Sanction No.

: GEMS2152-37
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https://164.100.158.200//resources/images/logoWhite.png Sanction Date: 27-09-2016
Contract No.: GEMC2152-37
Contract Date: 27-09-2016
Provisional Receipt Certificate no: GEM2152-37P1
Provisional Receipt Certificate Date: 27-09-2016

PROVISIONAL RECEIPT CERTIFICATE

ORGANIZATION DETAILS BUYER DETAILS

Type: Central Autonomous GEM Unique ID: GEM/2016/GO/2151/1
Ministry/ Department: M/o Finance - D/o Expenditure Name: Diksha Madan
Organization Name: NIFM3 Contact No.: 7065523665
Address: FARIDABAD , , HARYANA ,
110062

SELLER DETAILS CONSIGNEE DETAILS

GEM Unique ID: GEM/2016/S/NIFM Test Product GEM Unique ID: GEM/2016/GO/2151/3
Seller/314 Name: Prerna Sehgal
Company Name: NIFM Test Product Seller Designation: Research Associate
Contact No.: 9650444119 Contact No.: 9876543210
Address: NIFM Faridabad, Sector 48 Address: NIFM, Sector 48, Faridabad , ,
HARYANA , 121001

ACCOUNTING DETAILS
Designation of official providing CAO Designation of official providing DDO
admin approval: financial approval:
IFD Concurrence Required? No IFD Diary No.
IFD Diary Date
Budget availability Yes Budget to be blocked 36100.00
INVOICE DETAILS
Invoice Number: GEM2152-37IN1
Invoice Date: 27-09-2016
Order Received Date: 27-Sep-2016 ##

PRODUCT DETAILS FROM CONTRACT

Price per Unit inclusive

of all Duties and Taxes
# Item Description Make & Model Ordered Quantity Unit (in INR)

1 NIFM L2Laptop (NIFM) NIFM L2Laptop 2 Pcs 18,050.00

Total Order Value (in INR)
Rs. 36,100.00

CONSIGNMENT DETAILS

This Receipt certificate (PRC) issued is on said to contain basis and not meant for claiming any payment for the supplies made against the
contract. It is certified that the Seller has delivered a consignment of the Goods as per the following particulars:

Actual Date of receipt

Accounting Quantity of Goods of consignment of
# Item Description Unit Qty Ordered provisionally received Goods ##
1 NIFM L2Laptop (NIFM) Pcs 2 2 27-Sep-2016 12:00

NOTE:

## - The actual Date of receipt of consignment of Goods entered by consignee in above given table shall be reference date for calculating 10 days
period thereafter. If this period lapses and still consignee fails to issue Consignee RAC then GeM will itself generate CRAC for the full quantity
mentioned in PRC

---Thank You---