ANNEX III: Administrative information FORM
(Preferably on the tenderer’s headed notepaper)
TENDER SUBMISSION FORM
To be completed by the authorised signatory of the tenderer
1. SUBMITTED BY:
The tenderer’s full official legal name
1
Acronym
1
Official legal form
(The legal details are described in the ‘legal entity form’ to be enclosed with the
application form: http://ec.europa.eu/budget/info_contract/legal_entities_en.htm):
Company registration number
VAT number
2. CONTACT DETAILS (TENDERER’S’S REGISTERED ADDRESS)
Street
Postcode
City
Country
Telephone
Mobile number
E-mail address
Website
3. CONTACT DETAILS (FOR THIS TENDER)
Title (e.g. Dr, Mr, Mrs, Ms)
Sur
name
First name
Job title/role
Telephone (with country and area code)
Mobile number
Fax number (with country and area code)
2
E-mail address
1
In the case of a consortium, insert the agreed name of the consortium.
2
If applicable.
Tender Specifications No OLAF/D1/73/2016 - Service contract Study to support the evaluation of the application of
Regulation 883/2013
Annex III: Administrative information
2
4. PERSON AUTHORISED TO SIGN THE CONTRACT
(
e.g.
Dr, Mr, Mrs, Ms)
Surname
First name
Job title/role
Telephone (with country and area code)
Mobile number
Fax number (with country and area code)
3
E
-
mail address
5. STATEMENT
I, the undersigned, being the authorised signatory of the above tenderer (including
all consortium partners in the case of a consortium), hereby declare that we have
examined and accept without reserve or restriction the entire contents of the tender
file for the tender procedure referred to above.
We propose to provide the services requested in the tender dossier on the basis of
our offer.
Surname
First name
Signature
Date
If applicable, a copy of the statutes must be enclosed.
3
If applicable.
click to sign
signature
click to edit
dd mmm yyyy
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