Suppliers Prequalification Form

Please complete the form if you are interested in supplying goods or services to Staatsolie.

SECTION A – COMPANY INFORMATION
SECTION B – FINANCIAL DATA
SECTION C – ELIGILIBILITY








SECTION D – QUALITY MANAGEMENT
* If yes, please submit a copy of the certificate from a certifying institute.




SECTION E- HEALTH, SAFETY AND ENVIRONMENT






SECTION F - RELEVANT COMPANY EXPERIENCE
Current contracts: Client/Location | Type of work | Value | Start date | Planned completion date | Status Previous Contracts in the last 3 years: Client/location | Type of work | Value | Start date | Actual completion date Please ensure that under the headings of “Type of work” and “Value” the description and amount given, is that for the actual Contract scope undertaken by your Company.
SECTION G- ADDITIONAL COMMENTS
CONFIRMATION OF INFORMATION PROVIDED
Please enter your name, position and the date