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Quotation Estimate Optometrist in Senegal Dakar –Free Word Template Download with AI

Sankoré Vision & Optometry Center
Avenue Cheikh Anta Diop, Plateau
Dakar, Senegal
Tel: +221 33 800 00 00 | Email: [email protected]
RC: SN-DKR-2019-04521 | NINEA: 004521876

Quotation Estimate No.: QE-2025-0347
Date of Issue: 15 June 2025
Valid Until: 15 July 2025
Prepared For:
M. Ibrahima Ndiaye
Ndiaye & Partners SARL
1. Introduction and Scope of Services

This Quotation Estimate is formally issued by Sankoré Vision & Optometry Center, a licensed and accredited Optometrist practice operating in the heart of Senegal Dakar, to provide a comprehensive breakdown of professional optometric services, diagnostic examinations, and optical product supply for the named client. As a registered Optometrist facility in Senegal Dakar, we adhere to the standards set forth by the Senegalese Ministry of Health and the National Order of Optometrists. This Quotation Estimate covers all costs associated with the optometric care plan outlined below, including clinical consultations, diagnostic testing, lens prescriptions, and follow-up appointments within the Dakar metropolitan area.

2. Detailed Line Items – Optometrist Services
Ref. Description of Service / Product Qty Unit Price (XOF) Subtotal (XOF) Category
01 Comprehensive Optometrist Consultation & Visual Acuity Assessment (including manifest and cycloplegic refraction) 1 35,000 35,000 Consultation
02 Complete Ocular Health Examination (slit-lamp biomicroscopy, tonometry, and fundus examination by the Optometrist) 1 45,000 45,000 Diagnostic
03 Binocular Vision & Oculomotor Function Testing (convergence, divergence, and stereopsis evaluation) 1 25,000 25,000 Diagnostic
04 Prescription of Bifocal Progressive Lenses (premium quality, anti-reflective and anti-scratch coating) 2 180,000 360,000 Optical Product
05 High-Index 1.67 Photochromic Lenses (for outdoor use in Senegal Dakar climate conditions) 2 220,000 440,000 Optical Product
06 Acetate Titanium Frame (Italian design, hypoallergenic, suitable for tropical humidity) 1 150,000 150,000 Optical Product
07 UV400 Protection Sunglasses with Polarized Lenses (recommended for coastal and urban Senegal Dakar environments) 1 95,000 95,000 Optical Product
08 Follow-up Optometrist Appointment (lens adaptation check, 30 days post-dispensing) 2 20,000 40,000 Consultation
09 Annual Comprehensive Eye Health Screening (recommended for all patients in Senegal Dakar) 1 55,000 55,000 Preventive
10 Optical Case, Cleaning Kit, and Microfiber Cloth (branded, included with frame purchase) 1 15,000 15,000 Accessory
3. Financial Summary
Subtotal (All Services & Products) 1,260,000 XOF
VAT (18% – Senegalese Tax Code) 226,800 XOF
Delivery & Fitting within Dakar (Plateau, Almadies, Yoff, Ngor) 10,000 XOF
GRAND TOTAL (Quotation Estimate) 1,496,800 XOF

Amount in words: One Million Four Hundred and Ninety-Six Thousand Eight Hundred CFA Francs.

Note regarding Senegal Dakar operations: All services listed in this Quotation Estimate are to be performed at our licensed Optometrist clinic located in the Plateau district of Senegal Dakar. In the event that the client requires home-visit optometric services within the greater Dakar area, an additional travel surcharge of 25,000 XOF per visit will apply. All optical products are sourced through certified international distributors and are guaranteed against manufacturing defects for a period of twelve (12) months from the date of dispensing. 4. Terms and Conditions of This Quotation Estimate
  • Validity: This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. Prices are subject to revision based on exchange rate fluctuations affecting imported optical materials in Senegal Dakar.
  • Payment Terms: A deposit of 50% is required upon acceptance of this Quotation Estimate to secure the Optometrist's appointment slot and to initiate the lens ordering process. The remaining 50% is due upon collection of the final optical products.
  • Payment Methods: Payment may be made via bank transfer (Ecobank, BICICI, or Orange Money), cash, or certified cheque. All transactions are processed in CFA Francs (XOF) in accordance with Senegalese financial regulations.
  • Warranty: All lenses and frames dispensed by our Optometrist practice carry a 12-month warranty against defects. Lens replacement due to incorrect prescription (verified by our Optometrist) is provided at no additional cost within 30 days of dispensing.
  • Cancellation: In the event the client cancels after the 50% deposit has been paid, the deposit is non-refundable as it covers the Optometrist's reserved clinical time and pre-ordered materials.
  • Regulatory Compliance: All optometric services are performed in full compliance with the Senegalese Public Health Code and the regulations of the National Order of Optometrists of Senegal. Our Optometrist holds a valid practicing license (No. OPT-SN-2018-0092) issued by the Ministry of Health of Senegal.
  • Confidentiality: All patient records, prescription data, and visual health information are handled in strict accordance with Senegalese data protection laws. No information will be shared with third parties without written consent.
  • Dispute Resolution: Any disputes arising from this Quotation Estimate shall be resolved through amicable negotiation. Failing resolution, matters shall be referred to the competent courts of Dakar, Senegal.
5. Acceptance and Authorization

By signing below, the client acknowledges receipt of this Quotation Estimate for Optometrist services in Senegal Dakar and agrees to the terms and conditions outlined herein. The signed Quotation Estimate shall serve as a binding agreement between both parties for the services and products described.

For Sankoré Vision & Optometry Center

Dr. Awa Diop, OD, MSc
Lead Optometrist & Director

Signature & Date

For the Client

M. Ibrahima Ndiaye
Ndiaye & Partners SARL

Signature & Date

This Quotation Estimate was prepared by Sankoré Vision & Optometry Center, a registered Optometrist practice in Senegal Dakar.
Document Reference: QE-2025-0347 | Page 1 of 1 | Generated: 15 June 2025
© 2025 Sankoré Vision & Optometry Center, Dakar, Senegal. All rights reserved.

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