FTL-18.01.PR.002-F003 Rev.

03

VTTI FUJAIRAH TERMINALS LIMITED (VTTI FTL) FZC

P.O. BOX 1592; Fujairah; United Arab Emirates

Vendor Prequalification
Supplier Profile:

Company Name:

Tax Organization Type / Legal Form Under Which Business Operates: (Corporation /Foreign
Corporation /Foreign Government Agency / Foreign Individual / Foreign Partnership
/Government Agency / Individual /Partnership / FZC / LLC, etc.)

Supplier Type: (Tax

Authorities / Third Party)
Corporate Website:

D-U-N-S Number:

Chamber of Commerce No:

Tax Country:

Taxpayer ID:

Tax Registration Number:

Address:

Address Name:

Address:

Post Box No:

Post Code:

Location / Building :

City

Emirates / State / Province:

Country:

Phone:

Fax:

E-mail:

Contact:

Contact Person: Mr. /Mrs. /Ms.

Job Title:

Phone:

Mobile:

Fax:

Email:
FTL-18.01.PR.002-F003 Rev.03

VTTI FUJAIRAH TERMINALS LIMITED (VTTI FTL) FZC

P.O. BOX 1592; Fujairah; United Arab Emirates

Vendor Prequalification

Brief profile of the Company:

Date of the Firm Established:

Number of Full time Empolyess :

Product /Material (under consideration):

Details of top management (GM/CEO/Director etc.)

Name Designation Contact details

Technical capabilities:

Details of Certification of Management System:

Certifications: Y ear
ISO 9001 - QMS ISO 14001 - EMS
OHAS 18001 - H&SMS

Existing clients with contact address (min. three clients):

Management and Organisation (attach organisation chart):

FTL-18.01.PR.002-F003 Rev.03

VTTI FUJAIRAH TERMINALS LIMITED (VTTI FTL) FZC

P.O. BOX 1592; Fujairah; United Arab Emirates

Vendor Prequalification
Product & principal range of vendor

Appraisal letters from clients if any

Equipment/Manpower list if applicable

List up to 12 of your most recent relevant successfully completed projects (Applicable for Contractors)

HSE & Quality policy. Refer FTL-13.06.PR.0004-F001 form & Provide the details (Applicable for Contractors)

Financials:

Turnover (in AED) 3 years: 138m AED

Annual value of total income for the last 3 years:
1. (2.3)m AED 2. 2.1m AED 3. (1.5)m AED
Please provide copies of the company's last 3 years annual or audited financial report

Invoice currency: AED

Payment currency: AED
Payment terms: 60D from the receipt of Invoice
Bank Name: HSBC BANK MIDDLE EAST
Bank Country: UAE
Branch: Jebel Ali
SWIFT: BBMEAEAD
Account Number: 020-349783-001
Account Name: HARRIS PYE GULF LLC
Payment Method: TRANSFER
IBAN: AE570200000020349783001
Currency: AED
1. Trade License / Commercial License
Mandatory required documents: 2. VAT Certificate

3. Chamber of Commerce

Declaration by supplier:

I, the undersigned, declare that the information provided in this form is correct and complete. In the event of changes, details will be provided as soon as possible.

Name: Designation:
Date: Signature with seal