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1、PREQUALIFICATION FORMFORSUPPLIERS / CONTRACTORS供应商调查表A) PARTICULARS OF THE FIRM 企业概况1. Name of the Firm公司全称:2. Registered Address注册地址:3. Mailing Address邮寄地址: (If different from 2)4. Telephone No.电话:5. Fax No.传真:6. Web-site Address公司网址:7. E-mail Address 电子邮件:8. Type of Company公司性质: Public/Private/ Pa

2、rtnership/ Sole Proprietor/Joint Venture/Others (Please specify)国营/私营/股份制/独资/合资/其他(请列出)9. Country of Incorporation国家:10. Registration No.营业执照号:11. Date of Registration/Incorporation注册日期:NB : To attach a copy of the latest Business Instant Information from Registry of Companies请附上最近的公司登记情况表12. Regist

3、ration with Professional, Trade or Quality Control Organisation, board and/or Association etc.在有关专业团体,贸易机构和质量控制机构的登记证书 :(Please attach a copy of the certificate of registration请附上营业执照附本)13. Other Affiliations, Subsidiaries or Joint Venture (with indication of % owned)其他从属关系或合资关系(请用%指出)B) PARTICULARS

4、 OF HEAD QUARTERS (IF ANY) 总公司概况(如有)1. Name of the Firm公司全称:2. Registered Address注册地址:3. Telephone No.电话:4. Fax No.传真:5. Web-site Address公司网址:6. Type of Company经济性质:7. Country of Incorporation国家:C) FINANCIAL CAPACITY 财务概况1. Name of Bank and Address银行全称和地址:2. Credits Facilities / Overdrafts信用设备/透支款项:

5、3. Financial Standing of the Last 3 Financial Years:过去三年里财务状况Year 20_Year 20_Year 20_Authorized Capital 注册资金Paid up Capital 已缴资金Net Worth 净值Turnover 交易额Net Profit / <Loss> after Tax 除税后净利/损Current Assets 流动资金Current Liabilities 流动债务NB :To attach complete annual reports with corresponding State

6、ments of Profit and Loss Account certified by accountants and a certified copy of the audited Balance Sheet for the last 3 years.请会计员附上过去3年完整的相应年度亏赢报告和审计对比报告。D) PARTICULARS OF PARTNERS / PROPRIETOR / DIRECTORS AS AT DATE OF THIS APPLICATION 合伙人/股东/主席人员名单Name名字Designation职位Qualification资历EmploymentHi

7、story雇佣记录Other Directorships其他管理者职位To indicate whether any of the above Partners/ Proprietors/ Directors related to the Directors/ Key management of The Ascott Group Limited, or Capitaland Limited, Singapore Technologies Pte Ltd, Temasek Holdings (Private) Limited and/ or its subsidiaries/ associate

8、d companies.请指出上述人员是否认识XXX的高层管理人员或XX置地,XXX公司,XXX控股公司或其他下属公司的人员。Yes / No * (* Please delete where not applicable, and if “Yes”, please give details below如果是“是”,请详细指出)E) PARTICULARS OF KEY MANAGEMENT / EXECUTIVE AS AT DATE OF THIS APPLICATION企业上级主管人员名单Name名字Designation职位Qualification资力Year of Experien

9、ce工作年限Year of Employment雇佣年限To indicate any of the above key management/ Executives related to the Directors/ Key management of The Ascott Group Limited, or Capitaland Limited, Singapore Technologies Pte Ltd, Temasek Holdings (Private) Limited, and/ or its subsidiaries/ associates companies.Yes / No

10、 * (* Please delete where not applicable, and if “Yes”, please give details below请删除不适用的内容,如果“是”的话,请列出)F) TYPE OF PRODUCT(S) / SERVICE(S) PROVIDED BY THE FIRM 所生产的产品或所提供的服务1. Type of Product(s) /: Service(s)产品/服务性质2. Please indicate if the firm is engaged in the manufacturing and/or distribution of

11、the products provided by the firm请指出公司是否是产品的直接供应商或分销商: (* Please delete where not applicable)Manufacturing供应商: Yes / No * Distribution分销商: Yes / No * 3. Type(s) and/or brand(s) of product(s) manufactured产品性质或品牌:4. Type(s) and/or brand(s) of product(s) distributed产品分销的性质或品牌:5. Location of Manufacturi

12、ng Plant / Factory and Address供应商所在区域和地址:6. Type(s) and length of Product Warranty Provided产品类型和质量保证期 Product Type产品类型(brand where applicable品牌可经营区域) Length of Warranty保证期 (months月)NB : To enclose relevant company brochures请附上相关公司的文件G) GLOBAL PRESENCE / DISTRIBUTION NETWORK 全球销售或代理网络 (please tick ac

13、cordingly) YesNo Southeast Asia东南亚City / Location城市/区域Mode *模式1. Singapore新加坡2. Indonesia印尼:3. Malaysia马来西亚:4. Myanmar缅甸:5. Philippines菲律宾:6. Thailand泰国:7. Vietnam越南: North Asia亚洲北部8. China中国:9. India印度10. Japan日本:11. Korea韩国: Australasia澳大利亚12. Australia澳大利亚:13. New Zealand新西兰: United Kingdom英国14.

14、London伦敦: Europe欧洲15. Belgium比利时:16. France法国:17. Germany德国:18. Spain西班牙: Middle East中东19. Dubai迪拜: Others (if any)其他20.21.22.23.* Please state mode via subsidiary companies, factory set-ups, distributors, agents, etc. etc. 请指出公司的模式,工厂组织,发行人,代理商等等H) STAFF STRENGTH 员工组织 Local当地Worldwide外来人员1. Total总数

15、:2. Management管理人员:3. Others (please state)其他I) OTHERS 其他1. Has the company been terminated from an awarded contract (if yes, please give details below):公司是否提前终止过合同(如果有,请指出)2. Has the company been involved in any litigation (if yes, please give details below):公司有被牵涉过任何诉讼方面的事宜?(如果有,请指出)3. Has the com

16、pany been served with any writ of summons (if yes, please give details below):公司是否收到过法院方面的传票(如果有,请指出)J) PARTICULARS OF CLIENTS / PROJECTS / SERVICES IN THE LAST 5 YEARS 过去五年内完成的主要工程项目Name of Property / Project项目名称Name of Client客户名称Contact Person联系人Telephone No.电话Contract Value合同价值Actual Completion D

17、ate实际完成日期NB : To enclose copies of testimonials where applicable请附上相关可适用的证明文件K) PARTICULARS OF CLIENTS / PROJECTS / SERVICES IN PROGRESS 目前在设计的主要工程项目Name of Property / Project项目名称Name of Client客户名称Contact Person联系人Telephone No.电话Contract Value合同价值Contract Completion Date合同到期日期NB : To enclose copies of testimonials where applicable请附上相关可适用的证明文件L) DECLARA

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