Full details of directors/ trustees/ members/ shareholders. Full Name Identity Number Personal Income Tax State Employee Reference No Number/ PERSAL Number DECLARATION I, THE UNDERSIGNED (NAME) CERTIFY THAT THE INFORMATION FURNISHED IN PARAGRAPHS 2 AND 3 ABOVE IS CORRECT. I ACCEPT THAT THE STATE MAY REJECT THE BID OR ACT AGAINST ME SHOULD THIS DECLARATION PROVE TO BE FALSE. Signature Date Position Name of bidder
Full details of directors/ trustees/ members/ shareholders. Full Name Identity Number Personal Income Tax Reference No State Employee Number/ PERSAL Number DECLARATION I, THE UNDERSIGNED (NAME) CERTIFY THAT THE INFORMATION FURNISHED IN PARAGRAPHS 2 AND 3 ABOVE IS CORRECT. I ACCEPT THAT THE STATE MAY REJECT THE BID OR ACT AGAINST ME SHOULD THIS DECLARATION PROVE TO BE FALSE. Signature Date Position Name of bidder
Ethics_Risk_Governance_and_Fraud_2014%20RFQ%20Final.docx