STATE PHARMACEUTICALS CORPORATION


DOMESTIC VALUE ADDED CALCULATION FORM
To be filled by local manufacturers to determine eligibility for domestic preference.

  Name of Bidder
  Factory Location

 

Tender No.   .....................................................

  1. To be completed by manufacturer located in Sri Lanka.

  2. To be completed for goods manufactured in Sri Lanka which have at least 30 percent domestic value added in the ex-factory bid price.

  3. Manufacturers may be required to provide further evidence to verify domestic value-added claims, the amount of customs duty on finished goods and details about any associations established with foreign or local firms that would affect the manufacturing process.

PRODUCT :   ..........................................................................................................................................
STRENGTH :   ..........................................................................................................................................
PACK SIZE :   ..........................................................................................................................................
EX-FACTORY PRICE :   ..........................................................................................................................................
Customs duty and VAT payable on raw material or input.
COMPONENT COST
  PRODUCT COMPONENT IMPORTED LOCAL TOTAL   % OF LOCAL COMPONENT
  COST TO EX-FACTORY PRICE
  ACTIVE RAW MATERIAL        
  EXCIPIENTS        
  PACKING        
  LOCAL MATERIALS        
  LOCAL LABOUR        
  TOTAL        
Signature of Tenderer :   ..........................................................................................................................................
Name of Tenderer :   ..........................................................................................................................................
Postal Address :   ..........................................................................................................................................
Telephone/Fax :   ..........................................................................................................................................