Format- II for - AFFIDAVIT ON A NON JUDICIAL STAMP PAPER OF RS.
100/- DULY
NOTARIZED
I, _______________________ sole proprietor/partner/authorized signatory of
M/s._______________________________________sole proprietorship/partnership
firm/public/private limited company , having its principal place of business/ registered
office at.(Full Address) do hereby
solemnly affirm and declare as under:-
1. That I am the sole proprietor of M/s________________________________/
                                           Or
  That ours is partnership firm having partners as under:-
   Full Name of partners.
    (a)
    (b)
    (c)
    (d)
                                        Or
  That ours is a private limited/public limited company incorporated in terms of the
  provisions of the Companies Act,1956/Companies Act,2013.
  (Delete which is not applicable while typing affidavit)
   If proprietorship a registration certificate for the same/if partnership Firm,
  partnership deed is to be enclosed , if private limited/public limited company,
  Certificate of incorporation and Memorandum & Articles of association to be
  submitted. All the partners/ directors should sign the affidavit or the person
  authorized by all the partners or one of the Directors duly authorized by Board
  Resolution in case of Company can sign with authority letter from all the
  partners/or Board Resolution in case of Company is to be enclosed.
2. That   I   hereby confirm and           declare    that   my/our  firm/company
   M/s.. is not blacklisted/delisted or debarred or on
   Holiday list with any company of Private/Public Ltd. or Government
   Company/Govt. deptt. from participating in the tender as on date.
3. That     I     hereby    confirm and       declare   that   my/our     firm/company
   M/s.. is /are                      not involved in any illegal activity
   and/or not charge sheeted for any criminal act of theft and/or diverting of fertilizers
   for industrial use or any other essential commodity during last five years.
4. That I further undertake that in case any of the facts sworn in as mentioned above
   and any particulars mentioned in our application is found other-wise or incorrect or
   false at any stage, my/our firm/ company shall stand debarred from the present
   and future tenders of the GNFC. Besides, GNFC shall be entitled to take all such
   actions as may be deemed fit including termination of contract, if awarded, without
   any claim for any compensation whatsoever on account of such premature closure
   of the contract.
                                                                                Page 1 of 2
5. I know that to swear a false affidavit is a crime under the law and with such
   knowledge only I have swear this Affidavit.
                  ( Signature of the Proprietor/ Managing Partner/Director with Seal )
                                 DEPONENT
   Verified at .... onthat the contents of paras 1 to 5
   of this affidavit are true and correct and no part of this is false and nothing
   material has been concealed or falsely stated therein.
                   (Signature of the Proprietor/ Managing Partner/ Director with Seal)
                                                                         DEPONENT
(Signature & Seal of Notary)
                                                                            Page 2 of 2