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​Supplier Registration​


Name*

 
Place and Year Of Incorporation*

 
Legal Entity Form*

 
UAE Ownership*

 
Name Of Owners and Partners*

 
CEO/General Manager*

 
Post Address*

 
Email *

 
 
Website*

 
Communicate With*

 
Tel No*

 
Fax No*

 
Bank Reference*

 
Bank Name*

 
Branch*

 
IBAN No*

 
Address*

 
Authorized Representative*

 
Other Information*

 
Remarks*

 
Type Of Materials*

 
Type of Services*

 
Type Project Contract*

 
Reg No Of Chamber of Commerce*

 
Reg Expiry Date*

 
Licensed Business*

 
Other Licenses*

 
Court cases won by the company/establishment*

 
Lost Court Cases*

 
Contracts/business currently running with the Department*

 
Contracts/business currently running with other Departments*

 
Contracts/business with the Department last 5 years*

 
Contracts/business with other Departments last 5 years*

 
Contracts terminated for reasons beyond your control*

 
Contracts terminated for reasons relate to third parties decisions*

 
Liquidated damages levied last 5 years.*

 
ISO certificates granted*

 
Summary of approve hygiene system in place*

 
Third party liability Company


Third party liability Policy No


Third party liability Exp On


Third party liability Insured Amount


Personal Accident Company


Personal Accident Policy No


Personal Accident Exp On


Personal Accident Insured Amount


Fire & Perils Company


Fire & Perils Policy No


Fire & Perils Exp On


Fire & Perils Insured Amount


Professional Negligence Cover Company


Professional Negligence Cover Policy No


Professional Negligence Cover Exp On


Professional Negligence Cover Insured Amount


Please attach a copy of the general organization chart, otherwise explain reasons for non attaching it.*

 

No of permanent workforce and average No of temporary workforce*

 
Please attach a copy of last 2 years audited accounts (compulsory for public companies), otherwise explain reasons for not attaching*

 
Operations revenue last 2 years*

 
Main funding sources (self, long term loans, short term loans, overdraft, etc.)*

 
Did you make net profit last 5 years (Yes/No)*

 
Did you pay off profit last 5 years (Yes/No)*

 
Name of your bankers*

 
Particulars of principals and supply sources*

 
Number and location of warehouses and their contents*

 
Particulars of vehicles and equipment fleet*