Life Insurance Corporation of India, Divisional office, Jeevan Prakash, Julu Park, Hazaribag Ref. No. HDO/E&OS Date:

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1 Life Insurance Corporation of India, Divisional office, Jeevan Prakash, Julu Park, Hazaribag Ref. No. HDO/E&OS Date: Re: Empanelment of Courier Service Providers Applications in sealed envelope are invited from the established courier service providers, hereinafter referred to as service providers, based in Jharkhand having at least 5 years of experience in the profession of courier services all over India and providing services to organizations including Banks, Government Offices, PSUs. Service providers who are interested in empanelment on our Panel and fulfilling conditions, as per Terms and Conditions, may apply. The Application Form and its enclosures along with demand draft towards Application money (nonrefundable) of Rs.100/- favouring LIC of India and drawn on any Nationalized Bank / Scheduled Bank payable at Hazaribagh are to be submitted, at the following address in person. The Senior Divisional Manager LIC of India, Divisional Office, Jeevan Prakash Julu Park, Holy Cross Road, Hazaribagh On or before 29//02/2016 by 3.00 p.m. in a sealed envelope super scribed as APPLICATION FOR EMPANELMENT OF COURIER SERVICE PROVIDERS along with Name of the Applicant & Contact Numbers Corporation may, at its discretion, extend the last date for submission of the Application by issuing an addendum in which case all rights and obligations of the Applicant previously subjected to the original date of submission shall be subjected to the extended date of submission. The submission of the Application Form itself shall be construed as acceptance of all the terms and conditions, mentioned in the notice, by the Applicant. The Application submitted after the last date of submission, shall not be accepted and if inadvertently accepted shall not be considered. Similarly, the Applicant shall not be permitted to modify / withdraw their Application once submitted. The Application will be disqualified or rejected out rightly if the Applicant does not fulfill the terms and conditions as mentioned in notice document. Applicant must keep the application open for acceptance for a period of six calendar months from the due date. (1)

2 Life Insurance Corporation of India, Divisional office, Jeevan Prakash, Jullu Park, Hazaribag All such received applications shall be opened on at p.m. at chamber of Manager (E&OS), LIC of India, Divisional Office, Hazaribag. One representative of the applicant may remain present on this date and time, if so desired. The applications will be scrutinized as per evaluation procedure explained in Terms and Conditions. The successful applicants will be empanelled on the Panel of Courier service providers for providing courier services and will be notified in writing by letter / /Fax that his / her Application has been selected on a Panel. The said panel may be valid for 3 years at the sole discretion of the Corporation, which may be further extended by 2 years (if required). Further the Corporation also reserves the right to curtail the validity of the panel if circumstances warrant. The Corporation reserves the right to call for any missing / additional information from the responding applicants and accept and reject any or all applications without assigning any reason whatsoever. The Senior Divisional Manager LIC of India, Divisional Office, Jeevan Prakash Julu Park, Holy Cross Road, Hazaribagh (2)

3 Annexure I APPLICATION FORM TO BE COMPLETED BY THE SERVICE PROVIDER FOR GETTING EMPANELLED FOR PROVIDING COURIER SERVICES FOR LIC, DIVISIONAL OFFICE, HAZARIBAGH. To The Senior Divisional Manager, LIC of India, Divisional Office, Julu Park, Holy Cross Road, Hazaribagh Sir, Re: Empanelment of Courier Service Providers for Offices under Divisional Office, Hazaribagh Pursuant to the Notice for Empanelment of courier service providers Ref HDO/E&OS/Mail dated 15/02/2016 for empanelment for providing courier services in the Divisional Office, Hazaribagh, I / We whose names and signature is / are given appended herein below representing the Entrepreneurial Establishment whose Stamp / Seal is also affixed herein below hereby submit my / our Application for being empanelled as a member on the Panel of Courier Service Providers. General Information 1. Name of the Establishment 2. Status: Whether Proprietary / Partnership Firm / Private Ltd. Co. /Public Ltd. CO. (Copy of Partnership Deed / Memorandum of Association, as the case may be, to be submitted 3. Date of Establishment / Incorporation (Copy of Certificate to be enclosed 4. Address, Telephone No., E mail ID, Fax No of Registered Office. 5. Address, Telephone No., E mail ID, Fax No of Local Office. 6. Names of Proprietor /Director /Partners (as the case may be) 7. Name,Designation and Phone no. of persons authorized to sign the documents on behalf of the Company/Firm /Proprietary Concern (Authorization Certificate to be enclosed) 8. Name,Designation and Phone no. of Representatives authorized to manage business on behalf of the Company/Firm /Proprietary Concern (Authorization Certificate to be enclosed) 9. Name of the Bankers with IFSC code, Telephone No.and Address 10. PAN NO.(Copy of PAN Card to be enclosed 11. Number of Delivery Centres 12. Address of functional website for tracking documents 13. Name of present Clients (One must be PSU) Separate sheet to be enclosed as per Annexure III for each client

4 Technical Information 1. Do you have at least 5 years experience of profession of Courier Services in India as well as outside India 2. Do you have a Turnover of 10 crores on an average in the financial years , , & Do you agree to keep Application open for six months from due date 4. Whether Co./ Partnership Firm / Proprietary Concern is Registered under following (Copy of Registration /License to be enclosed) 5. Undertaking the profession 6. Shop and Establishment Act, Service Tax Act 8. Whether all the Statutory Registration / requirement as directed by Govt. Authorities to run such kind of business have obtained/fulfilled 9. Have you submitted audited copy of Balance Sheet and P&L A/C For last three Financial Years 10. Have you submitted IT Returns for Financial years , , & (Copy to be enclosed 11. Have you entered in Joint Venture with any other Proprietary Concern /Partnership Firm or Co. for submitting this Application 12. Has your Agency/Company been under litigation or any other action has been initiated by any authority for violation of any provisions of Law or have you been black listed by any Organization 13. Do you agree with all Terms and Conditions and enclosed the same with Application form duly executed 14. Have you submitted Demand Draft of Rs.100/- towards non refundable Application Fee 15. How POD s will be furnished (Hard Copy OR Delivery Status) 16. Have you submitted Declaration as per Annexure II Have you submitted Details of existing clients as per Annexure III DD NO. Date Drawn on Signature of Authorized Signatory Name/ Designation of the applicant Seal of the Service provider

5 DECLARATION Annexure II I/We have read the Application Notice thoroughly and I /We understand that if any false information is detected at a later date, any future contract made between ourselves and Corporation, on the basis of information given by me / we can be treated as invalid by the Corporation and I /We will be solely responsible for consequences. I / We unconditionally accept Terms and Conditions mentioned in the Application Document and attach the same duly executed by me/us. I /We agree that the decision of the Corporation in empanelment and selection of the Agency/ service provider will be final and binding on me / us. All the Information furnished by me/us hereunder is correct to the best of my / our knowledge and belief. I /We agree that I /We have no objection if enquiries are made about the work performance with clients mentioned in Annexure. Signature of Authorized Signatory Name/ Designation of the applicant Seal of the Service provider

6 DETAILS OF EXISTING CLIENT ANNEXURE-III 1. Name of the Govt. UT/ Multinational Client 2. Address of the Govt. UT/ Multinational Client 3. Since when the Courier services are being provided and turnover for the last financial year with that client 4. Name, designation of contact person of Govt. UT/ Multinational Client with telephone no. and ID Name: Designation: Landline No.: Cell No. : ID: Signature of the Applicant Name and Designation of the applicant Seal of the service provider