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Supplier Information Questionnaire - V (1.1)
Supplier Information Questionnaire - V (1.1)
Please refer the instructions given below/ next to each field carefully.
Incomplete data or incorrect format may lead to disqualification.
All the details are mandatory, failing to provide we shall disqualify the vendor from RFI
Please do not make any changes to the template.
If you need to mention additional details, please create a cross reference in a new 'work sheet' in the same file
Please note, the service provider needs to mention the key assumptions for all data points in this document
Abbreviation & Relevant exp required is mentioned in Tab 3(Doability).
Name of Company
Name of Individual Completing Questionnaire
Contact Number of Individual Completing Questionnaire
45 Please identify any specific concerns or key issues that you currently
encounter within the industry for fulfilling the Niche requirements
yes
yes
1 month
80% Niche and 20% generic
2 to 4 weeks
We have impelementation experience in Oil and
Gas including Global clients.
yes
Accenture Services Pvt. Ltd.
Regd. Office: 17th Floor, Express Towers,
Nariman Point, Mumbai - 400 021.
1) We indeminify Accenture and confirm that we do not directly or indirectly employee child
2) We indeminify Accenture and confirm that we have all necessary licenses to deliver the Services
3) We indeminify Accenture and confirm that we comply with all applicable Indian Statutory laws. Yes No
4) We confirm that we have not received any notices from ESI or the PF Office till date. Yes No
5) We confirm that we have not been involved in any litigation with any of the above statutory
organisations. Yes No
6) Do you have any relatives and or friends in Accenture. If so, please provide details below. Yes No
Additional Details:
Important : PAN Copy is mandatory, without which your request will be termed invalid
Corporate References:
Declaration:
I/We warrant the above information to be true and correct. Permission is hereby given to Accenture to inquire upon any persons/companies/authorities regarding
my/our business status,validity and crediblity. In the event I/We have business transaction with Accenture, I / We shall immediately inform you of any change. I
/We hereby declare to the best of my/our knowledge that no employee of Accenture has any vested interest in My /Our Company.
Authorised Signatory (1) with Company Seal. Authorised Signatory (2) with Company Seal.
Name : Name :
Date : Date :
Accenture Procurement Office Use:
Reviewed By: Authorised By Date: