Request For Quotation (Page 4 of 4) in pdf

Request For Quotation Page 4

BIDDER’S DECLARATION

Quotation on Supply for Office Stationery (RFQ00102)

____________________________

NRIC

________________________

representing ______________________________________ with registration number

_________________________________ hereby declare that I, or any individual(s)

representing this company, shall not offer or give any bribes to any individual(s) in

Labuan FSA or any other individual(s), as gratification for being selected in the

aforementioned tender/quotation*. I attach herewith a Letter of Authorisation which

empowers me as the representative for the aforementioned company, to make this

declaration.

If I, or any individual(s) representing this company, is offering or giving bribes to

any individual(s) in Labuan FSA or any other individual(s) as gratification for being

selected in the aforementioned tender/quotation*, I hereby agree as a representative of

the aforementioned company, for the following actions to be taken:

2.1

Revocation of the contract offer for the aforementioned tender/quotation*; or

2.2

Termination of the contract for the aforementioned tender/quotation*; and

2.3

Other disciplinary actions according to the Government procurement rules

and regulations in force.

In the event where there is any individuals(s) who attempts to solicit bribes from

me or any individual(s) related to this company as gratification for being selected in the

aforementioned quotation, I hereby pledge to immediately report such act(s) to the

Malaysian Anti-Corruption Commission (MACC)’s office or at the nearest police station.

Sincerely,

Name:

NRIC No.:

Company stamp:

Note

*Delete whichever not applicable

ii.

This declaration is to be submitted together with Letter of Authorisation

Request For Quotation Page 4