MAJIS INDUSTRIAL SERVICES SAOC

VENDOR REGISTRATION FORM

Application For New Renewal Modification
1) Company Name: 2) Ownership
Name % Ownership

Tel: Email:-
Fax: Website:
3) Authorized Representatives/Signatories
Name Position Signature

4) Type of Services: !!!!!!!!!!.. 5) Company Registration with Tender Board: a) Grade !

6) Category of registration with T.B. [ ] b) Reg. No!!!!!.. c) Validity Date!!!!!!!!
MHEW [ ] MRMEWR [ ] MOCI [ ] other [ ] 7) Year established in Oman !!!!.. elsewhere !!!!
6.1 Nature of services: !!!!!!!!!!! (Specify) !!!!!!!.

8) If applicant is Consultant, please specify 9) If applicant is Contractor, please specify

• Number of Engineer presently working in the • Number of Engineer presently working in the company
company with their qualification !.. Nos, and their discipline in the profile !!!!. Nos.
• Total No. of staff including above !! Nos. • Number of skilled labour !!!! Nos.
• Software used for consultancy services • Total number of unskilled labour !!!!.Nos.
!!!!!!!!!!!!!!!!!!! • Total number of staff: !!!!!.. Nos.
10) If applicant is Supplier, please specify the 11) The following documents to be enclosed
product, line, discipline or the services a) Valid registration certificate with Tender Board
which is offered !!!!!!!!!!!!! b) Valid registration certificate with MoCI
12) Fill in detail for the highest project/purchase c) Valid registration with electricity sector companies,
order in terms of value in the last 2 years MHEW/relevant authority for electrical contractor
Name of the project : !!!!!!!!.. d) Manufacturer’s technical literature/brochure/catalogue
Client : !!!!!!!!.. e) Organization chart F) Key personnel
Consultant : !!!!!!!!.. g) Company profile h) any other registration
Value : !!!!!!!!.. i) Brief details of major previous projects in the last 3 yrs.

13) Bank Details 14) Accounts

Name: !!!!!!!!!!!!!!!!!.. Signed copy of audited financial statements for the 2 years.
Address: !!!!!!!!!!!!!!!!! 15) Disputes/Claims
P.O. Box No. Postal Code !!! Do you have any ongoing or outstanding disputes YES
Area or claims in civil or Criminal courts NO
Reference letter from Bank If YES, give details
Account No!!!!!!!!!!!!!!!.
16) Name of Contact Person: !!!!!!!!...
Tel No. Email: !!!!!!!!

Verification:-
I hereby confirm that the information presented in the form is correct
Name:
Position Chairman/CEO/MD/GM
Signed: Dated: