PART – A [B1]

 

DETAILS  AND  PERFORMANCE  APPRAISAL

 

IN  RESPECT OF ( THE  R/C HOLDER) M/S……………………………

DGS&D  RATE  CONTRACT  NO. ………………DATED……………..

VALIDITY  FROM …………………..TO………………………………..

STORE………………………………………………………………………

 

Sl.

No.

SO/Allocation

Order  No. &

date

Authority

Placing

SO/

Allocation

Order

Item(s)

and 

total

Qty.

against

each

Date of

Delivery/

Validity

Period

Specified

in  the SO

/Allocation

order

Extended

Date of

delivery

Actual

Date of

delivery

Remarks

(Here

mention

reason

for not adhering

to original

delivery

date)

1

2

3

4

5

6

7

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total  value of

the orders

received upto

cut  off  date

Value of  the

orders received

which  were due

for  supply  by

the cut-off  date

mentioned  in

Col. (1)

Value  of  the

orders  supplied

as  per 
Col. (2)

Value of  the

orders which supply is

due /not due by

the cut-off date

mentioned in

Col.(1)

Reasons  for delay in the

execution  of the  Supply  Order if any

 

1

2

3

4

5

 

 

 

 

 

 

 

PART – B [B2]

 

PROFORMA  OF  REPORTING  CANCELLED/WITHDRAWN  ORDERS  AGAINST   CONTRACT

 

Name of

DDOs

Supply

Order  No.

&  Date

Value  of

the

Order

Delivery

period

stipulated  in

the  order

Date of

Cancellation

/withdrawal

Reason for 

cancellation

/withdrawal

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

 

 

Designation and Signature of the authorized signatory of the firm with date and seal

 

PART – C [B3]

 

DIRECT  ORDERS  PLACED  BY  INDENTORS  OTHER  THAN  DDOS   AS  PER  R/C  TERMS  AS  ON  THE  CUT-OFF  DATE  ( Payment  in these cased is made by the Indenting Department directly)

 

 

R/C  No……………………………………………..Date………………….

 

Item:-…………………………………………………………………………

 

Name  of supplier:-…………………………………………………………..

 

Total value  of  orders

received upto the end

 of  the month previous

 to  the one In which

 tenders are due     

Total value of orders

Supplied during the said

period

Total value orders

Outstanding on the

cut-off  date

 

 

 

 

 

 

 

 

 

Designation & Signature of the submitting officer with date & seal