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Prequalification Form

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mrarjunsinghgurjar004
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49 views1 page

Prequalification Form

Fill The Prequalification Form Page

Uploaded by

mrarjunsinghgurjar004
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
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SUBCONTRACTOR

PREQUALIFICATION REQUISITION

COMPANY/ESTABLISHMENT DETAILS/
Company/Est. Name‫المؤسسة‬/‫اسم ال كة‬ :
Type of Work Targeted for prequalification :
‫ن ع اﻷعمال المراد التأه ل لها‬
Authorized Personnel‫اسم الشخص المخول التوقیع‬ : Designation‫فة‬ ‫الوظ‬ :
Official Address‫المؤسسة‬/‫عنوان ال کة‬ :
Tel No. ‫رقم التل فون‬ : Fax No.‫رقم فا س‬ :
Email. ‫ال د ال و‬ : Mobile‫الھاتف‬ :

Documents & Information required in Subcontractor Profile/‫ملف التع ف مقاول ال اطن‬ ‫المس ندات و المعلومات المطلوب ادراجها‬
1- COMPANY'S FINANCIAL STATUS/ ‫موقف ال کة المؤسسة الما‬
The Company/Establishment submit copy approved Budget Report for last three (3) years having the information [Balance Sheet,
Income Statement, Profit & Loss Statement, Cash Flow & Audit Report and Notes to the Accounts].
‫ التدفقات المال ة وأى مﻼحظات‬،‫ اﻷراح‬، ‫ الخسائر‬:‫(سنوات سا قہ مع الب انات التالیہ‬۳) ‫تقدم ال کة المؤسسة سخة م ان ة من مکتب محاس ة معتمد لثﻼث‬
2- The Company/Establishment submit copy of Foundation Contract with last amendment along with other Company
Legal Documents
‫تقدم ال کة المؤسسة سخة من عقد التأس س مع آخر تعد ل اضافة إ المس ندات القانون ة الثبوت ة لل كة‬
3- COMPANY/ESTABLISHMENT WORK LOAD ‫قائمة انجازات ال كة‬
list of the current projects with the company and the last last three years ‫کشف المشار ــع ال تقوم ال کة المؤسسة ب نف ذھا حال ا ولثﻼث سنوات‬
projects ‫سا قہ‬
DETAILS OF WORK FOR EACH CONTRACT ‫تفاص ل اﻷعمال ل ل عقد‬
1 Name of client and contact information ‫ رب العمل ورقم التليفون‬/‫اسم الجهة المستفيدة‬
2 Title, location and type of project ‫اسم العقد وموقع العمل وطبيعة اﻷعمال‬
4 Scope of work ‫شرح مختصر ﻷعمال العقد‬
5 Contract price for the works executed by the Company ‫قيمة العقد اﻻبتدائية والنهائية‬
6 Date of commencement & final completion date ‫تاريخ بدأ العمل وتاريخ اﻷستﻼم النهائي‬
4- Agencies acquired by the company/Establishment ‫الو اﻻت ال تحوزها المؤسسة ال كة‬
5- APPROVALS /CERTIFICATES FROM DIFFERENT AUTHORITY/ ‫ التي حصلت عليها الشركة من الجهات المختلفة‬/ ‫ الشهادات‬/‫اﻻعتمادات‬
S/N Type of R, C, A Nature of Work Category Date Remarks
‫ن ع اعتماد‬ ‫ن ع اﻷعمال‬ ‫الدرجہ‬ ‫التار ــخ‬
1 CTC
2 KOC
3 KNPC
4 KGOC
5 MEW
6 MPW
7 PAHW
8 Other:
DECLARATION OF INFORMATION/‫إقرار صحة المعلومات‬
I hereby confirm that the information given in this form is true, complete
‫ المؤسسة أن البيانات المقدمة حقيقية ودقيقة‬/ ‫تقر الشركة‬
and accurate.
Company/Establishment shall send this form filled, with supporting
‫ المؤسسة بارسال هذا النموذج معبأ مع المستندات‬/ ‫تقوم الشركة‬
documents to:
Email: qualify@hotecc.com qualify@hotecc.com :‫المطلوبةعلى‬

Signature : :
Name :
Designation :
Date :
On behalf of :

Page 1 of 1 CT/P2/SPR/1.1/0820

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