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ROADS & TRANSPORT AUTHORITY SUPPLIER ...

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<strong>ROADS</strong> & <strong>TRANSPORT</strong> <strong>AUTHORITY</strong><strong>SUPPLIER</strong> PREQUALIFICATION FORMDate: . .DD. MM. YYYY


Company DetailsPREQUALIFICATION FORMCompanyType of CompanyYear of establishingOffice AddressTelephone NumberFacsimile NumberCountry of OriginWeb Site AddressCompany SpecialtyBe specific. Examples>MarketingAdvertisingetc…


Please enclose the following documents:1. Valid company of trade license.2. C.V.s of key staff members.3. List of completed projects (last five years).4. List of all running projects.5. List of completed and running governmental projects.Resources:Company Head (CEO, MDor GM) (in UAE)Contact details Mobile: Office: e-mail:Key Staff (1)Contact details Mobile: Office: e-mail:Key Staff (2)Contact details Mobile: Office: e-mail:Lawyer/ Legal AdvisorContact details Mobile: Office: e-mail:Account ManagerContact details Mobile: Office: e-mail:Account CoordinatorContact details Mobile: Office: e-mail:Mother Company’s Resources:Company Head (CEO,MD or GM) (in UAEContact details Mobile: Office: e-mail:Key Staff (1)Contact details Mobile: Office: e-mail:Key Staff (2)Contact details Mobile: Office: e-mail:Key Staff (3)Contact details Mobile: Office: e-mail:QFO-2.5.4.VRM1-1 Page 2 of 4 Issue : 1.0


Financial Record:Company CapitalAmount AED Authorized IssuedRevenue Last year Last 3 yearsBankName:Location:Bank details Tel: Fax:Account ManagerContact details Mobile: Office: e-mail:Bank AccountBank AccountTransaction CurrencyBank (2)NumberSwift CodeU.S. Dollars, EurosNameLocationBank details Tel: Fax:Account ManagerContact details Mobile: Office: e-mail:Bank AccountBank AccountTransaction CurrencyNumberSwift CodeDollar, EUROPlease enclose the following documents:• Bank Certified Financial Statement.• Preference of Payment (cash, credit, or letter of credit) and reason why.• Any other documents showing the company’s balance sheets for the last fiscal year.• Monetary gains (profit) in the U.A.E. for the last five years• Optional: Customized Credit Rating Report or Rating Quality Label from DubaiChamber of Commerce and Industry.QFO-2.5.4.VRM1-1 Page 3 of 4 Issue : 1.0

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