D E C L A R A T I O N
 
 
 

I) We hereby declare that:

a) Particulars stated in the application are correct.
b) The goods as mentioned in application have been supplied  to
M/s. ____________________________________________., terms of
the contract secured by us.
c) The  payment  against these supplies have been  received and
d) Supplies have been made at international prices.
 
 

DATED : SIGNATURE
PLACE :
 
 

Name in Block Letter :
Designation :
 
 

II) We hereby certify that:
    a)  Particulars stated in the application are correct
    b)  The goods as mentioned in application have been supplied to
         M/s. _________________________________., as terms of purchase order dated _________________.
    c)  The payment against these supplies has been received.
    d)  Supplies  have been made in terms of contract awarded to us by M/s. _________________________________.,    vide their order as __________________________ DT.____________.
 
 
 

DATED :                                                                                 SIGNATURE
PLACE :
 
 

Name in Block Letter :
Designation :