Y/N. Any Alba ex-employee/ relative in employment with you a key person? If yes*, please provide service details: Y/N
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1 This is the Sample of Vendor Registration application form as available online on Alba website and intended to serve as guidance to new applicants only and is not for direct use of making new application. For online application and more information & guidelines to the suppliers, please visit Declaration Name*: Designation*: (Please provide professional ID only, web-based unacceptable)*: Date*: General Information Have you applied with us before? If yes, please provide details available in text box: How you heard about us? Is your sister/parent concern already registered on Alba's approved vendor list? If yes*, please provide Registered Legal name and Commercial Registration / Registered License number: Legal name of the entity*: CR/ License Number*: Alba Vendor Code*: Have you performed any work in past, directly/indirectly within alba facility? If yes*, please provide Nature of Work, Project /PO Number and Estimated Cost: Nature of Work*: Project PO Number: Estimated Cost: Your current Alba references, which may have recommended you to apply for registering with us: Any Alba ex-employee/ relative in employment with you a key person? If yes*, please provide service details: Name*: Position/ Department*: Any legal disputes/ lawsuits pending or settled? If yes*, please provide full details in text box:
2 Company Introduction and Registration Class Introduction of company and general information (Please provide full details in text box, attach company brochure): Category*: Functional area*: Specialisation*: Please list exclusive agencies that include names and addresses of principles and products covered. Attach scanned copy of valid exclusive agencies registration certificates (not applicable to Material manufacturers/producers and Service providers):
3 Organization Details Registered name of the company*: Registered address of the company*: Date of establishment*: Type /legal status of the company*: Current Commercial Registration certificate/license & attach scanned copy of the document*: Name of senior executives and designation*: Name Designation Add more if needed Shareholders /Percentage (aggregating to 100%)*: Shareholders Percentage Add more if needed Legal document pertaining to shareholding: Contacts Address (where you wish to receive all future correspondence)*: Contact Person (Technical)*: Contact Person (Commercial)*: Telephone*: Facsimile*: (Commercial)*: (Technical)*: Website(Home Page) (ex: Website(eProcurement) (ex:
4 Banking & Financial Details Name of the banker*: Branch address*: Account number*: Total capital*: Paid up capital*: Name of the company's Financial Auditor: Last three years financial turnover: Year Turn Over Last Three Years Balance Sheets: Last Three Years audit Reports: Customer References: Name Address Contacts Facilities & Equipment Details Factory/Workshop: Branch Address: Warehouse address: Warehouse size: Warehouse owned or leased (lease period): Please list number of delivery /passenger vehicles owned together with the year of purchase: Please list of machinery /tools/equipment Owned together with the year of purchase:
5 Additional Details Company's organization structure: of your present manpower with their qualification, skills and service dates of key people: Employer's liability Insurance: Copies of your quality, safety and environments procedures /certifications: Copies of yours and/or your principals ISO 9002 certificate, if certified: Completed contracts/jobs during the last three years: Contracts/jobs in hand with completion dates:
Maybank eprocurement Portal Supplier Application Guidelines IMPORTANT NOTICE:
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