RFQ SASS.xlsx

	A	B	C	D	E	F	G	H	I
1	Samabeshi Apang Sangh, Saptari								REQUEST FOR QUOTATION
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3	PR no(s):			Date RFQ sent out:			14/12/2025
4				Date quotation due back:			19/12/2025
5				Procurement person responsible:			Kapil Dev Mandal / Sangita Khadka / Subodh Jha
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7	SUPPLIER NAME:			RETURN QUOTATION TO: SASS
8	Contact name			Contact name	Kapil Dev Mandal / Sangita Khadka / Subodh Jha
9	E-mail			E-mail	samabeshiapangsang.saptari@gmail.com
10	Phone			Phone
11	Fax			Fax
12	Mobile			Mobile
13	Address			Address	Rajbiraj , Saptari
14		.
15	Date items required by:
16	Delivery address:		Samabeshi Apang Sangh, Saptari Head Office
17	Delivery method (if applicable):
18	Payment terms:
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20						For supplier to fill in:
21	PR line item	Description of Goods / Services	Specification	Unit	Quantity	Currency	Unit Price	Total Price	Availability date
22	1	Hearing Aid (Digital)	Body-worn / pocket-type, Durable casing with easy control buttons, Volume and tone adjustment trimmers, Built-in telecoil for clear sound, Battery-operated (standard cells)	Pcs	42	NPR
23	2	Auxiliary Crutch	Hight Adjustable, Hand-held devices providing support and balance when walking, comprising axilla, support, shaft, handgrip and tip(s), Made of wood or aluminum. For wooden axilla crutches, high strength laminated timber is required, High density rubber horizontal bar, cushioned, fitting under the axilla Good quality.	Pcs	19	NPR
24	3	Commode Chair	Fixed Commode Chair, Easily opens and folds, Folds flat for convenient storage, Durable plastic snap on seat and lid Plastic arms for added comfort, Chairs, with or without castors, with a built-in collection receptacle used for toileting away from the bathroom.	Pcs	19	NPR
25	4	Walker	Frame that helps a person to maintain stability and balance while walking or standing, with either four tips (ferrules) or two tips and two castors includes, Walker - height adjustable, folding) Good quality.	Pcs	5	NPR
26	5	Wheel Chair-Small Size	Intended to be self-propelled by the users by pushing rims or wheels. Can be used indoor/outdoor and on various types of terrain. Small Size, Manual wheelchairs(includes, different types of Wheel chairs)	Pcs	10	NPR
27	6	Wheel Chair-Medium Size	Intended to be self-propelled by the users by pushing rims or wheels. Can be used indoor/outdoor and on various types of terrain. Medium Size, Manual wheelchairs (includes, different types of Wheel chairs)	Pcs	10	NPR
28	7	Wheel Chair-Large Size	Intended to be self-propelled by the users by pushing rims or wheels. Can be used indoor/outdoor and on various types of terrain. Large Size, Manual wheelchairs. (includes, different types of Wheel chairs)	Pcs	4	NPR
29	8	Walking Stick	Adjustable/non-adjustable mobility device with a handgrip Walking sticks/canes.	Pcs	38	NPR
30	Add more lines to the RFQ if required				.		Subtotal
31	Please contact our Samabeshi Apang Sangh, Saptari Rajbiraj for further clearity in specification Mobile No.9801544903						VAT 13%
32							Delivery charge (if applicable)
33							Other charges (if applicable)
34	Additional information required from supplier:						TOTAL
35	[1] Quote validity period
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40	Supplier confirmation of offer			Supplier stamp
41	Name
42	Title
43	Signature
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