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Supplier - Contractor Qualification Form

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timothy wan
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30 views4 pages

Supplier - Contractor Qualification Form

Uploaded by

timothy wan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

SUPPLIER/CONTRACTOR QUALIFICATION FORM

The following section asks for general details about your organization, its people, products and services,
and procedures. Please complete each section as fully as possible and attach any additional material you
consider relevant.

All information will be treated in strict confidence.

A. GENERAL
Name of Organization:
UEN Number/GST Reg. No:
Address:

Telephone:
Fax:
Email:
Legal Status: Listed Company Private Company Partnership
Sole Proprietor Other:________________

Year Organization Established:


Names of Parent Sister /
Subsidiary Organizations (if any)
Sales Name:
Personnel DID/ HP:
E-mail:

* Please attach copies of BizFile/ACRA/ Company Registration Certificate.

B. BUSINESS ACTIVITIES/ MANUFACTURING/SERVICE/ FACILITY


Describe business activities / service provided by your organization:

Does your organization has adequate machinery & equipment to supply material /services
(For contractor only)
Yes. Please fill up the Major Machinery/ Equipment Status List
No.

Page 1 of 4
C. FINANCE
Bank Detail Bank Name
Bank Address
Swift Code
Bank Code
Branch Code
Account Name
Bank A/C Number
Account Name
Personnel Position
Contact DID / HP
E-mail
Authorized Account Personnel
Signature

D. HUMAN RESOURCES
Number of Full Time Employees: a) Management:
b) Operation:
(Project Manager/Engineer/
Supervisor)
c) Administrative:
d) General Worker:
Total:

E. QUALITY / OHSAS 18001/ BizSafe / CERTIFICATION


Does your organization has ISO 9000 or equivalent Quality Assurance Certification? (Please provide
details)

Does your organization has OHSAS or equivalent Occupational Health & Safety Certification? (Please
provide details)

Does your organization has BizSafe or equivalent Certification? (Please provide details)

Other Certification (If any)

Page 2 of 4
F. PERFORMANCE / TRACK RECORD
Please state the names of your major customers.

Please provide brief details of major projects undertaken during the last three years (with estimated
value). *You may attached your track record in separated sheet if the space is not enough.

G. DECLARATION
I hereby declare that the information provided pertaining to the questions in this form are to the best
of my knowledge, true and accurate as at the date of signature.

______________________________
Name:
Position:
Date:
Company Stamp:

FOR ADDCEL USE


Is the Supplier/ Contractor Qualified?
Yes. No.
Comments and Recommendation

Reviewed by: Approved by:

__________________ ___________________
Name: Name:
Position: Position:
Date: Date:

Page 3 of 4
Major Machinery/ Equipment Status List (For contractor only)

No Machinery/Equipment QTY Status of Maintenance Remarks

Page 4 of 4

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