BEFORE THE NOTARY PUBLIC AT DHAKA,
BANGLADESH
AFFIDAVIT
I am MD. MAHBUBUR RAHMAN, Son of ABDUL WAHID
TALUKDER & RAWSHAN ARA BEGUM, presently residing at 20/1 East Madartek,
Post. Bashabo, Police Station – Sabujbagh, District- Dhaka-1214 hereby state as
follows:
I was born on 1st
September, 1966 in Shariatpur.
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
Cont........P/2
Page-02
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 or Coercive
practices and I further declare that I am a Citizen of Bangladesh.
and
The particulars
furnished by me above are correct and that I have not concealed or misrepresented
any facts.
............................................
Signature
of the Applicant
Cont...........P/3
Page - 03
WITNESSES:
1.
Sign........................................................, Name :
Golam Mostafa
2/11, South Begun Bari, Tejgaon, Dhaka-1208.
2.
Sign. ........................................................, Name : Syed Zillur Rahman
20/1/3 East Madartek, Bashabo, Sabujbagh, Dhaka-1214.
This
.............................. Day of ..............................2016 at
..............................
............................................................................................................................
The
deponent is known to me, identified by me and he has signed in my presence.
………………………………………..
Advocate
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