No Experience Capex of service (if Customer Contacts disclosable) (name of delivered services, (name of entity) (Name surname, description of services, time frame (price and amount of position, phone and place) liability) no and e-mail) 1. 2. 3. I certify that the information supplied in this form is accurate and to the best of my knowledge. I understand that at a later stage of this process the Company may ask for evidence as to the claims made by and information provided in this form. I understand that I understand and accept that false information could result in rejection of the application to be selected to take part in the tender process as well as in criminal liability under applicable laws. _________________________ __________________ Date: [date of signing] Name: [name of the representative of the Tenderer and position]
No Experience (name of delivered services, description of services, time frame and place) Capex of service (if disclosable) (price and amount of liability) Customer (name of entity) Contacts (Name surname, position, phone no and e-mail) 1. 2. 3. I certify that the information supplied in this form is accurate and to the best of my knowledge. I understand that at a later stage of this process the Company may ask for evidence as to the claims made by and information provided in this form. I understand that I understand and accept that false information could result in rejection of the application to be selected to take part in the tender process as well as in criminal liability under applicable laws. _________________________ __________________ Date: [date of signing] Name: [name of the representative of the Tenderer and position]
MS_Word_format_Annex_1_2.docx