National Prequalification Scheme application form (PDF) - RTA

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GENERAL INSTRUCTIONS: This Application Form must be fully completed by all Applicants for prequalification. Contractors that are already prequalified under the National Prequalification System and wish to apply for an upgrade in their prequalification status must also complete the Application Form in sufficient detail to enable consideration of the Application. The Application Form contains a Preliminaries Section, and four further sections addressing the four assessment criteria. Applicants that are not prequalified under the National Prequalification System with any Participating Authority must complete all sections of the Application Form. Applicants that are prequalified with another Participating Authority and are seeking recognition with this authority do not need to complete this Application Form, but must apply for recognition using a National Prequalification System Registration Form. The Application Form contains form fields to enable it to be completed either electronically or in hard copy. Guide notes are included to assist in the completion of the Application Form. Guide notes are in shaded boxes below each relevant section. This Application Form should be read and filled out with reference to the National Prequalification System Guidelines which provide additional relevant information. It is possible that the provision of the same information is required more than once as the same information may be assessed a number of times under different assessment criteria. Unless otherwise requested an Applicant may provide information once, and in instances where the information is requested again, cross-reference to the location of the original information. 1. Preliminaries 1.1. Nature of Application Indicate whether this is a new Application or an Application for an upgrade of prequalification categories or financial level (please tick): OR OR New Application Renewal Upgrade Road Category Bridge Category Financial Level Specialist Category(s) Edition 1 Revision 4 – December 2012
1.1. General Information Applicants must provide the following general information: (a) Name of the company or entity under which this Application is being made and under which tenders will be submitted (hereinafter referred to as the Applicant) (b) Trading name (if different) (c) State the type of entity e.g. public or private company, joint venture etc. (d) State of registration of company (if applicable) (e) ABN (f) ACN or ARBN (g) Address of registered office Edition 1 Revision 4 – December 2012
Page 1: `` Application Form National Prequa
Page 5 and 6: (p) Contact for general enquiries (
Page 7 and 8: 2. Company Profile GENERAL INSTRUCT
Page 9 and 10: Resume attached (please tick to con
Page 11 and 12: GUIDE NOTE: The extent of use of co
Page 13 and 14: 3. Financial Capacity GENERAL INSTR
Page 15 and 16: Cash flow (a) Provide details of hi
Page 17 and 18: 4. COMPANY EXPERIENCE GENERAL INSTR
Page 19 and 20: 4.4. Contract Completion Has the Ap
Page 21 and 22: GUIDE NOTE: Evidence could include,
Page 23 and 24: (c) Provide copies of the reports o
Page 25 and 26: (b) Provide documentary evidence of
Page 27 and 28: Prequalification categories R2/B2 a
Page 29 and 30: (b) Provide evidence of utilisation
Page 31 and 32: (g) Has the Applicant ever received
Page 33 and 34: 5.2. Key Operational Personnel Prov
Page 35 and 36: NAME ROLE DETAILS Resume attached (
Page 37 and 38: GUIDE NOTE: Evidence could include,
Page 39: 6. SUBMITTING THE APPLICATION Appli

National Prequalification Scheme application form (PDF) - RTA

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