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The information requested in the Tables below must be provided with your Offer, please complete accordingly: Table 1A.Name of Company/organizationB.Address of Head OfficeC.Fax and E-mail NumbersDDate Established and/or RegisteredE.Paid up CapitalF.Date of the Latest Balance Sheet G.Fixed AssetsH.Current AssetsI.Long Term LiabilitiesJ.Current LiabilitiesK.Net WorthL.Solvency Ratio (Current Assets/Current Liabilities )M.Profit (or Loss) of the Financial YearN.TurnoverO.Profit Margin Ratio [Profit (or Loss) / Turnover]*100P.Name of Principal OfficerQ.Where Applicable - Name and address of your Representative in the Country of the Project (if any) - Table 2Please state your Yearly Total Value of Business for the last three (3) Years in USDYEARDOMESTICEXPORTTOTALTable 3Please Provide Details of the Services/Goods Provided in the Advertised Sector during thelast three (3) Years, if any, in USDCATEGORY/DESCRIPTION OF GOODS/SERVICESValue 1st. Year2nd. Year3rd. Year 2. Please provide the Name and address of your company/organization?s bank: __________________________________________________________ __________________________________________________________3. Litigation in progressPlease provide brief information regarding on-going arbitration and other pending legal action, if any___________________________________________________________ ___________________________________________________________4. Please provide details of Consortium or Group to which company/organization belongs, if any: __________________________________________________________ __________________________________________________________5. Please provide any other information (chronology and business line, organization structure, etc.): __________________________________________________________ __________________________________________________________We, the below, hereby certify to the best of our knowledge that the foregoing statements are true and correct and all available information and data have been provided herein, and that we agree to show you documentary proof thereof upon your request.____________ __________________________________________ (Date) (Signature of Authorized Representative) ________________________________________ (Printed Name of Authorized Representative) __________________________________________ (Position of Authorized Representative) __________________________________________ (Telephone No. And Fax No.)Certified: (Date) (Signature of Authorized Representative) _________________________________________ (Printed Name of Authorized Representative) __________________________________________ (Position of Authorized Representative) __________________________________________ (Name of Certifying Authority and Telephone No. And Fax No.)PAGE APPENDIX 5FINANCIAL STATEMENT AND CERTIFICATIONMust be completed by Suppliers invited to submit OffersUNIDO - Form of Financial Statement and Certification Page  PAGE 2 of  NUMPAGES 2 APPENDIX 5FINANCIAL STATEMENT AND CERTIFICATIONMust be completed and submitted by Suppliers as an integral part of their OffersUNIDO -Form of Financial Statement and Certification Page  PAGE 1 of  NUMPAGES 2 r????????   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