masala MTR 4 01 kg. 170 Pulao Masala MDH 4 01 kg. 171 Pulao Masala Patanjali 4 01 kg. 172 Pulao Masala atch 4 01 kg. 173 Tea powder Kanan Devan 20 01 kg. 174 Tea powder Red Lable 20 01 kg. 175 Tea powder Tajmahal 20 01 kg. 176 Coffee powder Brue 5 01 kg. 177 Coffee powder Sunrise 5 01 kg. 178 Coffee powder Select 5 01 kg. 179 Bournvita /Powervita Cadburys 30 01 kg. 180 Bournvita /Powervita Patanjali 30 01 kg. 181 Custard powder Butterfy 10 01 kg. 182 Custard powder Weikfield 10 01 kg. 183 Custard powder Sarwar 10 01 kg. 184 Custard powder Nandi 10 01 kg. 185 Cornflour Nandi 10 01 kg. 186 Cornflour Ambuja 10 01 kg. 187 Cornflour Sarwar 10 01 kg. 188 Pappad (Small Size ) MTR 100 01 kg. 189 Pappad (Small Size ) Lijjat 100 01 kg. 190 Pappad (Small Size ) Patanjali 100 01 kg. 191 Noodles Surya 40 01 kg. 192 Noodles Patanjali 40 01 kg. 193 Potato Chips pino Noble 30 01 kg. 194 Potato Chips pino Dhanlaxami 30 01 kg. 195 Potato Chips pino Shubam 30 01 kg. 196 Potato Chips pino Petpooja 30 01 kg. 197 Jamun pakcet MTR 10 01 kg. 198 Jamun pakcet Patanjali 10 01 kg. 199 Jamun pakcet Swastik 10 01 kg. 200 Soya Nutrine 40 01 kg. 201 Red Cherry 5 01 kg. 202 Tutie Fruity 5 01 kg. 203 Mandakki 35 01 kg. 204 Bikaji Bhujia (Khara ) 20 01 kg. 205 Washing powder Wheel 30 01 kg. 206 Washing powder Fena 30 01 kg. 207 Washing powder Patanjali 30 01 kg. 208 Washing powder Tide 30 01 kg. 209 Scouring powder Fena 100 01 kg. 210 Scouring powder Shashi 100 01 kg. 211 Scouring powder Sabena 100 01 kg. 212 Scouring powder Patajnjali 100 01 kg. 213 Dishwash Bar Patanjali 120 01 No. 214 Dishwash Bar Exo 120 01 No. 215 Dishwash Bar Pitamabari 120 01 No. 216 Bartan Scruber Exo 12 01 Each 217 Bartan Scruber Scotch 12 01 Each 218 Bartan Scruber Brite 12 01 Each 219 Bartan Scruber Nirali 12 01 Each 220 Liquid soap Santoor 120 01 Each 221 Liquid soap Life buoy 120 01 Each 222 Liquid soap Patanjali 120 01 Each 223 Soap cake small Lifebuoy 120 01 Each 224 Soap cake small Patanjali 120 01 Each 225 Soap cake small Godraj 120 01 Each 226 Soap cake small Santoor 120 01 Each 227 Soap cake small Lytril 120 01 Each 228 Floor Wash Domex 20 01 Each 229 Floor Wash Patanjali 20 01 Each 230 Floor Wash Exo 20 01 Each 231 Phenyle sceted Patanjali 30 01 Each 232 Phenyle sceted Dragon 30 01 Each 233 Phenyle sceted Super chemical 30 01 Each

234 Broom stick long 10 01 Each .

235 Duster cloth cotton 30 01 Each . 236 Biscouit Marie Patanjali Discount on 200 MRP 237 Biscouit Marie Sunfeast Discount on 200 MRP 238 Biscouit Marie Britania Discount on 200 MRP 239 Biscouit Marie Fester Discount on 200 MRP

240 Biscouit Cream Sunfeast Discount on 200 MRP 241 Biscouit Cream Patanjali Discount on 200 MRP

242 Biscouit Cream Feasters Discount on 200 MRP 243 Biscouit Glucose Parle Discount on 200 MRP 244 Biscouit Glucose Patanjali Discount on 200 MRP 245 Biscouit Glucose Britania Discount on 200 MRP 246 Biscouit Glucose Pale Discount on 200 MRP 247 Oats Biscuitts Sunfeast Discount on 200 MRP 248 Oats Biscuitts Patanjali Discount on 200 MRP 249 Oats Biscuitts Feasters Discount on 200 MRP 250 Oats Biscuitts Parle Discount on 200 MRP 251 Biscuit coconut Sunfeast Discount on Cookies 200 MRP 252 Biscuit coconut Patanjali Discount on 200 Cookies MRP 253 Biscuit coconut Feasters Discount on Cookies 200 MRP 254 Biscuit coconut Parle Discount on 200 Cookies MRP 255 Goodday Biscuit Britania Discount on 200 MRP 256 Goodday Biscuit Patanjali Discount on 200 MRP 257 Goodday Biscuit Feasters Discount on 200 MRP 258 Goodday Biscuit Parle Discount on 200 MRP 259 Dry Grapes 3 01 kg. 260 Cashewnut 3 01 kg. 261 Coconut Powder Shri Ganesh 5 01 kg. 262 Coconut Powder Bajaj 5 01 kg. 263 Sesame 10 01 kg. 264 Badam rindless 2 01 kg. 265 Vinegar 60 one each

1 The quantity mentioned is approximate only & may vary. 2 E.M.D. of Rs. 15,000/- is compulsory with tender 3 Chairman, PAC is empowered to accept or reject any Rate/Tender 4 DD towards EMD Should be in favour of the Principal, JNV, Malgi on State Bank of India, Malgi (Code 7608) & Cash or outstation cheque/DD will not be accepted. 5 Overwriting should not be made in Tender form. If a figure is to be modified/corrected, it should be cut with single line, the new rate is written on top of that and attested with signature and date failing which that rate will not be accepted 6 TIN Number OR PAN Number, wherever applicable, must be quoted along with copy of the certificate & its annexure 7 Sample(s) wherever asked for must be produced to the Vidyalaya/PAC or Nominated Committee free of cost 8 I/We read the Terms & Conditions, understood everything and accept it Toto without any alteration 9 I/We read the Terms & Conditions, understood everything and accept it in Toto without any alteration I/We have thoroughly gone through the terms & conditions noted in this form and agreed to fulfill them. Earnest Money Deposite of Rs.15,000/- (Rupees Fifteen thousand only) is deposited vide Demand Draft No.______dated ______by Bank

Mob. No. Signature of the party JAWAHAR NAVODAYA VIDYALAYA PANCHAVATI MALGI NORTH CANARA DISTRICT Subjet: Comparative statement for Paints for the the year 2018-2019 1.Name of Department/Section for which purchase is to made______2.Advertisement No. & Date /Limited enquiary.No. & Date 3. Last date for receipt of quotations ______4. Total Number of enquiry issued ______5. Total Number of quotations received ______6.Name of firms which quotations not received ______7. Details of quotations received and earnest money received ______Sl.No. Name of the paint Brand Name/ Asian Asian Dulex Dulex Berger Berger Specification 20 ltrs O4ltrs. 20 (ltrs) O4 ltrs. 20 ltrs. 04 ltrs. Rate Rate per Rate Rate per Rate per Rate per per per ltrs. ltrs. ltrs. ltrs. ltrs. ltrs. Milan Red ACE 8101( 1 Dormitory ) Nohas Arc ACE 8704 ( 2 Dormitory ) 3 Orange Silk Apex 7999 4 Spice jar Apex 8671 5 Dusky saffron Apex 7981

6 Cashmere N Apex 3119

Vintage walanat Apex 8773 7 Milan Red Apex 8 8101(Exteriar paint )

Nohas Arc Apex 9 8704(Exteriar paint )

Aquashower7456 Apex 7456 10 (Exteriar paint )

Ravel 1318 Apex 11 1318(Exteriar paint ) Soothing sapphire Apex 7326 12 (exeriar paint ) School Building

Paddy field Apex 7570 ( 13 Enteriar paint ) School Building

14 Thinner Hushedhue 7771Traactor 15 emalsion Surf blue Tractor emoulsion distemper 16 (interiar paint)

Pastel green0234 Tractor emoulsion distemper 0234 17 (interiar paint)

Cool cream 3272 Tractor emoulsion distemper 3272 18 (interiar paint)

Sunset cloud Tractor emulsion 19 7976

Glorious sunset Tractor emulsion 20 XIII Greenery Tractor emulsion 21 7806 Hushed hue Tractor emulsion 22 7771 Milky way Tractor emulsion 23 L 102

Taupe Tone Tractor emulsion 24 8769 25 Sky blue Enamel Paint 26 Postal Red Enamel Paint 27 White Enamel Paint 28 Golden brown Enamel Paint 29 Yellow Enamel Paint 30 Green Enamel Paint 31 Dark Blue Enamel Paint 32 Sky blue Enamel Paint

33 Raising sun Raising sun 0526 Waterproof Roof Algicoat RC-104 34 leakage chemicals

Water proof Doctor fixit 35 leakage chemicals

Proofing Direct Sycosil 36 apply 37 Brush 04 inch 38 Brush 6 inch 39 int/Ext. Ruller 10 inch

40 Thinner per ltrs. 41 Lime powder Sunosum powder Good quality 42 200 kg. Prepared by store Keeper Checked by ______

2018-2019 ANNEXURE-A Name and Address of the Tenderer TIN NO.

Sir,

Sub: Submission of tender for supply of Shoes & Slipper,Socks Ref: Your Tender Notification No.______dated______With reference to the notification by Jawahar Navodaya Vidyalaya, North Canara, rates for Shoes,& Slipper,Socks with below mentioned technical specification and other specific conditions are appended here under:-

Sl.No. Name of the Items & Brand Required size quantity required Each pair Rate Approx. LIBERTY Shoes Black 1 Black shoes Boys (LIBERTY Shoes ) Size No. 02 to 06 120 pais 2 Black shoes Boys (LIBERTY Shoes ) Size No. 07 to 10 120 pais 3 Black shoes Girls (LIBERTY Shoes ) Size No. 02 to 06 120 pais 4 Black shoes Girls (LIBERTY Shoes ) Size No. 07 to 10 120 pais BATA SHOES Black 1 Black shoes Boys (BATA shoes) Size No. 02 to 06 120 pais 2 Black shoes Boys (BATA shoes) Size No. 07 to 10 120 pais 3 Black shoes Girls (BATA shoes) Size No. 02 to 06 120 pais 4 Black shoes Girls (BATA shoes) Size No. 07 to 10 120 pais PARAGON SHOES Black 1 Black shoes Boys (PARAGON shoes) Size No. 02 to 06 120 pais 2 Black shoes Boys (PARAGON shoes) Size No. 07 to 10 120 pais 3 Black shoes Girls (PARAGON shoes) Size No. 02 to 06 120 pais 4 Black shoes Girls (PARAGON shoes) Size No. 07 to 10 120 pais LIBERTY Shoes White canvas 1 White canvas Boys (LIBERTY Shoes ) Size No. 02 to 06 120 pais 2 White Canvas shoes Boys (LIBERTY Shoes Size No. 07 to 10 120 pais ) 3 White canvas shoes Girls (LIBERTY Shoes Size No. 02 to 06 120 pais ) 4 White canvas shoes Girls (LIBERTY Shoes Size No. 07 to 10 120 pais BATA SHOES White Canvas 1 White Canvas shoes Boys (BATA shoes) Size No. 02 to 06 120 pais 2 White Canvas shoes Boys (BATA shoes) Size No. 07 to 10 120 pais 3 White Canvas shoes Girls (BATA shoes) Size No. 02 to 06 120 pais 4 White Canvas shoes Girls (BATA shoes) Size No. 07 to 10 120 pais PARAGON SHOES white canvas 1 White Canvas shoes Boys (PARAGON Size No. 02 to 06 120 pais shoes) 2 White Canvas shoes Boys (PARAGON Size No. 07 to 10 120 pais shoes) 3 White Canvas shoes Girls (PARAGON Size No. 02 to 06 120 pais shoes) 4 White Canvas shoes Girls (PARAGON Size No. 07 to 10 120 pais shoes) White & Grey/Black Socks 1 White Socks Free Size 480 pairs 2 Grey/Black Socks Free Size 960 pairs Slipper PARAGON 1 Slipper (PARAGON ) Size No. 02 to 06 240 pais 2 Slipper (PARAGON ) Size No. 07 to 10 240 pais BATA SLIPPER 1 Slipper (BATA ) Size No. 02 to 06 240 pais 2 Slipper (BATA ) Size No. 07 to 10 240 pais LIBERTY SLIPPER 1 Slipper (Liberty) Size No. 02 to 06 240 pais 2 Slipper (Liberty) Size No. 07 to 10 240 pais

1 The quantity mentioned is approximate only & may vary. 2 E.M.D. of Rs. 5000/- is compulsory with tender 3 Chairman, PAC is empowered to accept or reject any Rate/Tender 4 DD towards EMD Should be in favour of the Principal, JNV, Malgi on State Bank of India, Malgi IFSC Code 00007608 & Cash or outstation cheque/DD will not be accepted. 5 Overwriting should not be made in Tender form. If a figure is to be modified/corrected, it should be cut with single line, the new rate is written on top of that and attested with signature and date failing which that rate will not be accepted 6 TIN Number OR PAN Number, wherever applicable, must be quoted along with copy of the certificate & its annexure 7 Sample(s) wherever asked for must be produced to the Vidyalaya/PAC or Nominated Committee 8 the supplier should produce the the ertificate of from the vetenary doctor shows the birds are healthy and fit for consumption.

9 I/We read the Terms & Conditions, understood everything and accept it Toto without any alteration

I/We have thoroughly gone through the terms & conditions noted in this form and agreed to fulfill them. Earnest Money Deposite of Rs.5000/- (Rupees Five thousand only) is deposited vide Demand Draft No.______dated ______by Bank Mob. No. Signature of the party

Date Name

I/We have thoroughly gone through the terms & conditions noted in this form and agreed to fulfill them. Earnest Money Deposite of Rs.5000/- (Rupees Five thousand only) is deposited vide Demand Draft No.______dated ______by Bank

Mob. No. Signature of the party ANNEXURE-A

2018-2019 TIN.NO.______Name and Address of the Tenderer

sub : Submission of Tender for the supply of computer /Student stationery -Regarding Ref : Your Tender Notificatgion No. ______Date______with reference to the Notification by JNV.Uttarakannada Notification, rates for the student Stationery , Answar Booklet ,with below mentioned Technical specification and other specific conditions are appended here under Name of the Items Brand and Size Specification Approximate Rate per Sl.No. requirement piece/Unit 1 Office use Ruled 50 Nos. Registers 100 pages Office use 200 pages 50 Nos. 2 Ruled Register 3 Answer paper 02 page size 28 cms x 22 cms 40,000 Nos. Supplementary good qaulity paper and top School Name Printed as per our sample 4 Answer Booklet 08 page size 28 cms x 22 cms 30,000 Nos. good quality paper and top School Name Printed as per our sample 5 Answer Booklet 04 page size 28 cms x 22 cms 10,000 Nos. good quality paper and top School Name Printed as per our sample 6 Colour Chalk Non dust 05 box 7 White Chalk Non dust 15 Box 8 Compass Box Natraj 160 Nos. 9 01. The quantity mentioned is approximate only & may very 02. E.M.D. of Rs. 1000/- is compulsory with tender 03. Chairman, PAC is empowered to accept or reject any Rate/ Tender 04. DD. Towards EMD should be in favour of the Principal,JNV,Malgi on state Bank of India Malgi (code 7608) & cash or outstation cheque/DD.will not be accepted. 05. Overwriting should not be made in Tender form. If a figure is to be modified/corrected, it should be cut with single line, the new rate is written on top of that and attested with signature and date failing which that rate will not be accepted 06. TIN Number or PAN Number, wherever applicable, must be quoted along with copy of the the certificate & its annexure 07. Sample(s) wherever asked for must be produced to the Vidyalaya /PAC or Nominated committee free of cost 08. I/We read the Terms & Conditions, understood everything and accept it Toto without any alteration I/ We have thoroughly gone through the terms and conditions noted in this form and agreed to fulfill them. Earnest Money of Rs. 1000/- (Rupees One thousand only ) is deposited vide Demand DraftNo. ______Dated:______by the bank ______Place: Signature of the party

2018-2019 ANNEXURE -A Name and Address of the Tenderer

TIN NO.

Sir, Sub: Submission of tender for supply of Toilet items (stationery) Ref: Your Tender Notification No.______dated______With reference to the notification by Jawahar Navodaya Vidyalaya, North Canara, rates for Toilet Items with below mentioned technical specification and other specific conditions are appended here under:-

Sl Name Of the Items Brand & Size Approximate Rate per Rate/Discount No. Specification Required kg./Ltr.No.or per month Rate of % Discount on MRP.

Bleaching powder Good qulity /Brand 25 kg. 1 per kg. 10 kg. 2 B.H.C.(DDT.Powder Good qulity per kg. Black kodak 15 ltrs. 3 Phenyl per ltr. Toilet cleaning 4 Acid 10 ltrs. purpose per ltr. Type Plastic 30 Nos. 5 Toilet Brush Each rate 3fts.height 200 grm. 50 Nos. 6 Stick coconut Brooms Each rate 3fts height 200 grm 30 Nos. Each rate 7 Soft Brooms

8 Blue Ujala 60 Bottles % Discount on MRP.

9 Bathing soap (75 grm to 1)Life buoy 480 Nos. % Discount on MRP. 100 grm ) 2) Lux % Discount on MRP. 3)Medimix % Discount on MRP. 4)Dettol % Discount on MRP. 5)Rexon % Discount on MRP.

% Discount on MRP. 10 Tooth paste(50grm ) 1)Colgate 2)Pepsodent % Discount on MRP. 3)Promise % Discount on MRP. 4)Dabul % Discount on MRP. 5)Dabar Red % Discount on MRP. 11 Washing soap (100 1)Wheel 480 Nos. % Discount on MRP. grm) 2)Rin % Discount on MRP. 3)Nirma % Discount on MRP. 4)Tide % Discount on MRP. 5)Kit % Discount on MRP. 12 Washing powder 1)Wheel 25 kg. % Discount on MRP. 2)Rin % Discount on MRP. 3)Nirma % Discount on MRP. 4)Tide % Discount on MRP. 5)Kit % Discount on MRP. 13 Coconut Oil 100 ml 1) Parachut Oil 480 Bottle % Discount on MRP. Bottle 2) Shalimar % Discount on MRP. 14 Coconut Oil 50 ml 1) Parachut Oil 480 Bottle % Discount on MRP. Bottle 2) Shalimar % Discount on MRP. 15 Tooth Brush 1)Colgate 480 No. any % Discount on MRP. one three months one time 2)Pepsodent % Discount on MRP. 3)Promise % Discount on MRP. 4)Dabul % Discount on MRP. 5)Dabar Red % Discount on MRP. 16 Shoes polish Black Cherry 480 Nos, % Discount on MRP. 17 Shoes polish Black Kiwi. % Discount on MRP. 18 Shoes Polish white Cherry 480 Nos, % Discount on MRP. 19 Shoes Polish white Kiwi. % Discount on MRP. 20 Harpic Harpic Scented 25 Bottle % Discount on MRP. 500 ml 21 Sanifresh Sanifresh-scented 200 Nos. % Discount on MRP.

22 Sanitary Napkins for Bella 200 Nos. % Discount on MRP. Girls 23 Sanitary Napkins for Stayfree 200 Nos. % Discount on MRP. Girls

1 The quantity mentioned is approximate only & may vary.

2 Wherever quantity is NOT mentioned in numbers, it should be quoted in kilograms.

3 E.M.D. of Rs. 7000/- is compulsory with tender 4 Chairman, PAC is empowered to accept or reject any Rate/Tender DD towards EMD Should be in favour of the Principal, JNV, Malgi on State Bank of India, Malgi (Code 00007608) & 5 Cash or outstation cheque/DD will not be accepted. Over writing should not be made in Tender form. If a figure is to be modified/corrected, it should be cut with single 6 line, the new rate is written on top of that and attested with signature and date failing which that rate will not be accepted TIN Number OR PAN Number, wherever applicable, must be quoted along with copy of the 7 certificate & its annexure Sample(s) wherever asked for must be produced to the Vidyalaya/PAC or 8 Nominated Committee free of cost I/We read the Terms & Conditions, understood everything and accept it in Toto 9 without any alteration

I/We have thoroughly gone through the terms & conditions noted in this form and agreed to fulfill them. Earnest Money Deposite of Rs.7000/- (Rupees Seven thousand only) is deposited vide Demand Draft No.______dated ______by Bank

Mob. No. Signature of the party

Date Name Place Firm Seal JAWAHAR NAVODAYA VIDYALAYA PANCHAVATI MALGI NORTH CANARA DISTRICT Subjet: Comparative statement for T-Shirts,Track suits & Pullover ,Tie,Belt for the the year 2018-2019 1.Name of Department/Section for which purchase is to made______2.Advertisement No. & Date ______Prajawani News paper /Limited enquiary.No. & Date 3. Last date for receipt of quotations ______4. Total Number of enquiry issued 08___5. Total Number of quotations received ______6.Name of firms which quotations not received ______7. Details of quotations received and earnest money received ______Sl.No Name of the Items with Specification Size Quantity Qty. required

1 32 1 PAIR TRACK SUITS Navy 34 1 PAIR Blue with grey combination good 200 quality material. Printng -JNV 36 1 PAIR NORTHA CANARA print on Rear 38 1 PAIR Side.Vidyalaya Monogram print 40 1 PAIR on Front left side. 42 1PAIR FREE SIZE 1 PAIR

30 to 36 1 NO "T" Shirt-polyester . Colour-Phoenix 38 to 40 1 NO Red/ Navy Blue/ Lemon Yellow/ Bottle Green.Printng -JNV NORTHA 2 450 CANARA print on Rear Side.Vidyalaya Monogram print on 42 1 NO Front left side.

3 30 to 36 450 1 NO "T" Shirt-Cotton . Colour-Phoenix Red/ Navy Blue/ Lemon Yellow/ 38 to 40 1 NO Bottle Green.Printng -JNV NORTHA CANARA print on Rear Side.Vidyalaya Monogram print on 42 1 NO Front left side.

Three packet with compass Box Packet 4 School Bags and Side water Bags Kit 200 01 No 40 x 30 cm.

Sweaters/Pullovers Maroon,Full sleeves Size No. 32 to 44 Boys and Girls (Girls pullover 5 Front open Button 200 Nos. 01 No )as per our sample

Prepared by Store Keeper______Checked by UDC. ANNEXURE -A Name and Address of the Tenderer

TIN NO.

Sir, Sub: Submission of tender for f Uniform washing & Pressingfor Ref: Your Tender Notification No.______dated______

With reference to the notification by Jawahar Navodaya Vidyalaya, North Canara,Uniform washing & Pressing with below mentioned technical specification and other specific conditions are appended here under:-

Sl.No. Name of the Items Each Washing rate Each pressing Total amount rate Full pant 1 Half pant 2 3 Full Shirt 4 Half shirt 5 Skirt 6 Salwar 7 Kurta and Duppatta 8 Curtan 9 Bedsheets 10 /Chadar 11 12 Pillow cover 13 1 The quantity mentioned is approximate only & may vary. 2 E.M.D. of Rs. 500/- is compulsory with tender 3 Chairman, PAC is empowered to accept or reject any Rate/Tender 4 DD towards EMD Should be in favour of the Principal, JNV, Malgi on State Bank of India, Malgi (Code 7608) & Cash or outstation cheque/DD will not be accepted. 5 Overwriting should not be made in Tender form. If a figure is to be modified/corrected, it should be cut with single line, the new rate is written on top of that and attested with signature and date failing which that rate will not be accepted 6 TIN Number OR PAN Number, wherever applicable, must be quoted along with copy of the certificate & its annexure

7 Sample(s) wherever asked for must be produced to the Vidyalaya/PAC or Nominated Committee 8 the supplier should produce the the ertificate of from the vetenary doctor shows the birds are healthy and fit for consumption.

9 I/We read the Terms & Conditions, understood everything and accept it Toto without any alteration I/We have thoroughly gone through the terms & conditions noted in this form and agreed to fulfill them. Earnest Money Deposite of Rs.500/- (Rupees one thousand Five Hundred only) is deposited vide Demand Draft No.______dated ______by Bank

Mob. No. Signature of the party

Date Name Place Firm Seal PAC.Member Offfice use only 2018-2019 ANNEXURE -A Name and Address of the Tenderer

TIN NO.

Sir, Sub: Submission of tender for supply of Vegetable Ref: Your Tender Notification No.______dated______With reference to the notification by Jawahar Navodaya Vidyalaya, North Canara, rates for Vegetable with below mentioned technical specification and other specific conditions are appended here under:-

Sl Name Of the Approximate Quantity Rate Rate in No. Vegetable reqauirement in Kg. words

Onion 100 PER KG 1 Potato 300 PER KG 2 Tomatoe 150 PER KG 3 Green Chilly 25 PER KG 4 Ginger 12 PER KG 5 Corriander Leaves 8 PER KG 6 mint leaves 2 PER KG 7 Palak Leaves 70 PER KG 8 Menthe Leaves 10 PER KG 9 basle leaves 20 PER KG 10 Harvey Leaves 20 PER KG 11 Green Pea 50 PER KG. 12 Beans 35 PER KG 13 Radish 10 PER KG 14 Drum Stick 300 PER KG 15 Lady's Finger 50 PER KG 16 Mongekai 10 PER KG 17 18 Beet Root 100 PER KG Cabbage 120 PER KG 19 Cauliflowe 120 PER KG 20 Chow chow 35 PER KG 21 Caspicum 10 PER KG 22 Carrot 80 PER Kg 23 Cucumber 150 PER KG 24 Cluster beans 35 PER KG 25 Snake Guard 45 PER KG 26 Bottle guard 45 PER KG 27 Pumpkin 50 PER KG 28 Sweet Potato 50 PER KG 29 Tondekai 35 PER KG 30 Angel guard 50 PER KG 31 Brinjal 50 PER KG 32 Averakai 20 PER KG 33 Yaam 45 PER KG. 34 35 Navalkos 45 PER KG. Garlic 15 PER KG 36 Lemon 25 kg PER KG 37 Mosmabi 150 PER KG 38 Orange 150 PER KG 39 Apple 150 PER KG 40 41 Chikku 100 PER KG Mango 100 PER KG. 42 Pineapple 50 PER KG 43 44 Water Melon 400 PER KG. 45 Pomegranate 30 PER KG 46 Grapes 70 PER KG Pappaya 70 PER KG 48 Plum 70 PER KG 49 Banana-Robust 70 PER KG 50 51 Banana-karibale 250 PER KG cocunut 100 PER KG 52 Yaam 45 53 1 The quantity mentioned is approximate only & may vary. 2 Wherever quantity is NOT mentioned in numbers, it should be quoted in kilograms. 3 E.M.D. of Rs. 5000/- is compulsory with tender 4 Chairman, PAC is empowered to accept or reject any Rate/Tender DD towards EMD Should be in favour of the Principal, JNV, Malgi on State Bank of India, Malgi 5 (IFSC.SBIN0007608) & Cash or outstation cheque/DD will not be accepted. Over writing should not be made in Tender form. If a figure is to be modified/corrected, it should be cut with 6 single line, the new rate is written on top of that and attested with signature and date failing which that rate will not be accepted

TIN Number OR PAN Number, wherever applicable, must be quoted along with copy of the 7 certificate & its annexure

8 QUALITY OF VEGETABLE & FRUITS MUST BE FRESH SO AS TO AVOID REJECTION Sample(s) wherever asked for must be produced to the Vidyalaya/PAC or 9 Nominated Committee free of cost I/We read the Terms & Conditions, understood everything and accept it in Toto 10 without any alteration

I/We have thoroughly gone through the terms & conditions noted in this form and agreed to fulfill them. Earnest Money Deposite of Rs.5000/- (Rupees five thousand only) is deposited vide Demand Draft No.______dated ______by Bank

Mob. No. Signature of the party

Date Name Firm Place Seal