Indent Form for the Government Dept

Indent Form for the Government Dept

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Date :

INDENT FORM
FOR THE GOVERNMENT DEPT./AGENCY THAT WANTS TO PROCURE COMP. HARDWARE THROUGH GIL
( THIS FORM SHOULD BE DULY FILLED UP BY THE CONCERNED GOVT. DEPT./AGENCY WITH DUE SEAL AND SIGN )

NAME OF THE DEPARTMENT/BOARD/CORPORATION/GOVT. OFFICE
CONTACT PERSON & HIS DESIGNATE ,WHO WILL COORDINATE PURCHASE PROCEDURE
ADDRESS
TEL. NO.
FAX
E-MAIL
NAME AND ADDRESSES OF THE PLACES WHERE COMP. HARDWARE HAVE TO BE INSTALLED OR NETWORK SHOULD BE ESTABLISHED:
(PLEASE ATTACH A SEPARATE SHEET)
NAME & COMPLETE ADDRESSES IN WHOSE NAME INVOICE IS TO BE PREPARED
PAYMENT WILL BE MADE BY
NAME & ADDRESS OF THE BENEFICIARY IN WHOSE FAVOUR THE PERFORMANCE BANK GUARANTEE IS TO BE ISSUED

For

( Signing Authority )

ADDITIONAL INFORMATION

Information on Grant

Budgetary allocations & Actual spending for IT in the Current Year

Area / Budget Allocated / Actual Spending / Any Revision / Source of Fund
Comp. Hardware
Comp. Software products & TSP
IT Projects

We hereby confirm that necessary approval/sanction of the Administrative Department/ Finance Department or Government has been obtained and the grant isavailable with us and we hereby also agree to pay 3% of consultancy charges plus Service Tax Extraas applicable of GIL as per G.R. no.LAN-2004-927-DST dated 30.7.2004.

Date:

Name of the Office:

Place:

P.S.: If required the indenter may furnished the information in the additional pages. In such cases, each and every page should be signed and stamped.

INDENT FORM DETAILS
SR.NO /

ITEMS

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QTY

1 / SERVERS (HIGH END/MID RANGE/ENTRY LEVEL) **
2 /

CLIENTS (DESKTOP COMPUTERS)

2.1 / WITH CD DRIVE AND SPEAKERS
2.2 / WITH CD DRIVE
3 / CD WRITER
3.1 / Internal
3.2 / External
4 / SCANNER
4.1 / A-4 SIZE
4.2 / A-3 SIZE
5 / LASER PRINTER ( A-4 SIZE )
6 / DOT MATRIX PRINTER
6.1 / 80 column
6.2 / 136 column
7 / INKJET PRINTER
7.1 / A4 Size
7.2 / A3 Size
**IT IS RECOMMANDED TO DISCUSS THE MINIMUM SPECIFICATION OF SERVERS REQUIRED WITH THE APPLICATION DEVELOPER/GIL.
8 / UPS
8.1 / 10 KVA online with 2 hour battery backup
8.2 / 5 KVA online with 1 hour battery backup
8.3 / 3 KVA online with 1 hour battery backup
8.4 / 2 KVA online with 1 hour battery backup
8.5 / 1 KVA online with 30 minutes battery backup
8.6 / 500 VA offline with 20 minutes battery backup
9 / 500 VA CVT
10 / MODEM
10.1 / External Modem
10.2 / Internal Modem
11 / OTHER HARDWARE
12 / NETWORKING
12.1 / 24 port unmanageable 10/100 mbps switch
12.2 / 24 port managed 10/100 mbps switch
12.3 / 16 port unmanageable 10/100 mbps switch
12.4 / 8 port unmanageable 10/100 mbps switch
12.5 / 24 port jack panel
12.6 / 6 u wall mounted Rack
12.7 / 3 ft. patch cord
12.8 / 7 ft. patch cord
12.9 / Cat 5 modular I/O with face plate etc.
12.10 / Cat 5 UTP cable ( 1 box = 305 meters )
12.11 / Cat 5 UTP cable ( in meters )
(Sign, Seal & Stamp of the Department ) / Page 1 of 5