MIMOS BERHAD

(336183-H)

APPENDIX 1

TENDER/RFP/SEBUTHARGA/RFQ ACKNOWLEDGEMENT
FORM
To : MIMOS BERHAD
Technology Park Malaysia
57000 Kuala Lumpur
Malaysia

Attn : Head Of Procurement

Dear Sir,

TENDER/RFP/SEBUTHARGA/RFQ REF. NO. : SH/13/2010

TITLE : PROVISION OF SAP SYSTEM AND EMPLOYEE SELF SERVICES (ESS)
SYSTEMS SUPPORT OUTSOURCING SERVICES FOR ONE (1) YEAR FOR MIMOS
BERHAD

We acknowledge receipt of the above Tender/RFP/Sebutharga/RFQ document.

We agree to maintain the confidentiality with regard to the Tender/RFP/Sebutharga/RFQ exercise and the
contents thereof.

We confirm that (* delete as applicable) :-

*either : We intend to submit a bona fide proposal by the date and

time stated in your Tender/RFP/Sebutharga/RFQ document.

*or : We do not intend to submit a proposal and decline to bid

based on the following reason(s).
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We confirm that (* delete as applicable) :-

*either : We have received all the documents and the contents

pages without damage and in useable condition.

*or : The following document were not received/ are damaged and unusable.
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We confirm that (* delete as applicable) :-

*either : We have read and fully understood the instructions

contained in the Tender/RFP/Sebutharga/RFQ document.

*or : We have read and would like to clarify the followings.

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Name of Bidder : ______________________________________

Name of Bidders Personnel : ______________________________________
Designation/ Position : ______________________________________
Signature : ______________________________________
Date : ______________________________________

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Note : The contents of this Tender/RFP/Sebutharga/RFQ acknowledgement form may be sent as a fax. Our fax no. is 603- 89960292.