Annexure 9 — GOODS_MANUAL

Signature of Approving Authority--------------------------------- Date ------------------- Designation of Officer -----------------

File Number and Date Reference 1 Description of article 2 Forecast of quantity/annual requirement 3 Approximate estimated value for the above quantity 4 Maker’s name and address 5 Name

(s) of authorised dealers/ stockists 6 I approve the above purchase on a PAC basis and certify that: -- Note- Tick to retain only one out of 6

(b) or 6(c), whichever is applicable and cross out others. Please confirm 6

(a) by ticking it, without which the PAC certificate will be invalid. 6

(a) This is the only firm that manufactures/ stocks this item. AND 6

(b) No other make or model is acceptable for the following reasons (like OEM/ warranty spares): 6

(c) A similar article is not manufactured/sold by any other firm, which could be used in lieu. 7 Reference of concurrence of finance wing to the proposal: ___________________ The history of PAC purchases of this item for the past three years may be given below. Name of the Supplier Order/ Tender Reference& Date Quantity Ordered Basic Rate on Order (Rs.) Adverse Performanc e Reported if Any

Annexure 9: Proprietary Article Certificate Valid for the Current Financial Year (Refer Para 4.10)