ANNEXURE-"H" - LIST OF PRINTED FORMS

Unit-Pad Required PAPER QUALITY Rate in Rs Per Unit GST Rate

(Excluding GST)
Sl No Particulars (100 leaves ) GSM %
But Inclusive of all Charges.
1 Form No - 400 Additional Form Joint Life per pad 57 A' GRADE MILL PAPER
2 FORM NO.680 (DGH) Per Pad 57 A' GRADE MILL PAPER
3 Form No - 700 DGH Upto 10 Years Age per pad 57 A' GRADE MILL PAPER
4 Form No - 720 DGH Form 10 to 18 years per pad 57 A' GRADE MILL PAPER
5 Form No.-3124 per pad 57 A' GRADE MILL PAPER
6 Form No. - 3251-Ann. A per pad 57 A' GRADE MILL PAPER
7 Form No. - 3251-Ann. B per pad 57 A' GRADE MILL PAPER
8 Form No.-3264 per pad 57 A' GRADE MILL PAPER
9 Form No.-3477/4753 per pad 57 A' GRADE MILL PAPER
10 Form No.-3599 B per pad 57 A' GRADE MILL PAPER
11 Form No.-3750 per pad 57 A' GRADE MILL PAPER
12 Form no-3756 Per Pad 57 A' GRADE MILL PAPER
13 Form No.-3783 A (Early Claim) per pad 57 A' GRADE MILL PAPER
14 Form No.-3783 (Non Early Claim) per pad 57 A' GRADE MILL PAPER
15 Form No.-3784 "B" per pad 57 A' GRADE MILL PAPER
16 Form No.-3785 "C" per pad 57 A' GRADE MILL PAPER
17 Form No.-3787 "E" per pad 57 A' GRADE MILL PAPER
18 Form No.-3801 per pad 57 A' GRADE MILL PAPER
19 Form No.-3807 per pad 57 A' GRADE MILL PAPER
20 Form no-3815 Per Pad 57 A' GRADE MILL PAPER
21 Form No.-3816 "B1" per pad 57 A' GRADE MILL PAPER
22 Form No.-3825 per pad 57 A' GRADE MILL PAPER
23 Form No.-3848 per pad 57 A' GRADE MILL PAPER
 Unit-Pad Required PAPER QUALITY Rate in Rs Per Unit GST Rate
(Excluding GST)
Sl No Particulars (100 leaves ) GSM %
But Inclusive of all Charges.
24 Form No.-3855 per pad 57 A' GRADE MILL PAPER
25 Form No.-3857 per pad 57 A' GRADE MILL PAPER
26 Form No.-3864 per pad 57 A' GRADE MILL PAPER
27 Form No.-4125 per pad 57 A' GRADE MILL PAPER
28 Form No.-4725 per pad 57 A' GRADE MILL PAPER
Ballarur / JK ledger paper
29 FORM NO. 4901 (LEAVE LEDGER) Per Sheet 80
30 FORM NO. 5074 Per Pad 57 A' GRADE MILL PAPER
FORM No. 5198/5200/5240 5205 (Application for Fresh Loan) 57
31 Per Pad A' GRADE MILL PAPER
32 New Medical Diary (With Double S. NO in each Page) Per Pad 70 Orient / Ballarur Maplitho
33 K - 9 Peon Book with binding and page no on each page per pad 57 A' GRADE MILL PAPER
34 Register of Employment sheet Class III & IV Per Sheet 57 A' GRADE MILL PAPER
35 Attendancer Register of Dev. Officers Class II Per Sheet 57 A' GRADE MILL PAPER
36 K-134 per pad 57 A' GRADE MILL PAPER
37 K-262 CASUAL LEAVE REG.WITH PUNCHING Per Sheet 70 Orient / Ballarur Maplitho
38 K-269 Claim for Reimbursement of LTC Per Pad 57 A' GRADE MILL PAPER
39 KD-55(SSS SCHEME) Per Pad 57 A' GRADE MILL PAPER
40 KD-55(Rly) Per Pad 57 A' GRADE MILL PAPER
41 NOTES & DECISION (Medium) Per Pad 57 A' GRADE MILL PAPER
42 RD-41 per pad 57 A' GRADE MILL PAPER
43 RD-166 per pad 57 A' GRADE MILL PAPER
44 NEFT Form per pad 57 A' GRADE MILL PAPER
45 Letter heads(medium) - As per Corporate design SIZE per pad 57 JK BOND PAPER

46 Letter heads(Big) - As per Corporate design SIZE per pad 57 JK BONDPAPER

47 NACH Mandate Form Booklet with cover Booklet = 25 + 2 leaves 80 Orient / Ballarur Maplitho
48 Terms & Conditions for NACH- A4 size Per Pad 70 Orient / Ballarur Maplitho
 Unit-Pad Required PAPER QUALITY Rate in Rs Per Unit GST Rate
(Excluding GST)
Sl No Particulars (100 leaves ) GSM %
But Inclusive of all Charges.
49 Appliaction for updation of Mobile Number & E mail ID per pad 57 A' GRADE MILL PAPER
50 COVID-19 Questionnaire per pad 57 A' GRADE MILL PAPER
51 Female Proposer Questionnaire per pad 57 A' GRADE MILL PAPER
52 Surrender Application & Questionnaire Form (Ann. -I) per pad (Both Side Print) 57 A' GRADE MILL PAPER
53 Surrender (Exit Interview) Form (Ann. -II) per pad (Both Side Print) 57 A' GRADE MILL PAPER
54 Settled Claims Forwarding Letter to Branch Offices per pad 57 A' GRADE MILL PAPER
55 Denomination of Notes per pad 57 A' GRADE MILL PAPER

56 VISITING CARDS (9.2 CM X 5.4 CM ) As per Corporate design per 100 cards 300 ART CARD

In compliance with your tender for Printed Forms as per items in Annexure-‘H’, We quote above our rates for the items Excluding GST but
inclusive of all other charges, which will hold good for one year from the date of consideration at your end/next tendering. We agree to abide by your terms
and conditions and undertake to supply materials as per the specifications given in Annexure - 'H'.

DATE -
PLACE - SIGNATURE OF AUTHORISED PERSON WITH SEAL