Document Title Vendor Registration Form In Kingdom Page Page 1 of 9 Vendor Registration Number Vendor Details Sahara Use Only Part I Vendor Name Vendor Address Telephone No.: Fax No.: E-Mail: General Sales Accounts General Sales Accounts General Sales Accounts Company Profile Soft Copy (Please submit company profile with registration document) Commercial Registration No.: Chamber of Commerce # State your company s authorized activities as indicated in the commercial registration. Industry License # if any Contact Person Name: Title: Established Owner s Name Authorized Signatory Name: Saudi ID # Title: Registered As: Partnership Joint Venture Limited Co.
Document Title Vendor Registration Form In Kingdom Page Page 2 of 9 Part II Section A - Employees, Facility Number of Employees: As owner(s) of this company or do you have direct dependent(s) are employees(s) of Sahara/ Sahara Affiliates? (Use additional page if necessary) Yes No If yes, please indicate the following information: Name Affiliate Total Number of Saudi Employees: Accommodation: Does your company have existing facilities to accommodate its employees? Yes No If yes, please specify the location with site Map. Department Tel# ID# Fax# Size of Warehouse facility in square meter (m 2 ) if applicable: A:- Warehouse Area Under Roof Information Technology A: Do you honor electronic transactions (e-mail, internet, etc.)? Yes No B: Is your current company system EDI (electronic data interchange) ready? Yes No B:- Storage Area Covered Area Open Area C:-Number of warehouse: Total Inventory Value: Section B - Safety 1. Enclose company Safety Procedures as applicable, for (A) Contractor Premises (B) Plant Site Works Enclosed - Yes / No Enclosed - Yes / No 2. Lost Time Accidents suffered in last 12 months. Yes/No If yes enclose full description and details. Section C - Quality Assurance/Control (QA/QC) 1. Do you have Quality Assurance/Control Procedures - Yes / No 2. Do you have QA/QC Organization Chart - Yes / No 3. Do you have ISO Certificate or Equivalent - Yes/ No 4. Show your execution of PO from the receipt till supply of Materials/Services to Sahara by way of flow chart.
Document Title Vendor Registration Form In Kingdom Page Page 3 of 9 Section D - Materials /Service Codes We wish to be prequalified to do work for Sahara Petrochemical company under the following materials/ Service codes as specified in Sahara Materials/Service code list. Section E - Service Code (To be completed in full for each Service Code) E.1 Description of work performed for above service code*** during the past five (5) years. Year Contract No. Work Description As Main Contractor/Sub- Contractor Client s Name Phone Number Contact Person Value in SR E.2 Key Personnel Resumes Please provide resumes of key personnel such as Management and Supervision presently in your employment, relevant to this service code. All resumes must indicate individual experience and expertise. Attached are detailed resumes of the personnel listed below Yes / No Name Job Title/Qualification In Your Company s Employment Since: E.3 Equipment And Tools List tools and equipment resources your company relevant to this service code. Do not use general terms for equipment and tools - be specific. Main Equipment Personal Tools (Additional pages may be added, but please maintain above format and clearly specify Service Code)
Document Title Vendor Registration Form In Kingdom Page Page 4 of 9 Part-III A. Commercial Details Please name your bank (or banks) together with the name and telephone number of the person who handles your accounts, for reference purposes: Beneficiary Name: Bank Name: Region: Street City Branch Account number: IBAN Number Swift Code: Currency: Annual revenue or Sales of your Company Bank Information Authorized Signature: Company Seal/Stamp
Document Title Vendor Registration Form In Kingdom Page Page 5 of 9 B. Commercial Evaluation Requirements To assess your company commercial situation you are requested to attach copies of the following documents to this questionnaire: 1 Current Certificate of Commercial Registration. 2 Current Certificate of Chamber of Commerce Registration. 3 Current Certificate of ZAKAT 4 Certificate from a Recognized Bank, Acceptable to Saudi Arabian Monetary Agency, Assessing your Company s Capability, Financial Reputation and the Nature of its Business Transactions. 5 Current Certificate of GOSI. 6 Copy of most recent Saudiazation Certificate from Labour Office 7 Original letter of ownership in English signed and stamped by the company owner(s) or his authorized representative(s) and must be authenticated by the Chamber of Commerce and Industry. (Sample is attached below) Failure to provide the above listed documents may result in automatic disqualification from this Registration Form Note: - Sahara Petrochemicals Co., may require to see originals of any of the above documents prior to pre-qualification. All information provided will be treated as classified and used only for the purpose of pre-qualification for tender.
Document Title Vendor Registration Form In Kingdom Page Page 6 of 9 Sample Authorization Letter (Must be on your Company/Establishment Letterhead) Sahara Petrochemicals Company Supply Management Department Attention: Supplier Qualification Gentlemen, The following represents a complete list of all owner(s)/partner(s) of our Company/Establishment and the percentage owned by each individual or partner: 1. Name: Nationality: Share %: 2. Name: Nationality: Share %: 3. Name: Nationality: Share %: Signature: Company Seal/Stamp
Document Title Vendor Registration Form In Kingdom Page Page 7 of 9 Confirmation/Certification I, the undersigned, duly authorized representative of the applicant company hereby: Certify that all the information provided above along with the attachments are true and will be responsible to update Sahara/ & its Affiliates Supply Management regarding the future changes. Acknowledge receipt of the attached Sahara Standard Purchase Order Terms and Conditions. Acknowledge receipt of the attached Sahara Safety procedure and comply the same. Declare to read Sahara policies & General Procurement Principles, business ethics, contracting & contract administration & confidentiality conditions mentioned above and that the Company accepts the same. Understand that the above request is only for Registration at to be potential supplier in future and not an assurance, promise or offer that SAHARA Petrochemicals Company will award business to us. Name (Owner/Authorized Person): Title or Position in Establishment/Company: Authorized Signature: Date: / / (Gregorian) Day / Month/ Year Company Seal/Stamp
Document Title Vendor Registration Form In Kingdom Page Page 8 of 9 Principles, business ethics, contracting & contract administration & confidentiality details are mentioned below. (Please note that the same have been also mentioned in our Registration letter provided with this form) REGISTRATION CONDITIONS The registration shall be with Sahara provide your company to meet Sahara requirements upon completion of this registration form supported by all necessary documents. Company meeting. SAHARA Petrochemicals Company reserves the right to decline the registration request or in case you are registered, Sahara shall ask from you time to time an update or current status of your company; and or to re-evaluate your registration and/or to withdraw your registration in case of your company not meeting set standards and its sole discretion Sahara, without giving reasons. SAHARA policies & General Procurement Principles, business ethics, contracting & contract administration & confidentiality details are mentioned below.(please note that the same have been also mentioned in our Registration letter provided with this form) SAHARA POLICIES AND GENERAL PROCUREMENT PRINCIPLES We procure material, equipment or product ("Product") or Services on for and behalf SAHARA Petrochemicals Company ("Customers") only from registered suppliers to whom we allocate and inform an official registration number ("Supplier"), but in our absolute discretion and in accordance with the policies and general procurement principles of SAHARA Kindly be aware that, we at Sahara/ its Affiliates always: a) Strive to provide high quality, on time and cost effective solutions to our Customers; b) Conduct our business on a transparent and highly ethical manner; c) Places a high value on the protection of confidentiality of our Customers and Suppliers; Expects Suppliers to strictly comply with applicable laws, regulations and standards; in particular those relating to health, safety and the environment SAHARA BUSINESS ETHICS With our suppliers, we seek win/win relationships and to promote the application of our code of conduct in doing so. Kindly note: 1. We award business on the basis of best quality/quantity. Safety, environmental responsibility, performance, delivery, and competitive price. 2. We expect our suppliers to avoid the use of un ethical sales tactics, such as deceptive discounts and gifts in exchange for purchases, which are out of place in healthy business relationships SAHARA Petrochemicals Company prohibits the involvement of its employees with suppliers who offer gifts that are intended or give the appearance of intending to influence an award of business. 3. We advise strictly to avoid such practices that might be adverse to SAHARA Petrochemicals Company s interest, or result in conflicting loyalties or interests. A supplier may not assign to, subcontract with, employ or in any way engage s employee or any dependent member of the employee s family or close relative, if the employee is in a position to influence s award of business or management of a buying agreement.
Document Title Vendor Registration Form In Kingdom Page Page 9 of 9 CONFIDENTIALITY Supplier shall at all times during the execution of any Purchase Agreement and thereafter, treat and keep the details of the PO and all information in connection thereto received from SAHARA, confidential and agree not to divulge such to any third parties without SAHARA prior written consent. Suppliers may also be required to execute non-disclosure agreement(s) in respect of specific projects. These obligations will survive the completion of the Purchase Agreement. REGISTRATION CONDITIONS After completing the attached registration package and obtaining the required documentation, the cover letter and all other related attachments, please place all of them in Sealed Envelope and mark Supplier Registration Request and send it to the following: By Mail/Courier/In Person: Supply Management Department 6894- Industrial City, Unit No.1 Jubail 35725-4801 Kingdom of Saudi Arabia Attention: Supplier Qualification Tel. No.: + 966 (3) 356-7068 Fax No.: + 966 (3) 358-2412 SQ General Terms & Conditions: Part-IV Please refer to the attached: