Test Form

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Supplier Portal TEST

1. General Administrative Information

Enter full legal company name

Place of Incorporation

Year of Incorporation

Office No

Building No

P.O. Box No

Country

City

Street

Phone

Fax

Website

Type of Business Entity

Nature of Company’s Business

Other, please specify

Name of Parent Company (if any)

Copies of the following documents / information must be attached

The following requirements are for saudi nationals

Are you a Saudi citizen?

Yes

Enter Commercial Registration No

Commercial Registration Expiry Date

Commercial Registration

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Enter VAT No

VAT Certificate Expiry Date

VAT Certificate

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Enter Commercial Registration No

Commercial Registration Expiry Date

Commercial Registration

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Enter VAT No

VAT Certificate Expiry Date

VAT Certificate

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Zakat Certificate Expiry Date

Zakat Certificate

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National Address Expiry Date

National Address

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Saudization Certificate Expiry Date

Saudization Certificate

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Insurance Certificate Expiry Date

Insurance Certificate

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Vendor Category

Contact Person (1) – CEO / Owner / Top Management

Name

Contact No.

Designation

Contact Person (2) – Operations / Sales / Technical

Name

Contact No.

Designation

2. Subcontractor/Material Resources & Specializations

*All Sizes should be mentioned in SQM. All Capacity should be mentioned in NOS.

Office Facilities

Capacity

Location

Ownership Status

Workshop Facilities

Capacity

Location

Ownership Status

Warehouse Facilities

Capacity

Location

Ownership Status

Factory Facilities

Capacity

Location

Ownership Status

Total No of Employees

No. of Employees in Management

Organization Chart

No. of Employees for Site / Manufacturing / Warehouse

Organization Chart

Company Profile

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Detailed List of Equipment owned by your company

Equipment List

Others, please specify

Location of Services/Supply in the Kingdom (geographical areas in which you work)

Eastern Region

Dammam

Al Khobar

Al Ahsa (Hofuf)

Jubail

Central Region

Riyadh

Buraydah

Al Kharj

Northern Region

Tabuk

Sakaka

Arar

Hail

Western Region

Jeddah

Makkah

Madinah

Yanbu

Southern Region

Jizan

Abha

Najran

Khamis Mushait

Please specify the other location

3. Market Presence & Project Experience

Aramco Vendor ID

PIF Vendor ID

Other vendor ID

Other Major Client Registration

Client Name

Contact Name

Contact No

Vendor ID

Position

Email ID

Have you worked with SISCO before?

Yes

SISCO Vendor id

Please provide the details below

Project Location	Scope of Work / Service / Supply	Year	Contract / PO Value

Please list the Major Completed Projects during the last three years

Client	Project Name & Location	Brief Scope of Work / Services / Supply + Volume	Contract / PO Value	Start Date	End Date

Please list the Major Ongoing Projects

Client	Project Name & Location	Brief Scope of Work / Services / Supply + Volume	Contract / PO Value	Start Date	End Date

4. Financial Information

Authorized Capital

Current Year Revenue

Paid Up Capital

Last Financial Year Revenue

Bank Details

Beneficiary Name

Bank Name

Swift Code

Location (Country)

Account No

IBAN No

Currency

Branch

Can you provide Bank Guarantee(s) (Performance / Advance)?

Yes

Please state the limit

Do you have Credit Facility with your bank(s)?

Yes

If yes, please state the limit

External Audited Financial Statements for last 3 financial years

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Bank Letter

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Comments, if any

Please confirm your listing on the following markets if applicable

TADAWUL

NASDAQ

Dubai International Financial Exchange (DIFX)

Others

Please specify

5. Quality, Health, Safety, and Environmental (QHSE) Management Systems

Do you have a documented, implemented and maintained management system that meet the requirements of the international standard?

Yes

If you checked (yes)mark on the standard(s) your company is/are certified and submit the copy(s) of the certificate(s).

ISO 9001 2015

ISO 14001 2015

ISO 45001 2018

If no, do you operate in your own internal Quality management system?

Yes

Health and Safety, and Environmental (HSE) Management Systems

Do you have HSE policies that confirm to recognized National / International standards?

If yes, please attach copy of certificates including scope and policy

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If no, please attach copy of your HSE policy

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Do you provide relevant safety training for all employees?

Yes

Please provide the coverage percentage and copy of training records percentage

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Do you have safety visits and audits by external agencies?

Yes

please provide details and copy of audit records

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Declaration by Authorized Person

I, the undersigned, hereby solemnly affirm that the information mentioned in this form is true to the best of my knowledge and if any information is found incorrect or incomplete, our prequalification form will be liable for disqualification.

Name

Signature

Date

Designation

Stamp

Choose File

home default

home alternate

recent projects

big investment

supply chain

financial growth

ideal tracking

featured project

financial growth project

1. General Administrative Information

Copies of the following documents / information must be attached

Contact Person (1) – CEO / Owner / Top Management

Contact Person (2) – Operations / Sales / Technical

2. Subcontractor/Material Resources & Specializations

*All Sizes should be mentioned in SQM. All Capacity should be mentioned in NOS.

Office Facilities

Workshop Facilities

Warehouse Facilities

Factory Facilities

Location of Services/Supply in the Kingdom (geographical areas in which you work)

3. Market Presence & Project Experience

Other Major Client Registration

4. Financial Information

Bank Details

5. Quality, Health, Safety, and Environmental (QHSE) Management Systems

Do you have a documented, implemented and maintained management system that meet the requirements of the international standard?

Health and Safety, and Environmental (HSE) Management Systems

Do you have HSE policies that confirm to recognized National / International standards?

Declaration by Authorized Person

I, the undersigned, hereby solemnly affirm that the information mentioned in this form is true to the best of my knowledge and if any information is found incorrect or incomplete, our prequalification form will be liable for disqualification.

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+1 800 555 5555

+1 800 555 5555