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'''DECLARATION OF INTENT FORM – CANDIDATE PURCHASER'''
Ref.: AMI n°2022-01
'''1. EXPRESSION OF INTENT SUBMITTED BY:'''
The candidate, or if it is in consortium, the members and the head of the list:
Company name:
Public entity or private entity:
Activities:
Address:
Name of legal representative – signatory:
Title / Function:
Telephone:
email address:
''If it is in consortium, please put the same information in annex with the agreement agreed between the
members of the consortium.''
'''2. DECLARATION'''
I, the undersigned, as a signatory authorized by the aforementioned candidate (including
understood by all members of the consortium, if applicable), hereby declare that we have
reviewed and accept without reservation or restriction the notice of expression of intent for our
registration as a verified buyer. We have every intention of submitting an offer within
conditions required by exporters and by the regulations applicable in Madagascar and in particular
without going below the floor price in force.
'''3. FINANCIAL CAPACITY'''
Please complete the following "Financial data" table from your accounts of the three
(03) last corporate financial years. If your annual accounts for the last financial year are not yet
available, indicate your most recent estimates in italics. For all the columns, the figures
must be drawn up on the same basis, so as to allow a direct comparison from one year to the next
the other - if the basis for establishing the figures has changed for a year, this should be noted
explanation at the bottom of the table. Any clarification, explanation or additional information that may be deemed necessary can also be provided.
Financial data 2 years before
last exercise
1 year before
last financial year Last financial year
annual turnover
Net profit
Balance sheet total
Total equity
Net cash
'''4. EXPERIENCE'''
Please complete the table below to summarize the candidate's experience over the past 3 years as a buyer of
Vanilla from Madagascar.
Quantity purchased (kg)
Name of suppliers
Malagasy
2021
2020
2019
'''5. PERSONAL DATA'''
The information collected through this declaration of intent is recorded in a file
computerized by the National Vanilla Council for the sole purpose of allowing the development of a list
of verified buyers. The legal basis for processing is Law 2014-038 on data protection.
of a personal nature.
You can access the data concerning you, rectify them, request their deletion or exercise your right to limit the processing of your data by sending an email to the following address: AMICNV2022@gmail.com
[Name of candidate operator]
Last name :
Title :
Signature Date:
Stamp
PDF: [[media:Formulaire_intention-candidat_acheteur-vfinale.pdf|Formulaire_intention-candidat_acheteur-vfinale.pdf]]
Ref.: AMI n°2022-01
'''1. EXPRESSION OF INTENT SUBMITTED BY:'''
The candidate, or if it is in consortium, the members and the head of the list:
Company name:
Public entity or private entity:
Activities:
Address:
Name of legal representative – signatory:
Title / Function:
Telephone:
email address:
''If it is in consortium, please put the same information in annex with the agreement agreed between the
members of the consortium.''
'''2. DECLARATION'''
I, the undersigned, as a signatory authorized by the aforementioned candidate (including
understood by all members of the consortium, if applicable), hereby declare that we have
reviewed and accept without reservation or restriction the notice of expression of intent for our
registration as a verified buyer. We have every intention of submitting an offer within
conditions required by exporters and by the regulations applicable in Madagascar and in particular
without going below the floor price in force.
'''3. FINANCIAL CAPACITY'''
Please complete the following "Financial data" table from your accounts of the three
(03) last corporate financial years. If your annual accounts for the last financial year are not yet
available, indicate your most recent estimates in italics. For all the columns, the figures
must be drawn up on the same basis, so as to allow a direct comparison from one year to the next
the other - if the basis for establishing the figures has changed for a year, this should be noted
explanation at the bottom of the table. Any clarification, explanation or additional information that may be deemed necessary can also be provided.
Financial data 2 years before
last exercise
1 year before
last financial year Last financial year
annual turnover
Net profit
Balance sheet total
Total equity
Net cash
'''4. EXPERIENCE'''
Please complete the table below to summarize the candidate's experience over the past 3 years as a buyer of
Vanilla from Madagascar.
Quantity purchased (kg)
Name of suppliers
Malagasy
2021
2020
2019
'''5. PERSONAL DATA'''
The information collected through this declaration of intent is recorded in a file
computerized by the National Vanilla Council for the sole purpose of allowing the development of a list
of verified buyers. The legal basis for processing is Law 2014-038 on data protection.
of a personal nature.
You can access the data concerning you, rectify them, request their deletion or exercise your right to limit the processing of your data by sending an email to the following address: AMICNV2022@gmail.com
[Name of candidate operator]
Last name :
Title :
Signature Date:
Stamp
PDF: [[media:Formulaire_intention-candidat_acheteur-vfinale.pdf|Formulaire_intention-candidat_acheteur-vfinale.pdf]]