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Submitted by M/s,Pioneer Holon Agroecology Pvt Ltd
ANNEXURE III
SELF-DECLARATION FOR NOT TO BE BARRED AND BLACKLISTED
rd
Ref. No: SFAC/FPO/CBBOs/EOI/2020-21 Date:3 Oct 2020
To,
The Managing Director,
Small Farmers’ Agribusiness Consortium,
3, Siri Institutional Area,
th
5 Floor, NCUI Auditorium Building,
August Kranti Marg, Hauz Khas,
New Delhi – 110016
Dear Sir/Madam,
I/We hereby certify that my /our firm/ Company/Society/Trust/Organization has not been
debarred/ blacklisted by any Central Government/ State Government/Govt. Departments and/or
agencies such as UN/bilateral/multi-lateral funding/partner agencies and corporate including
CPSEs, at any time for services of any description, during the last three financial years (FY
2017-18, 2018-19, 2019-20).
Yours faithfully,
Date:03-10-2020 (Signature of the Authorised signatory)
Place: BHUBANESWAR (Prafulla Kumar Swain , Chief Coordinator)
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