Self-Declaration (Non-Blacklisting & Acceptance)
(To be submitted on the Bidder’s letterhead)

To,
The Procurement Cell,
The People to People Health Foundation.

Subject: Self-declaration in respect of RFP No. [____] for the GPK Community Hall.

We, M/s ____________________________, having our registered office at ____________________________, do hereby declare and undertake that:
1.	All information and documents furnished in our proposal are true, correct and authentic.
2.	Our firm has not been blacklisted, debarred or banned by any Central / State Government, public sector undertaking, court or funding agency as on the date of this declaration.
3.	We do not have any conflict of interest with PPHF in relation to this procurement.
4.	We have read, understood and unconditionally accept all terms, conditions and specifications of this RFP, and shall comply with all applicable Indian Standards and statutory laws.
5.	We undertake to keep our offer valid for ninety (90) days and to execute the work within the stipulated period if awarded.

Signature: ____________________     
Name: ____________________
Designation: __________________     
Date: ____________________