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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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