7. In terms of Rules 48 of Public Procurement Rules, 2004 Grievance Redressal Committee (GRC) is notified for the subject procurement and notification copy is available on the procuring agency’s website and also available on EPADS v2.0 as well as Authority’s website at (www.ppra.org.pk).
Interfaith Harmony Wing (Ministry of Religious Affairs and Interfaith Harmony (MORA)), Section Officer
8th Floor, Green Trust Tower, Blue Area., Islamabad Capital Territory
+92-331-616-7182
soet2moraih@gmail.com
The following specific data for the procurement of Non-Consultancy Services to be procured shall complement, supplement, or amend the provisions in the Instructions to Bidders (ITB). Whenever there is a conflict, the provisions herein shall prevail over those in ITB.
BDS Clause Number
ITB Number
Amendments of, and Supplements to, Clauses in the Instruction to Bidders
BDS Clause Number 1
Name of Procuring Agency: Interfaith Harmony Wing (Ministry of Religious Affairs and Interfaith Harmony (MORA))
The subject of procurement is: Holding of Interfaith Harmony Conferences
Expected commencement date: Thursday, October 22, 2026
BDS Clause Number 2
Financial year for the operations of the Procuring Agency: 2026-27
Name and identification number of the Contract: P124054
BDS Clause Number 3
JV/Consortium or Association Allowed: No
Number of JV/Consortium Members: Nil
BDS Clause Number 4
The Bidders may seek clarifications through EPADS v2.0: Clarification Date: Wednesday, September 30, 2026
BDS Clause Number 5
Any addendum, in case issued, shall be published on Interfaith Harmony Wing (Ministry of Religious Affairs and Interfaith Harmony (MORA)) website and on EPADS v2.0.
BDS Clause Number 6
List of documents required along with the bid: No
BDS Clause Number 7
The qualification criteria to establish the supply / production capability of the bidder.
see Eligibility Criteria
BDS Clause Number 8
Services and Their related documents:
See section Required Services and Scope of Work
BDS Clause Number 9
Price schedule will be provided according to the format defined and acquired.
see section price schedule.
BDS Clause Number 10
Specifications:
see section of specifications.
BDS Clause Number 11
The price shall be Fixed.
BDS Clause Number 12
Currency of the Bids shall be : PKR
BDS Clause Number 13
The Bids/Bid Validity period shall be: 90 Days
BDS Clause Number 14
The amount of Bid Security shall be as defined in Bid Security Section for items and lots given in BDS 6
The Bid Security shall be in the form of: Pay Order
BDS Clause Number 15
The Bids security shall be valid for twenty-eight (28) days beyond the expiry of the Bids validity period specified in the bidding documents, for example the bid validity is 90 days so the bid security shall be valid for 90+28 = 118 days.
BDS Clause Number 16
Alternative Bids to the requirements of the bidding documents will not be permitted.
BDS Clause Number 17
Bid shall be submitted online on EPADS v2.0 whereas hard copy of the bid security should be submitted to the following;
8th Floor, Green Trust Tower, Blue Area., Islamabad Capital Territory
Bids that are not submitted on EPADS v2.0 shall be disqualified.
The deadline for Bids submission is: Thursday, October 8, 2026 11:00 AM
BDS Clause Number 18
The Bids opening shall take place on EPADS v2.0.
Day : Thursday
Date: Thursday, October 8, 2026
Time : 11:30 AM
BDS Clause Number 19
Selection technique adopted will be: Least Cost Based Selection (LCBS)
see Evaluation Criteria
BDS Clause Number 20
The Performance guarantee shall: 0%.
The Performance Guarantee shall be acceptable in the form of: Nil
21.
51.1
Arbitrator shall be appointed by mutual consent of the both parties.
BDS Clause Number 22
Grievence against this procurement shall be submitted online on EPADS v2.0.
| Bidder's Type | Required Registration |
|---|---|
|
Sole Proprietorship |
NADRA CITIZENSHIP (CNIC/NICOP) FBR (NTN) FBR (GSTN) |
Least Cost Based Selection (LCBS)
Positions Without Lots :
| Position | Delivery Schedule | Quantity | Bid Security |
|---|---|---|---|
| Reservation of Hall (at least 3 Stars) for a gathering of 250-350. | Address: Provincial Headquarters Schedule: 27 Days Quantity: 1/Qty |
1/Qty | 7750 PKR |
| Reservation of Lawn/Marquee (for a gathering of 250-350) | Address: Provincial Headquarters Schedule: dates will be decided Quantity: 1/Qty |
1/Qty | 7500 PKR |
| Arrangement of Food: (Note: Bidder to mention separate rate for hall, marque and lawn) | Address: Provincial Headquarters Schedule: 27 Days Quantity: 350/Qty |
350/Qty | 56000 PKR |
| Arrangement of Tea, Hi-Tea/Coffee, separate mention of rates (on need basis) | Address: Provincial Headquarters Schedule: 27 Days Quantity: 400/Qty |
400/Qty | 24000 PKR |
| Provision of Mineral Water/Cold Drinks/ Juices (on need basis) | Address: Provincial Headquarters Schedule: 27 Days Quantity: 400/Qty |
400/Qty | 8000 PKR |
| Accommodation for Guest Speakers without meals. | Address: Provincial Headquarters Schedule: 27 Days Quantity: 2/Qty |
2/Qty | 3500 PKR |
| Designing, preparation and placement of Backdrop (15X30) (On need basis) | Address: Provincial Headquarters Schedule: 27 Days Quantity: 1/Qty |
1/Qty | 3500 PKR |
| Designing, preparation and placement of SMD. | Address: Provincial Headquarters Schedule: 27 Days Quantity: 1/Qty |
1/Qty | 56000 PKR |
| Designing, preparation of material for Standees and its placement. | Address: Provincial Headquarters Schedule: 27 Days Quantity: 8/Qty |
8/Qty | 2400 PKR |
| Designing, preparation of material for Steamers and its placement. (On Need basis) | Address: Provincial Headquarters Schedule: 27 Days Quantity: 50/Qty |
50/Qty | 4500 PKR |
| Designing, preparation of material for flex banner and its placement. | Address: Provincial Headquarters Schedule: 27 Days Quantity: 1/Qty |
1/Qty | 2500 PKR |
| Printing of Invitation Cards; alongwith envelop | Address: Provincial Headquarters Schedule: 27 Days Quantity: 400/Qty |
400/Qty | 2000 PKR |
| Arrangement of Transport: | Address: Provincial Headquarters Schedule: 27 Days Quantity: 2/Qty |
2/Qty | 3500 PKR |
| Arrangement of Stage Secretary: | Address: Provincial Headquarters Schedule: 27 Days Quantity: 1/Qty |
1/Qty | 6000 PKR |
| Arrangement of Flowers/Interior Decoration (like coloured cloths etc.) of the hall: | Address: Provincial Headquarters Schedule: 27 Days Quantity: 1/Qty |
1/Qty | 4750 PKR |
| Video coverage and still photography: | Address: Provincial Headquarters Schedule: 27 Days Quantity: 1/Qty |
1/Qty | 4500 PKR |
| DJ Sound system | Address: Provincial Headquarters Schedule: 27 Days Quantity: 1/Qty |
1/Qty | 4000 PKR |
No
Positions Without Lots :
Position: Reservation of Hall (at least 3 Stars) for a gathering of 250-350.
Specifications / Requirements:
Hall with sofa chairs with a seating capacity for 250-350 persons for holding the Interfaith Harmony Conferences at Peshawar, Lahore, Karachi and Quetta along with stage, rostrum, air-conditioning/heating, backup generator in a well-known place with the attached baths for ladies and men separately. Exact place to be hired be mentioned.Position: Reservation of Lawn/Marquee (for a gathering of 250-350)
Specifications / Requirements:
Arrangement of Water proof canopies for a seated dinner on round tables for holding of IH Conference, including decoration/ side catering, waiters in uniform, lights, and carpet runner. Neat and clean crockery must be ensured.Position: Arrangement of Food: (Note: Bidder to mention separate rate for hall, marque and lawn)
Specifications / Requirements:
Menu: Chicken Korma/Mutton Korma, Chicken Boti, Vegetable Fried Rice, Mixed Vegetable, Palak Paneer, Nan (Roghni), Kheer/Fruit Trifle, Caramel Custard/Gulab Jaman, Chutneys + Raita, Mixed Salads and Green Tea. A separate buffet for VIPs.Position: Arrangement of Tea, Hi-Tea/Coffee, separate mention of rates (on need basis)
Specifications / Requirements:
Tea with Cookies, Hi-Tea/Coffee with one-bite Patties, Pastry, Samosa, Cake, Sandwich, etc. Neat and clean crockery must be ensured.Position: Provision of Mineral Water/Cold Drinks/ Juices (on need basis)
Specifications / Requirements:
Small bottles of mineral water served during the function. Small/Large mineral water, Cold drinks (03 types) and juices according to weather during the dinner. The quality of drinks must be ensured.Position: Accommodation for Guest Speakers without meals.
Specifications / Requirements:
• Single Standard Room/Double occupancy room/Suite. The Hotel should be minimum three stars or equivalent. • To accommodate the guest speakers, priority will be given to those hotels in close vicinity of the Conference venue. • Rates to be quoted per person separately for separate hotelsPosition: Designing, preparation and placement of Backdrop (15X30) (On need basis)
Specifications / Requirements:
Attractive designs relating to the IH Conference with the name of Ministry, picture of Minister, logo of Government of Pakistan and transportation and placement of Backdrop (15X30). Iron frame with panaflex will be prepared and placement on the venue well before the function. Attractive designs relating to the IH Conference with name of Ministry, pictures of Minister will be provided in hard and soft form.Position: Designing, preparation and placement of SMD.
Specifications / Requirements:
Attractive designs relating to the IH Conference with the name of Ministry, picture of Minister, logo of Government of Pakistan. The placement/ transportation will be the responsibility of the bidder. SMD must be placed on the venue one day before the function. Attractive designs will be presented in hard and soft form.Position: Designing, preparation of material for Standees and its placement.
Specifications / Requirements:
Attractive designs for Standees (3’x8’) relating to the concerned function with the name of Ministry, picture of the Minister, logo of Government of Pakistan. The approved Standees (3’x8’) with frame will be placed at prominent places as directed by this Ministry. Attractive designs will be presented in hard and soft form.Position: Designing, preparation of material for Steamers and its placement. (On Need basis)
Specifications / Requirements:
Attractive designs for Stemmers (3’x5’) must be provided. The approved Stemmers on wooden frame will be provided on the poles or trees at prominent places as approved/directed by this Ministry. Attractive designs will be presented in hard and soft form.Position: Designing, preparation of material for flex banner and its placement.
Specifications / Requirements:
At least 3-4 attractive designs for the Banner (20’x50’) relating to the concerned function with the name of Ministry, picture of the Minister. Banners will be placed at prominent places as directed by this Ministry one day before the function. Attractive designs will be presented in hard and soft form.Position: Printing of Invitation Cards; alongwith envelop
Specifications / Requirements:
As per approved specimen of the Ministry in four colours and would be required on the day following the issue of order. Invitation Cards in fine quality, hard card, size 7.5’ x 5.4”, four colours, as per the approved specimen and envelops.Position: Arrangement of Transport:
Specifications / Requirements:
Arrangement of air-conditioned Coasters including fuel for shifting of invitees to the place of function and back (Local & Outstation). Separate rates for local transportation and outstation transportation are required to be quoted.Position: Arrangement of Stage Secretary:
Specifications / Requirements:
Having at least three years’ experience of conducting the functions. Good looking, smart, fluent in English & Urdu and having knowledge of the IH Conference. Vendor is required to attach CV of the Compere/Stage Secretary.Position: Arrangement of Flowers/Interior Decoration (like coloured cloths etc.) of the hall:
Specifications / Requirements:
Arrangement of Flower /Interior decoration of Hall i. Flower Baskets on the head table and all around the stage ii. Flower standees on stage and at reception. iii. Two large-size flower bouquets for the chief guest. iv. Flower petals. v. Fresh floral arrangements.Position: Video coverage and still photography:
Specifications / Requirements:
i. Video coverage of the function. ii. Two cameras should be used so that no part of the function is missed and the stage and the audience are shown simultaneously. iii. Supply of CDs/USBs for the video-recording after editing. iv. Still Photography. v. Hard copies of the selected photographs in a decent album.Position: DJ Sound system
Specifications / Requirements:
Arrangement and transportation of DJ Sound System will be ensured by the bidder. Truss lights, LED lights and Electric Candles in sufficient quantity.TERMS AND CONDITIONS FOR TENDER
The interested bidders/firms/suppliers are required to observe the following ToRs: -
EVALUATION CRITERIA FOR OPEN COMPETITIVE BIDDING
************
For Individual Positions
| # | Position Title | Quantity | Unit Price (PKR) | Total Price (PKR) | Delivery Location | Delivery Period / Year | Country of Origin |
|---|---|---|---|---|---|---|---|
| 1 | |||||||
| 2 |
| # | Lot Title | Total Lot Price (PKR) | Country of Origin |
|---|---|---|---|
| 1 | [Lot 1 Title] |
The following Special Conditions of Contract shall supplement the General Conditions of Contract. Whenever there is a conflict, the provisions herein shall prevail over those in the Conditions of Contract. The corresponding clause number of the GCC is indicated in parentheses.
Number of GC Clause
Amendments of, and Supplements to, Clauses in the General Conditions of Contract
Definitions
The Procuring Agency is: Interfaith Harmony Wing (Ministry of Religious Affairs and Interfaith Harmony (MORA)), Section Officer 8th Floor, Green Trust Tower, Blue Area., Islamabad Capital Territory
The Supplier is:
The title of the subject procurement is:Holding of Interfaith Harmony Conferences
Number of GC Clause 2
Applicable/Governing Law:
The Contract shall be interpreted in accordance with the laws of Islamic Republic of Pakistan
Number of GC Clause 3
Language:
The language of the Contract, all correspondence and communications to be given, and all other documentation to be prepared and supplied under the Contract shall be in English.
Number of GC Clause 4
Notices:
The addresses for the notices are:
Procuring Agency:
Interfaith Harmony Wing (Ministry of Religious Affairs and Interfaith Harmony (MORA)), Section Officer
8th Floor, Green Trust Tower, Blue Area., Islamabad Capital Territory
+92-331-616-7182
soet2moraih@gmail.com
Contractor/ Bidder:
[Name, address and telephone number].
The Contractor/ Bidder’s Representative(s)
[Name, address, telephone number and e-mail address]
Number of GC Clause 6.1
The Authorized Representatives are:
For the Procuring Agency:
Interfaith Harmony Wing (Ministry of Religious Affairs and Interfaith Harmony (MORA)), Section Officer
8th Floor, Green Trust Tower, Blue Area., Islamabad Capital Territory
+92-331-616-7182
soet2moraih@gmail.com
For the Bidder:
Name: ………………………
Designation: ……………..
Address: ……………………………..
Number of GC Clause 7
Effectiveness of the contract
The Contractor/Bidder shall be effective within ….. days from the date of signature of the Contract by both parties
Number of GC Clause 8
Commencement of Contract:
The Contractor/ Bidder shall provide Non-Consultancy Services from the effective date of contract.
Number of GC Clause 10.2
Expiration of Contract:
The time period shall be ………………….
Number of GC Clause 14
Termination
In the event of termination of the contract due to any reason as already defined in the General Conditions of Contract, the Bidder shall be responsible for providing to the Authority the Services till the time of alternate arrangements.
Number of GC Clause 16
Conflict of Interest:
The Procuring Agency reserves the right to determine on a case-by-case basis whether the Bidder should be disqualified from providing services due to a conflict of a nature described in Clause GCC C2.
Number of GC Clause 20
Liquidated Damages
If the Bidder fails to provide services as required under the contract or in case of any data loss/data breach or any incident compromising the data security or other such failures related to any services, the Bidder shall pay to the Procuring Agency as Liquidated Damages at a rate of 2.00% to 2.00% of the Contract value, in accordance with the extent of performance failure & the cost of investigating such incidents as judged by the Authority.
Number of GC Clause 21
Performance Guarantee:
The amount of performance guarantee shall be 0% of the contract price in acceptable form of Nil
Number of GC Clause 27
Currency of Payment:
All the payment to be released to the contractor/Bidder shall be in Pakistani Rupees.
Number of GC Clause F
Payment terms:
Payment will be made to the Bidder against the procured Goods and services according to the actual invoice or running bills submitted by the Bidder against the services provided within the time given in the conditions of the contract.
Number of GC Clause F
Identifying Defects:
The Authority reserves the right at any time to inspect the premises of the provider to inspect the goods and monitor the goods being provided.
For being Brand New, bearing relevant reference numbers of the equipment (Certificate from supplier)
For Physical Fitness having No Damages (Certificate from supplier)
For the Country of Origin as quoted by the Supplier (Certificate from manufacturer)
For conformance to specifications and performance parameters, through Prior to delivery inspection (Inspection Report by Procurement Committee / Inspection Team)
For successful operation at site after complete installation, testing and commissioning of the equipment (Installation, Testing and Commissioning Report by Procurement Committee / Inspection Team)
Copies of the Supplier’s invoice showing Goods’ description, quantity, unit price, and total amount;
Original and two copies of the usual transport document (for example, a negotiable bill of lading, a non-negotiable sea waybill, an inland waterway document, an air waybill, a railway consignment note, a road consignment note, or a multimodal transport document) which the buyer may require to take the goods;
Copies of the packing list identifying contents of each package;
Insurance Certificate;
Manufacturer’s or Supplier’s Valid Warranty Certificate;
Inspection Certificate issued by the Nominated Inspection Agency (if any), and the Supplier’s Factory Inspection Report;
Certificate of Origin.
The above documents would be required even if the equipment has already been imported and is available with the supplier ex-stock
Number of GC Clause F 5 & 6
Following is the guidance for Dispute Resolution
Notwithstanding any reference to the arbitration herein, the parties shall continue to perform their respective obligations under the Contract unless they otherwise agree that the Authority shall pay the Bidder any monies due to the Bidder.
Arbitrator’s fee:
The fee shall be specified in Pak Rupees, as determined by the Arbitrator, which shall be shared equally by both parties.
Appointing Authority for Arbitrator:
By the Mutual Consent or in accordance with the provisions of Arbitration Act, 1940, in case the parties fail to reach a consensus on the name of sole arbitrator, any party may submit an application to the Chief Justice Islamabad High Court for appointment of sole arbitrator. The Chief Justice IHC may appoint a former judge of any High Court or Supreme Court as the sole arbitrator to resolve the dispute between the parties.
Rules of procedure for arbitration proceedings:
Any dispute between the Authority and a Bidder who is a national of the Islamic Republic of Pakistan arising in connection with the present Contract shall be referred to adjudication or arbitration in accordance with the laws of the Islamic Republic of Pakistan including Arbitration Act 1940, however above provision shall prevail in referring the case to the Arbitrator.
Place of Arbitration and Award:
The arbitration shall be conducted in English language and place of arbitration shall be at Islamabad. The award of the arbitrator shall be final and shall be binding on the parties.
Date: [insert date (as day, month and year)]
Bid No.:P124054
To: Interfaith Harmony Wing (Ministry of Religious Affairs and Interfaith Harmony (MORA)), Section Officer 8th Floor, Green Trust Tower, Blue Area., Islamabad Capital Territory
We, the undersigned, declare that:
We understand that, according to your conditions, Bids must be supported by a Bid Securing Declaration.
We accept that we will be blacklisted and henceforth cross debarred for participating in respective category of public procurement proceedings for a period of (not more than) six months, if fail to abide with a bid securing declaration, however without indulging in corrupt and fraudulent practices, if we are in breach of our obligation(s) under the Bid conditions, because we:
We understand this Bid Securing Declaration shall expire if we are not the successful
Bidder, upon the earlier of (i) our receipt of your notification to us of the name of the successful Bidder; or (ii) twenty-eight (28) days after the expiration of our Bid.
THIS AGREEMENT made the _____ day of __________ 20_____ between Interfaith Harmony Wing (Ministry of Religious Affairs and Interfaith Harmony (MORA)), Section Officer 8th Floor, Green Trust Tower, Blue Area., Islamabad Capital Territory
(hereinafter called “the Procuring Agency”) of the one part and [name of Bidder] of [city and country of Bidder] (hereinafter called “the Bidder”) of the other part:
WHEREAS the Procuring Agency invited Bids for provision of goods, viz., Holding of Interfaith Harmony Conferences (P124054) and has accepted a Bids by the Bidder for the provision of Goods in the sum of [contract price in words and figures] (hereinafter called “the Contract Price”).
NOW THIS CONTRACT WITNESSETH AS FOLLOWS:
1. In this Contract words and expressions shall have the same meanings as are respectively assigned to them in the Conditions of Contract referred to.
2. The following documents shall be deemed to form and be read and construed as part of this Contract, In the event of any ambiguity or conflict between the Contract Documents listed below, the order of precedence shall be the order in which the Contract Documents are listed below:-
3. In consideration of the payments to be made by the Procuring Agency to the Bidder as hereinafter mentioned, the Bidder hereby covenants with the Procuring Agency to provide the Goods related services and to remedy defects therein in conformity in all respects with the provisions of the Contract.
4. The Procuring Agency hereby covenants to pay the Bidder in consideration of the provision of Goods and the remedying of defects therein, the Contract Price or such other sum as may become payable under the provisions of the contract at the times and in the manner prescribed by the contract.
IN WITNESS whereof the parties hereto have caused this Contract to be executed in accordance with their respective laws the day and year first above written.
Signed, sealed, delivered by __________________the ________________ (for the Procuring Agency)
Witness to the signatures of the Procuring Agency:
………………………………………………
Signed, sealed, delivered by __________________the ________________ (for the Procuring Agency)
Witness to the signatures of the Bidder: …………………………………………………
Contract Number: Contract Value: Contract Title:
Dated:
[Name of Supplier] hereby declares that it has not obtained or induced the procurement of any contract, right, interest, privilege or other obligation or benefit from Government of Pakistan or any administrative subdivision or agency thereof or any other entity owned or controlled by it (GoP) through any corrupt business practice.
Without limiting the generality of the foregoing [Name of Supplier] represents and warrants that it has fully declared the brokerage, commission, fee etc. paid or payable to anyone and not given or agreed to give and shall not give or agree to give to anyone within or outside Pakistan either directly or indirectly through any natural or juridical person, including its affiliate, agent, associate, broker, consultant, director, promoter, shareholder, sponsor or subsidiary, any commission, gratification, bribe, finder's fee or kickback, whether described as consultations fee or otherwise, with the object of obtaining or inducing the procurement of a contract, right, interest, privilege or other obligation or benefit in whatsoever form from GoP, except that which has been expressly declared pursuant hereto.
[Name of Supplier] certifies that it has made and will make full disclosure of all agreements and arrangements with all persons in respect of or related to the transaction with GoP and has not taken any action or will not take any action to circumvent the above declaration, representative or warranty.
[Name of Supplier] accepts full responsibility and strict liability for making and false declaration, not making full disclosure, misrepresenting fact or taking any action likely to defeat the purpose of this declaration, representation and warranty. It agrees that any contract, right interest, privilege or other obligation or benefit obtained or procured as aforesaid shall, without prejudice to any other right and remedies available to GoP under any law, contract or other instrument, be voidable at the option of GoP.
Notwithstanding any rights and remedies exercised by GoP in this regard, [Name of Supplier] agrees to indemnify GoP for any loss or damage incurred by it on account of its corrupt business practices and further pay compensation to GoP in an amount equivalent to ten time the sum of any commission, gratification, bribe, finder's fee or kickback given by [Name of Supplier] as aforesaid for the purpose of obtaining or inducing the procurement of any contract, right, interest, privilege or other obligation or benefit in whatsoever form from GoP.
To: Interfaith Harmony Wing (Ministry of Religious Affairs and Interfaith Harmony (MORA)), Section Officer 8th Floor, Green Trust Tower, Blue Area., Islamabad Capital Territory
WHEREAS [name of Bidder] (hereinafter called “the Bidder”) has undertaken, in pursuance of Contract No. [reference number of the contract] dated [insert date] for provision of Goods(hereinafter called “the Contract”).
AND WHEREAS it has been stipulated by you in the said Contract that the Bidder shall furnish you with a Bank Guarantee by a reputable bank for the sum specified therein as security for compliance with the Bidder’s performance obligations in accordance with the Contract.
AND WHEREAS we have agreed to give the Bidders guarantee:
THEREFORE, WE hereby affirm that we are Guarantors and responsible to you, on behalf of the Bidder, up to a total of [amount of the guarantee in words and figures], and we undertake to pay you, upon your first written demand declaring the Bidder to be in default under the Contract and without cavil or argument, any sum or sums within the limits of [amount of guarantee] as aforesaid, without your needing to prove or to show grounds or reasons for your demand or the sum specified therein.
This guarantee is valid until the: [insert date]
Signature and seal of the Guarantors
_____________________________________________________________________
[name of bank or financial institution]
_____________________________________________________________________
[address]
_____________________________________________________________________
[date}