Supplier Response Form

Please complete all fields where "***" is marked, as applicable to your company
COMPANY INFORMATION Name of Company:*** Address:*** Origin of Company. Currency of Transaction Year Established ( in India) Annual Turn over 2011--12 Annual Turn over 2010-11 Annual Turn over 2009-10 Number of Employees* Location of Nearest Office from Intuit Office in Belandur Village, Bangalore (if different from above address) COMPANY CONTACT Name:*** Position:*** Phone Number:*** Fax Number:*** Email Address: (Necessary for PO deliveries)*** Website: Office Address: (if different from Company) COMPANY DATA Company registration No. PAN*** Non PAN card holder may attract higher rate of withholding tax @ 21.115% from April'2010 as per authorities notification TAN*** Service tax registration Number******* VAT/TIN *** Vendor type (Company/ Hindu Undivided Family/ Individual) *** Bank Name*** Branch & Address Account Number*** IFSC code (For electronic payments)*** SWIF code Type of Services or Goods being provided*** TDS Sections applicable*** TDS Rates. What are we buying? (Describe item or services)*** Friends/Relatives working in Intuit - If any *** CLIENT REFERENCES Company Name *** Contact Persons Name*** Designation Phone Number*** Value of the project/Contract *** Company Name Contact Persons Name Designation Phone Number Value of the project/ Contract Company Name Contact Persons Name Designation Phone Number Value of the project/ Contract COMMERCIAL TERMS As standard payment terms, Intuit specifies Net 45 days from the date of receipt of invoice. If you are able to offer more favorable payment terms, please indicate them *** Please list the warehouse/manufacturing locations from where you intend to make shipments from for Intuit's Bangalore office (Belandur)*** Please indicate the delivery period from PO Issue to receipt at Intuit office*** Please describe your companys quality certifications and quality assurance program. What are the warranty / guarantee clauses that you provide? What is the return policy for unsatisfactory deliveries? Please describe any additional value added services you provide. Market Forces 12 / 3 Hindustan Road, Garihat, Kolkata - 700029 Kolkata INR 1992 46.50 Lakh 40.40 Lakh 28.50 Lakh 8

Sudipto Shome Chief Executive 9830266186 mktforce@gmail.com www.marketforces.co.in

ALQPS6660M
NA ALQPS6660MST001 NA Company, Sole Propitorship Axis Bank

Rasbehari Avenue Branch, Kolkata- 700 026 253010200000462 UTIB0000253 Axis INBB002
Market Research 194C 1% Market Research Services NA ITC
Mr. PALESH DUVVURI Head : Quality Process & System 54 Lac

Samsung India Electronics P Ltd Mr. Bodhistwa Dutta Regional Marketing Controller 9830740318
22.5 Lac

30days

Kolkata As per PO 20 years of successful service

NA Promotional activities, Events & Customised Research

Please enclose ROC, PAN Card, VAT, Service Tax certificate & Cheque copy for confirmation of above details.