THIS FORM TO BE COMPLETED AND FORWADED TO Pol

							                                                                                               DEFFORM 49 (EC STATS)
                                                                                                        (Edn 08/2008)

                                              Ministry of Defence

                                      EC DIRECTIVES - STATISTICS RETURN
            “THIS FORM TO BE COMPLETED BY THE COMMERCIAL OFFICER AND E-MAILED TO
     DGDC CS-2D-1A1@mod.uk WITHIN 15 WORKING DAYS OF THE DATE OF THE AWARD OF CONTRACT”.

1. CONTRACT NUMBER

2.                                                                       3. NON SCHEDULE 5 (ECSD only)
PUBLIC SUPPLY CONTRACT                                                            SCHEDULE 5 (WTO GPA)

PUBLIC SERVICE CONTRACT                                                             (complete for Supply contracts only
                                                                        - Listed at Appendix 1 to DEFFORM 49 Guide
PUBLIC WORKS CONTRACT
(tick appropriate box )

4. DATE OF CONTRACT AWARD                                5. OJ CONTRACT AWARD
(if applicable - format dd/mm/yyyy)                      NOTICE REFERENCE

6. DATE OF NOTICE                                  7. PROCEDURE USED
(format dd/mm/yyyy)                              Open      Restricted Competitive Dialogue          or Negotiated
                                                 (tick one box only)

8. JUSTIFICATION FOR USING THE
NEGOTIATED PROCEDURE (insert one code,
from Appendix 2 (List of Codes – Link to
Regulation 13/14 to Defform 49 Guide)        13 (a)        14 (a) i             14 (b) i          14 (c)
                                             13 (b)        14 (a) ii            14 (b) ii         14 (d) i (aa)
                                             13 (c)        14 (a) iii           14 (b) iii        14 (d) i (bb)
                                             13 (d)        14 (a) iv            14 (b) iv         14 (d) ii

9. BRIEF DESCRIPTION OF REQUIREMENT
(complete only if awarded under Negotiated
procedure)



10. CPV CODE
This is a Mandatory Field
(nine figure code to be
given)
11.                      A                  B                 C                     D                    E                  F
                Country (inserting      Number of        Number of       Number of Tenders         Number of           Number of
               in each line details   Responses to OJ    Responses        received following    Invitations other        Tenders
                   of only that           Notice         resulting in      Invitations under   than those under          received
                particular Country                      Invitations to         Column C            Column C              following
                                                           Tender                                                   Invitations under
                                                                                                                        Column E
(i) EU         Austria
               Belgium
               Bulgaria
               Cyprus
               Czech Republic
               Denmark
               Estonia
               Finland
               France
               Germany
               Greece
               Hungary
               Ireland
               Italy
               Latvia
               Lithuania
               Luxembourg
               Malta
               Netherlands
               Poland
               Portugal
               Romania
               Slovakia
               Spain
               Sweden
               United Kingdom
(ii) WTO GPA   Aruba
               Canada
               Hong Kong
               Israel
               Japan
               Republic of
               Korea
               Singapore
               Switzerland
               USA
(iii) EEA      Iceland
               Liechtenstein
               Norway
12. Country of firm awarded contract

13. Value of contract (ex VAT)

14. Criteria for award of contract (delete lines not applicable)
        (i)      Most economically advantageous having regard to *
        (ii)     Lowest acceptable offer
        (iii)    As stated in invitation to tender
        * e.g. “price” “delivery” etc. in descending order of importance



15. I confirm that all unsuccessful tenderers were notified according to the Public Contracts Regulations.

Name:                                                      Title
(Capitals)

Date:                                                      Signature
(format dd/mm/yyyy)
                                                           Director Commercial



                                                           IPT Name and Address



                                                           Senior Commercial Officer’s Details