Non-Blacklisting / Non-Debarment Affidavit

Non-Blacklisting / Non-Debarment Affidavit

(Usually printed on company letterhead or a ₹100 Non-Judicial Stamp Paper, depending on tender rules.)

To,
The Tender Inviting Authority,
[Insert Department/Buyer Name],
[Insert Buyer Address]

Sub: Declaration on Non-Blacklisting / Non-Debarment
Tender Reference No: [Insert Tender Number]
Name of Work/Item: [Insert Tender Name]

Dear Sir/Madam,

I/We, [Insert Name of Authorized Signatory], authorized representative of M/s [Insert Company Name], do hereby solemnly affirm and declare the following:

• Our firm/company has not been blacklisted, debarred, or banned by any Central Government, State Government, Public Sector Undertaking (PSU), or any autonomous government body in India as on the date of bid submission.
• We further declare that no criminal case or ongoing vigilance/CBI inquiry is pending against our firm or any of its directors/partners.
• If at any stage during the tender evaluation or contract execution it is found that this declaration is false, the Buyer shall have the absolute right to reject our bid, terminate the contract, and forfeit our Earnest Money Deposit (EMD) / Performance Security, along with initiating legal action.

Date: [Insert Date]
Place: [Insert Place]

Authorized Signatory: (Signature & Company Seal)
Name: [Name]
Designation: [Designation]