Descon Portal

General Information

Business Specific Information

Quality Assurance / Quality Control

Health, Safety and Environment

Financial Information

Bank Account Details

Declaration

General Information

Name of the Entity:

Trade License #:

Issuing Authority:

Date of Registration:

Expiry Date:

VAT Registration #:

Website:

Legal Structure (Tick One):

Corporate / LLC

Sole Proprietorship

Partnership

Other (specify)

Nature of Business (Tick Relevant):

Manufacturer

Service Provider

Representative / Agen

Other (Specify)

Parent Company (full legal name, if applicable):

Business Address (Head Office):

Street / Building:

P.O. Box No.:

Email ID:

Telephone No.:

Fax No.:

City:

State:

Country:

Mailing Address (If other than Head Office) :

Street / Building:

P.O. Box No.:

Email ID:

Telephone No.:

Fax No.:

City:

State:

Country:

Contact Details :

Name:

Designation:

Email ID:

Telephone #:

Mobile:

Authorized Signatory (as per law of the land)

Name:

Designation:

Mobile#:

Signature Specimen:

Business Specific Information

Company Profile / Brief Scope Services / Supplies / Services (attach Company Profile for details):

References (your clients, country, year, and types of contracts / supplies) – Provide 3 references including company name, work provided and contact details:

Client / Organization Name & address

Name of Contact Person and Telephone or email if available

Project Details including Location, Completion Date and Value

Quality Assurance / Quality Control (QA/QC)

Do you have QMS Policy?

If Yes, attach QMS Policy statement

YES

Do you have ISO9001 certificate?

If Yes, attach ISO certificate

YES

Vetted by (I/C QAAC):

Health, Safety and Environment (HSE)

Do you have a HSE management system?

If Yes, attach the policy statement and table of contents of the management system.

YES

Do you have ISO 45001 certification?

If Yes, attach the certificate.

YES

Do you have ISO 14001 certification?

If Yes, attach the certificate.

YES

Vetted by (I/C HSE):

Financial Information

Description:

Year 1

Year 2

Year 3

Balance Sheet Information

Fixed Assets

Current Assets

Current Liabilities

Paid Up Capital

Long Term Liabilities

Profit and Loss Information

Revenue

Gross Profit

Profit After Tax (PAT)

Audited

* Attach Financial Statements of Last Three Years.

Bank Account Details (For Payment Transfers)

Attach Letter Issued by Bank confirming these details

Title of the Account:

Account Number:

IBAN Number:

SWIFT / BIC Code:

Currency:

Bank Name:

Branch Name and Address:

Contact Details for Confirmation of above details:

Name and Designation:

Mobile Number :

Email ID:

For Descon Use:

Account Details Confirmed By (Name and Title):

Signatures :

Time and Date :

Supplier / Subcontractor's Declaration

We declare that the given statements and information are true to the best of our knowledge. We acknowledge that the submission of this Questionnaire does not give the right to be invited to any work for Descon. In case of any changes, Descon shall be informed periodically.

Name and Designation of Person completing this form: :

Signature:

Date:

Attachments

1. Copy of Trade License (National Identification Card in case of an individual)
2. Copy of Chamber of Commerce Certificate
3. Copy of VAT Registration Certificate
4. Financial Statements of Last Three Years
5. Copy of Power of Attorney (POA) of Authorized Signatory of the Company
6. Letter issued by Bank confirming the Provided Account Details of the Company
7. Declaration of Conflict of Interest
8. Company Profile
9. Copy of Company’s QMS Policy Statement
10. Copy of Company’s ISO9001 Certificate
11. Copy of HSE Management Policy Statement with Table of Contents
12. Copy of ISO45001 and ISO14001 Certificates

Attach Docments

Declaration of Conflict of Interest

View Status

New CIR 1 m

New PQ 7 m

CIR Approved 2 h

SUPPLIER / SERVICE PROVIDER'S PRE‐QUALIFICATION FORM

General Information

Legal Structure (Tick One):

Nature of Business (Tick Relevant):

Business Address (Head Office):

Mailing Address (If other than Head Office) :

Contact Details :

Authorized Signatory (as per law of the land)

Business Specific Information

Quality Assurance / Quality Control (QA/QC)

Health, Safety and Environment (HSE)

Financial Information

Bank Account Details (For Payment Transfers)

Supplier / Subcontractor's Declaration