DECLARATION OF NON-BLACKLISTING

(Printed and signed on organization’s official letterhead)

Dated: ____________
To:
Associates in Development (Pvt.) Ltd.

Reference: Request for Expression of Interest for Implementation of Pakistan Poverty

Alleviation Fund’s (PPAF) National Poverty Graduation Program (NPGP)

We, [Please insert organization’s name here], having head office at [please insert address of
organization’s head office], do hereby declare on solemn affirmation that:

1. We have not been blacklisted by any Government department/ agency

2. We have not been blacklisted by Pakistan Poverty Alleviation Fund (PPAF)
3. We acknowledge that we have read and understood the EOI document along with all terms
and conditions specified in it
4. We understand that the PPAF shall have the right, at its exclusive discretion, to require, in
writing, further information or clarification of the EOI, from any or all of the Applicant(s)

From,

Name of Signatory: ________________________________________________

Designation: ________________________________________________

Signature: ________________________________________________