ANNEXURE A

Document and Licensees Checklist: [Vietnam]

This document checklist is unique to country specific requirements and these documents are mandatory (unless
otherwise stated). GE Reserves right to ask for more documents and English translation of non-English documents
as needed.

Name of Dealer Applicant (Full registered SCP Medical Joint Stock Company
company name- no abbreviation):

Serial Document and Issuing Body Comments Language Attached

No. License (Select
from drop
down
menu)
Dealer Application Form Dealer applicant Should be signed, dated with English Yes
(Main Application Form) company seal by applicant
1 (Proprietor/All Partners/All
Directors - depending upon
legal status of applicant
company). Original copy is
required
Dealer Application Form Dealer applicant Annexure A acts as checklist of English Yes
(Annexure A) required documents.
2
Dealer Application Form Dealer applicant Declaration for Translation Enlish Yes
(Annexure B)
3
4 Bank Reference Letter Bank Confirmation from bank on Vietnames Yes
maintenance of account by the
company. Banks may use their e
own format; must be signed by
bank official, dated and bank
seal. Original copy is required.

5 Business Registration Department of Planning & If original document is in local Vietnames Yes
Certificate (BRC) Investment language, dealer applicant must
Giấy chứng nhận ĐKKD/ fill out the declaration e
Enterprise Registration (Annexure B).
Certificate (ERC) *
*in case BRC has not yet been
switched to ERC due to no
amendment to incorporation
information after 07/2015.
6 License to Establish The Department of Industry & If original document is in local Click or No
Rep. Office of Foreign Trade language, dealer applicant must
Enterprise in VN fill out the declaration tap here to
(Annexure B). enter text.
(For Foreign Companies
having a Rep. Office in
VN)
7 Enterprise Registration Department of Planning & If original document is in local Click or No
Certificate (ERC)/ Investment/People’s language, dealer applicant must
Investment Certificate Committee* fill out the declaration tap here to
(IC)* (Annexure B). enter text.
(For Foreign Owned *in case IC has not yet been
Companies) switched to ERC due to no
amendment to incorporation
information after 07/2015.
8 Articles of Association Dealer If original document is in local English Yes
Memorandum of (aka Business/Activity language, dealer applicant must
Association License - issued by fill out the declaration
(aka Charter on Ministry of Planning & (Annexure B).
Organization & Operation) Investment)
9 Latest Annual Report Dealer applicant and Audited financials certified by Click or Choose an item.
or Audited Financial authorized auditor an auditing firm will be signed
Statements as a practice by authorized tap here to
(Báo cáo thường niên mới signatory from auditing firm enter text.
nhất đã kiểm toán hoặc with designation and date. It

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 Báo cáo tài chính)
10 Power of Attorney (POA) -
in case a Proprietor /
Partner is authorizing any
other person to conduct
business (from Proprietor/
Partner to Authorized
person)
11 KYC (Know Your
Customer) Information
12 Tax Registration Number
Evidence
13 ISO 9001
14 Other Documents (if any)
15 Other Documents (if any)
State reason if any of attachment is : “No” in last column for required documents.
Click or tap here to enter text.
Dealer applicant (if any)
Dealer Applicant
Local Authorities
Certified Accreditation
Body
Click or tap here
to enter text.
Click or tap here
to enter text.
will also be signed as a practice
by authorized representative of
the dealer company depending
on the legal status of the firm
with designation, date and
company seal. In case of un-
audited financials, It will also
be signed as a practice by
authorized representative of the
dealer company depending on
the legal status of the firm -
copy is required
Certified true copy Click or No
tap here to
enter text.
Following information on Click or Choose an item.
Dealer Letter Head, duly signed
and stamped by authorized tap here to
signatory in English language. enter text.
- Tax/VAT Registration
Number
- Company Registration
Number
- Estimated Annual Total
Company Revenue (US$)
- Number of Years in
Business
- Details of bank to be used
for transactions with GE
(Bank Name, Account Name
& Number, Account
Currency,
Branch Address, Bank Code
and Swift Code)
- Full Names of Shareholders
with 50% or more
shareholding in the company
Provide documentary evidence Vietnames Yes
(copy)
e
If no ISO 9001, please provide Click or No
Standard Operating Procedure
or supporting documents to tap here to
support how your company is enter text.
maintaining quality systems for
documentation, tools &
calibration management,
trainings, installation and
servicing jobs.
Click or tap here to Click or No
enter text. tap here to
enter text.
Click or tap here to Click or No
enter text. tap here to
enter text.
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