Record Form A
One-off Start-up Grant for Kindergartens
Joining the Free Quality Kindergarten Education Scheme in the 2017/18 School Year
Quotation Record Form
(This serves as a purchase record at a value of not exceeding HK$1,000)
School Name: File Reference:
Item
No. Description Qty/Uni
t Supplier Amount Invoic
e No. Receipt No.
Recorded by Endorsed by
Name/Initial Date Name/Initial Date
Total Amount
Signature of School Supervisor / Principal: Name (in Block
Letter): Date:
Record Form B One-off Start-up Grant for Kindergartens
Joining the Free Quality Kindergarten Education Scheme in the 2017/18 School Year
Quotation Record Form
(This serves as a quotation record at a value of exceeding HK$1,000)
School Name: File/Quotation Ref.:
(Please as appropriate)
For purchase exceeding $1,000 and up to $30,000 (oral quotation from a minimum of two suppliers)
For purchase exceeding $30,000 and up to $50,000 (written quotation from a minimum of two suppliers)
For purchase exceeding $50,000 (written quotations from a minimum of five suppliers) I. Requirement:Item No. Description Qty. / Unit
II.Quotation Obtained By:
Signature, Name & Post : / Date :
Reason(s) for not inviting the required minimum no. of quotation:
III. Quotation Summary:
Supplier
Item 1 2 3 4 5 Total
Amount (HK$)
Item Accepte Qty. d
1. Unit Rate (HK$)
Tel.
: Sub-total
2. Unit Rate (HK$)
Tel.
: Sub-total
3. Unit Rate (HK$)
Tel.
: Sub-total
4. Unit Rate (HK$)
Tel: Sub-total
5 Unit Rate (HK$)
Tel: Sub-total
IV. Offer Accepted By: * Delete whichever is in appropriate Signature, Name &
Designation : / Date :
Lowest Offer / Lower Offer / Bid Other Than Lowest Offer / Others* :
Reason(s) for rejecting the lowest offer/lower offer(s)*:
Annex 1
One-off Start-up Grant for Kindergartens
Joining the Free Quality Kindergarten Education Scheme in the 2017/18 School Year Undertaking by Staff Involved in Procurement
File/Quotation Ref: ________________
1. I undertake to hold in strict confidence all quotation information that I have access to through my involvement in procurement under the One-off Start-up Grant. Quotation information includes details of quotations received and any other sensitive, restricted or confidential information relating to a quotation.
2. I undertake not to make any unauthorized disclosure or take advantage of any quotation information referred to in paragraph 1 above whether or not for personal gain.
3. I undertake to declare any actual, potential or perceived conflict of interest with my duty as a staff involved in procurement immediately when I become aware of any such conflict.
4. I undertake to take steps to avoid any conflict of interest with any potential suppliers or suppliers by not putting myself in a position of obligation towards any of them; for example, by not accepting any favour or lavish or excessive entertainment, and not over- socializing with any of them.
Signature :
Name (in block letter) :
Post :
School Name :
Date :
All staff involved in procurement irrespective of its value, including those responsible for preparing quotation documentation/specifications, selecting suppliers/contractors for obtaining quotations, obtaining or evaluating quotations, or approving acceptance of quotations, etc. must sign an undertaking [Annex 1] and declare their interest when conflict of interest arises [Annex 2].
Annex 2
One-off Start-up Grant for Kindergartens
Joining the Free Quality Kindergarten Education Scheme in the 2017/18 School Year Declaration of Interests by Staff Involved in Procurement
File/Quotation Ref : ____________________________
1. I declare that *I / my spouse / my family / my relatives / my close personal friends / the clubs and associations I belong / the persons to whom I am indebted or owe a favour *have (has)/have no (has no) private interests in relation to the stores or services being procured, or in relation to the parties offering the stores or services being procured.
(*Delete whichever is inappropriate)
2. I declare the following conflict of interest situation described in 1 above –
(Use separate sheet if the space provided is insufficient)
Signature :
Name (in block letter) :
Post :
School Name :
Date :
All staff involved in procurement irrespective of its value, including those responsible for preparing quotation documentation/specifications, selecting suppliers/contractors for obtaining quotations, obtaining or evaluating quotations, or approving acceptance of quotations, etc. must sign an undertaking [Annex 1] and declare their interest when conflict of interest arises [Annex 2]
