Corrigendum 01 Eproc

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Form FIN-4: FINANCIAL STABILITY(for bids above Rs. 100.

00 Cr)

To demonstrate their financial stability, the Bidder shall submit an Affidavit in the following format on Rs.
500 non-judicial stamp paper along with the certificate from the Bidder’s Charted Accountant with UDIN
mentioned on it.

AFFIDAVIT

I/We ……………………………………………, having my/our registered office at


….…………………………………………………………………………………………………………………….,
submitting my/our Bid for the work of “……………………………..

…………………………………………. ” certify that my/our firm is not facing recovery/ insolvency


proceedings from Financial Institutions (FIs) / Corporate Debt Restructuring (CDR) OR National Company
Law Tribunal (NCLT) under Insolvency and Bankruptcy Code (IBC) OR Debt Recovery Tribunal (DRT)
OR facing any winding up proceedings in the last 3 financial years (………….. to……….) and up to the
date of bid submission.

And

Information from Profit & Loss Account/ Income & Expenditure Statement for last 5 preceding years.

Year 2019-20 2020-2021 2021-2022 2022-2023 2023-2024

Profit/ Excess of
Income over
Expenditure
after Taxes

Signature of the Authorized Signatory to the Bidder

Name of the Authorized Signatory to the Bidder

Name & Address of the Bidder

Date:

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