ANNEX II - UNOPS

ANNEX II-C
CONTRACTOR REQUEST FORM
Reference: Long Term Agreement [INSERT AGREEMENT NUMBER]
Date: [INSERT DATE]
We, [INSERT THE NAME OF THE UNOPS HIRING UNIT], hereby request [INSERT LTA
HOLDER’S NAME] the following Contractor(s):
Country of Services:
Duty Station:
Number of Contractor(s) required:
Category of the Contractor(s):
Level of the Contractor(s):
The proposed fee:
Expected Start Date:
Designated Manager (Supervisor):
Detailed TOR attached:
_______________________
_______________________
_______________________
Local/International (please delete unwanted option)
_______________________
_______________________
_______________________
_______________________
YES/NO (if no, please indicate the reason)
Please provide us with the details of the suitably qualified and available Contractor(s) within the 5
working days from the date of this request.
Signed by:
______________________ (UNOPS authority)
UNOPS Contact Information:
[insert full name of office]
[insert postal address and/or street address]
[insert postal code, city and country]
Attn: [insert name & title of contact person]
Tel: [include the country and city code]
Fax: [include the country and city code]
E-mail: [insert e-mail of contact person]
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