Date: [Insert Date]

To,

The Procurement Officer,
[Name of the Procuring Organization],
[Address of the Procuring Organization],
[City, State, PIN Code].

Subject: Non-Blacklisting and Non-Debarred Declaration for Bid Number [Bid Number]

Dear Sir/Madam,

We, [Your Company Name], having our registered office at [Your Company Address], hereby provide this declaration concerning our status with respect to blacklisting and debarment for Bid Number [Bid Number].
 

Declaration
 

1. Non-Blacklisting: We affirm that neither [Your Company Name] nor any of its affiliates, directors, or officers have been blacklisted or debarred by any government or quasi-government agency, public sector undertaking, or any other competent authority in India or abroad. We further confirm that no action is currently pending that could lead to such blacklisting or debarment.
2. Non-Debarred: We confirm that [Your Company Name] is not debarred from participating in any government tenders or contracts and has not been subjected to any suspension of business activities or other penalties that would affect its eligibility to participate in the tender process.
3. Legal Compliance: We declare that we comply with all legal requirements and regulations relevant to our business operations. We have not been convicted of any criminal offense or been subject to any legal proceedings that could impact our ability to fulfill contractual obligations.
    

We understand that any false information provided in this declaration may result in disqualification from the bidding process and legal action as per the applicable laws and regulations.

This declaration is executed on a stamp paper of ₹100/- and is duly notarized to attest to its authenticity and accuracy.

For any further information or clarification, please feel free to contact us at [Contact Number].

Thank you for considering our bid. We look forward to the opportunity to serve you.
 

Yours faithfully,

[Signature]
[Name of the Authorized Signatory]
[Designation]
[Your Company Name]
[Contact Number]
[Email Address]