National Prequalification Scheme application form (PDF) - RTA

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(d) Have any of the proprietors, principals, directors, managers or secretaries of the Applicant, or any former business identified in sub-clause (b) (or their spouses) ever been bankrupt? If yes, give details. (e) Has the Applicant, over the last six years, had any convictions recorded against it or are there any current or pending proceedings, either in a Court of Law or in arbitration? GUIDE NOTE: Demonstration that the Applicant has been successfully operating under its current structure and ownership for some years, especially in the local state/territory and within Australia, provides confidence that the Applicant is stable. 2.3. Senior Management Provide the names of directors and senior managers and a resume for each such person nominated. NAME/POSITION Resume attached (please tick to confirm) NAME/POSITION Resume attached (please tick to confirm) NAME/POSITION Edition 1 Revision 4 – December 2012
Resume attached (please tick to confirm) NAME/POSITION Resume attached (please tick to confirm) NAME/POSITION Resume attached (please tick to confirm) NAME/POSITION Resume attached (please tick to confirm) GUIDE NOTE: Resumes must be sufficiently detailed to demonstrate each person’s level of knowledge and experience relevant to the scope of works for the prequalification category(s) sought. Resumes must include, as a minimum, the following information: • current position title • current role/responsibilities • qualifications (including date of qualification) • time with Applicant • time in current role/position • all dates for and details of previous experience • names of previous employers • managerial performance e.g. specific management initiatives of any significant awards achieved. Edition 1 Revision 4 – December 2012
Page 1 and 2: `` Application Form National Prequa
Page 3 and 4: 1.1. General Information Applicants
Page 5 and 6: (p) Contact for general enquiries (
Page 7: 2. Company Profile GENERAL INSTRUCT
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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