Doc No: SC-SCM-SUBCO-FRM-03

SUBCONTRACTOR / SERVICE PROVIDER'S PRE-QUALIFICATION Rev: 00

FORM Date of Rev: Nov 26, 2019
Page: 1 of 4

Section 1: General Information

A) Vendor’s Name:

B) Business Address (Head Office):

C) City: _________________________________________

D) Telephone No.: ____________________ E) Country: ____________________________________

(with area code)

F) Cell No.: G) E-Mail: ______________________________________

H) Web Address: _____________________ I) CNIC: __________________________

(Propreitor of Pakistan Origin Entties)

J) STN: ____________________________ K) NTN: __________________________

(For Pakistan Origin Entties) (For Pakistan Origin Entties)

L) VAT: ______________________________ M) CR: __________________________

(Company Registration No.)

N) Postal Code: ______________________________

O) FAX: __________________________
Note: Any change in mailing address and contact numbers will be intimated within 3 days to Descon
Engineering Limited, in writing.

P) Names and Contact Numbers of Proprietors / Directors:

1 2
3 4
Q) Contact Person(s) name & Cell Number:
1 2

R) Type of Entity (Please tick box):

a. Sole proprietor c. Partnership e. LLC g. Govt. Institution
b. Private d. Public Ltd f. WLL h. Any Other
(Please Specify)
S) Date of Incorporation: ______________________

T) Factory Address and Telephone Nos. (If applicable):

For Descon Use Only

Prequalification No. ____________________________

Date of Prequalification ____________________________

Date of Renewal: ____________________________

This document is the Intellectual Property of Descon. Any unauthorized use, including the modification and reproduction of the content is
strictly prohibited. © Copyrights Ordinance 2002, All rights reserved.
 Doc No: SC-SCM-SUBCO-FRM-03
SUBCONTRACTOR / SERVICE PROVIDER'S PRE-QUALIFICATION Rev: 00
FORM Date of Rev: Nov 26, 2019
Page: 2 of 4

Section 2: Business Specific Information

2.1 Nature of the Entity (Please tick box):
i) Manufacturer ii) Retailer
iii) Service Provider iv) Agent
v) Any Other Please Specify________________________________

2.2. Scope of major Supply/Services (Please provide detail information on Annexure-A attached):
i) _________________________________ ii). _________________________________
iii) ________________________________ iv). _________________________________

2.3 Please provide details of current or previous clients we may approach for details:
(Kindly provid detail information on Annexure-B attached)
Client #1 Client #2 Client #3
Company
Scope of Job
Value of Order
Contact Person
Designation
Address
Phone
Fax/Email/Web
Location of Supply/Services
Work Start Date
Work Completion Date

2.4 In case your entity is an Authorised agent, please provide the name and letter of
representation. (Please enclose a copy) __________________________________________________

2.5 Manpower Qualification (Optional for Suppliers):

(Please provide detail list on Annexure-C attached):
Graduates Skilled
Engineers Semi-Skilled
Diploma Holders
2.6 Number of staff employed:
Office Factory
Yes No
2.7 Have you ever been in litigation with any of your Customers?
(If yes) Mention name of Customer and reason

2.8 Status of Company’s Certification in:

ISO 9001 ISO 14001 OHSAS 18001
Note: Companies not possessing above certification shall follow Descon’s Quality and HSE Policies.

This document is the Intellectual Property of Descon. Any unauthorized use, including the modification and reproduction of the content is
strictly prohibited. © Copyrights Ordinance 2002, All rights reserved.
 Doc No: SC-SCM-SUBCO-FRM-03
SUBCONTRACTOR / SERVICE PROVIDER'S PRE-QUALIFICATION Rev: 00
FORM Date of Rev: Nov 26, 2019
Page: 3 of 4

Section 3: Documents Required

3.1 Please enclose copy of VAT/S.Tax registration Certificate. Enclosed Not Enclosed
3.2 Please enclose copy of Company Registration/License. Enclosed Not Enclosed
3.3 Please enclose copy of CNIC/NTN Certificate. Enclosed Not Enclosed
(For Pakistan Origin Entties)

3.4 Please enclose copy of your Company Profile. Enclosed Not Enclosed

3.5 Company's Health, Safety & Environment (HSE) and QA&QC Systems details:
a Please attach HSE Organization Chart.
b Provide list of HSE experienced key personnel.
c Do you have written procedure for emergency handling? Please prvoide.
d Please give the injuries frequency rates of last three years.
e Quality Assurance and Quality Control Procedure

3.6 Please submit the following along with this PQ Form:

a List of Major Equipment (Optional for Suppliers)
b List / CV of Key Personnel with Past Experience (Optional for Suppliers)
c List of Clients / Companies with which your company is already prequalified /registered.
d Renewed Registration with Pakistan Engineering Council / Registration Certificate
from appropriate Authority of your origin.

3.7 Bank Details: All payments from Descon wil be made in this Account(s) only.

Account 1:

Account Title: Bank A/C No.:

Bank Name: Branch Name:
Branch Address:
Bank Code/IBAN No.: BIC/Swift Code:
Account 2:

Account Title: Bank A/C No.:

Bank Name: Branch Name:
Branch Address:
Bank Code/IBAN No.: BIC/Swift Code:

This document is the Intellectual Property of Descon. Any unauthorized use, including the modification and reproduction of the content is
strictly prohibited. © Copyrights Ordinance 2002, All rights reserved.
 Doc No: SC-SCM-SUBCO-FRM-03
SUBCONTRACTOR / SERVICE PROVIDER'S PRE-QUALIFICATION Rev: 00
FORM Date of Rev: Nov 26, 2019
Page: 4 of 4

DECLARATION

I, ___________________________ of _____________________________ (company) hereby

solemnly affirm that the information mentioned above is true to the best of my knowledge and if any
information is found incorrect or incomplete our prequalification form will be liable for
disqualification.

Name of Person completing this form:

Signature Date

FOR DESCON USE ONLY

Initiated By: Reviewed By:

Subcontracting Engineer I/C QA / QC

Signature: Signature:
Name: Name:
Date: Date:

Approved By:
Reviewed By:
Manager Subcontracting / Supply
Lead Subcontracting / Site Manager
Chain

Signature: Signature:
Name: Name:
Date: Date:

Special Approvals*

DP BPO
* For Subcontractors where PQ shall not be performed by BU / Div. except those mentioned as exempted in Policy.

This document is the Intellectual Property of Descon. Any unauthorized use, including the modification and reproduction of the content is
strictly prohibited. © Copyrights Ordinance 2002, All rights reserved.