Affidavit to submitted by Applicants
(To be executed on non-judicial stamp
paper)
I Md. Humayun Kabir S/o/D/o Adul MOtaleb
Howlader presently residing at 119 Lake Circus, Kalabagan, Dhanmondi, Dhaka
1205 hereby state as follows: I was born on 08/12/81 (date) in Patuakhali (name
of District)
Cont. Page 02
Page- 02
I take oath and solemnly declare/affirm
that, I have the legal capacity to enter into a contract with Procuring Entity,
and have not been declared ineligible by any of the PE’s under any
government/semi Government/autonomous bodies of Government of Bangladesh on
charges of engaging in Corrupt, Fraudulent, Collusive of Coercive practices and
I further declare that I am a Citizen of Bangladesh.
Cont. Page 03
Page- 03
and the particulars furnished by me above
correct and that I have not concealed or misrepresented any facts.
..................................
Signature of the Applicant
Witnesses
1.................................. 2.......................................
Sworn to before me
This ............................... Day
of .............................. 20
at....................... .................... ..............................................................................................
Notary Public
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