MPCL Vendor Registration Form

Vendor Registration Form comprises of the following sections:

Contents

Section 1 – General Information

Section 2 – Financial Information

Section 3 – Quality Standards

Section 4 – References

Section 5 – Insurance / Professional Indemnity Insurance

Section 6 – Organization Structure

Section 7 – Sub-contracting

Section 8 – Health, Safety & Environment (HSE)

Section 9 – Membership of Associations, etc.

Section 10 – Ancillary Services

Section 11 – Ethics

Section 12 – Disclosures & Declarations

Section 13 – Enclosures

Section 14 – Processing and approval

Vendor Registration Form

Section 1 – General Information

Name of Company NURICON PETROSERVICES (PVT.) LTD.

Business Address 4th Floor Mubarak Manzil, 39 Garden Road, Karachi-74400

Legal Status Sole Ownership Partnership

Private Limited Company. Public Limited Company

Telephone Number +92-21-32735051 (4 Lines), 051-4102001 (4 Lines)

E‐mail karachi@nuricon.com, islamabad@nuricon.com

Registered Office Karachi: 4th Floor Mubarak Manzil, 39 Garden Road, Karachi-74400

Year business established 1984

Name of Parent or Holding Company NURICON UNION (PVT.) LTD.

(If applicable)

Other Office Locations Plot No. 39, Street # 1, Sector I-10/3, Industrial Area, Islamabad

Main / principal areas of business 1. EPC Contractor of CP System.

activity
2. CP Survey
3. ECDA Survey
4. Audit and Inspection
5. Supply of CP Material
6. EPC Contractor of Heat Tracing System
Sole Owner / Partners / Directors
1. S. Nurul Hussain - Managing Director
2. S. Ameen Hussain - Director

Chief Executive Syed Nurul Hussain

Key Personnel 1. Syed Ameen Hussain

2. Khalid S. Khan
3. Omair S. Khan
4. Maqsood Temuri

Number of full time Employees a) 1‐10

b) 11‐50
c) 51‐100
d) Over 100

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Section 2 – Financial Information

Turnover for previous three (03) years ‐ 1) PKR/USD

PKR 245 M
Year.....................
similar type of work
2) PKR/USD
PKR 142 M
Year.....................
3) PKR/USD
PKR 164 M
Year.....................

Provide copies of Audited Accounts for Enclosed ‐ Yes / No

previous three (03) years OR Statement of
Account from Company's Bank for
previous three years
1) Year.....................
2) Year.....................
3) Year.....................

Capital 1) Authorized PKR/USD.....................

2) Paid up PKR/USD.....................

Registration with FBR Filer

(Mandatory) Non‐Filer

Provincial Sales Tax Numbers ICT Services Sales Tax

KPK Sales Tax
Punjab Sales Tax
Sindh Sales Tax
Baluchistan Sales Tax

Section 3 – Quality Standards

Which of these statements best describes
your company’s Quality Management
System.
There is no formally documented quality management
system.
There is a formally documented quality management
system, but it is NOT formally certified by an accredited
company.
There is a formally documented quality management
system formally certified to ISO 9001/2 by an
accredited company.

Provide details of any quality assurance

accreditation for which you have applied.

If no accreditation held, attach an outline Enclosed Yes / No

of your quality assurance policy.

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Section 4 – References

Bankers 1)
2)
3)
4)

Business Clients / Previous Experience 1) Oil & Gas Development Co. Ltd.
Provide details of relevant previous or current 2) United Energey Pakistan Ltd.
experience for similar contracts in the Oil & Gas Polish Oil & Gas, Pakistan
3)
industry in the last 3 years within the categories
given below. Please enclose information 4) Pakistan Petroleum Limited.
separately, if necessary.

The information should include the following as

a minimum:
 Brief Description of the service provided
Please find attached copy of
 Contract Period (i.e. 3 years etc) Purchase Orders.
 Value
 Contact Name, Address and Tel Number
If applicable, please provide information
regarding affiliation with a Foreign Company or
work done in collaboration with a Foreign
Company.
Please note that we may approach any of the
clients you name for a reference. Unless you
indicate otherwise, it will be assumed that we
have your permission to do so.

Technical Strengths & Capabilities a. Software Being Used Yes / No Attach details

b. Tools Yes / No Attach details

c. Equipment Yes / No Attach details

d. Technical Foreign Attach details

Yes / No
Collaborations, if any

Previous Work Experience with Mari Petroleum

Company Ltd. 1. MPCL Order No. 7100069488
(In Progress)
(Give details of major Projects handled, Size and
Year of Project) 2. MPCL Contract No. MPCL/
Nuricon/7100063864
(In Progress)
3. MPCL PO no. 7100060749
4. MPCL PO No. 7100058401

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Vendor Registration Form

Section 5 – Insurance / Professional Indemnity Insurance

Give details of Insurances / Professional Third Party Insurance PKR/USD...................................

Indemnity Insurance held
(Attach copies of certificates)
Employers Insurance PKR/USD...................................

Prof. Indemnity Insurance PKR/USD...................................

Other (state) PKR/USD...................................

Would you be prepared to increase your Yes / No

insurance cover if required?

Section 6 – Organization Structure

Provide an organisation chart detailing number of staff, Enclosed Yes / No

their profession / category and indicate the number of
staff who would form part of the resourcing.

Provide brief details of qualifications of team members Enclosed Yes / No

who would provide the above services, enclosing CVs,
copies of certification, registration etc where appropriate.

What management and office / IT systems does the Enclosed Yes / No

Company employ in managing the contracts, overall job
planning & management, progress monitoring and
reporting to management / client?

What evidence can the Company provide to demonstrate Enclosed Yes / No

positive and collaborative behaviour in resolution of
problems and differences on previous major projects?

What appropriate offices, laboratories, workshops, Enclosed Yes / No

equipment and workforce, to manage the type of business
anticipated in this category of work, does the Company
own?

Section 7 – Sub‐contracting

Give a brief outline of your policy regarding the use of sub‐ Enclosed Yes / No
contractors and, if applicable, the extent to which you
might envisage using them for this type of work.

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Section 8 – Health, Safety & Environment (HSE)

8a. For Non Critical Category:

Attach HSE policies, guidelines and procedures being followed by your company. You are advised to provide any
or all of the following documents/information, as applicable. You may also attach any additional relevant
documents, if required:
 Copy of Health, Safety & Environment Policy Statement.
 Copy of HSEQ Manual.
 Equipment / Machinery Third Party Certification.
 Copy of a Completed Inspection Checklist.
 Copy of Accident Report Form and Accident Statistic for the past 02 years.
 Copy of Emergency Preparedness Plan.
 Risk Assessment Records.
 HSE Certification NEBOSH / IOSH / Other.

8b. For Critical Category:

General guidelines for preparation of questionnaire
1. The questionnaire covers the information required to assess the extent to which HSE and its management
are organized by the contractor.
2. Contractor line management should complete the questionnaire.
3. Emphasis should be placed on the need for complete answers substantiated by supporting documentation
as far as is practicable.
4. Submissions should be assessed by a scoring mechanism that can be used in the evaluation process.
5. If necessary, follow‐up discussion with the contractor's management may be needed.
6. The contractor should be encouraged to identify where he exceeds MPCL requirements and this excellence
should be recognized. Emphasis should be placed on the need for complete answers substantiated by
supporting documentation as far as is practicable.

Questionnaire items Responses

Section 1: Leadership and Commitment

(i) Commitment to HSE
through leadership
a) Are senior managers personally involved in HSE management?
If the answer is YES, please attach management review meeting
records.
b) Is there evidence of commitment at all levels of the
organization?

Section 2: Policy and Strategic Objectives

(i) HSE policy documents
a) Does your company have an HSE policy document?
b) If the answer is YES, please attach a copy.
c) Who has overall and final responsibility for HSE in your
organization?
d) Who is the most senior person in the organization responsible
for this policy being carried out at the premises and on site
where his employees are working?
Provide name, title and experience.

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Questionnaire items Responses

(ii) Availability of policy a) Itemize the methods by which you have drawn your policy
statements to statement to the attention of all your employees?
employees b) What are your arrangements for advising employees of changes
in the policy?

Section 3: Organization, Responsibilities, Resources, Standards and Documentation

(i) Organization ‐ a) How is management involved in HSE activities, objective

commitment and setting and monitoring?
communication b) How is your company structured to manage and communicate
HSE requirements effectively?
c) What provision does your company make for HSE
communication meetings?

(ii) Competence and Training
of managers/
supervisors/senior site
staff/ HSE advisers
Have the managers and supervisors at all levels who will plan,
monitor, oversee and carry out the work received formal HSE
training in their responsibilities with respect to conducting
work to HSE requirements?
If YES, please attach training record. Where the training is given
in‐house, please describe the content and duration of courses.

(iii) Competence and General
HSE training
a) What arrangements does your company have to ensure new
employees have knowledge of basic industrial HSE, and to keep
this knowledge up to date?
b) What arrangements does your company have to ensure new
employees also have knowledge of your HSE policies and
practices?
c) What arrangements does your company have to ensure new
employees have been instructed and have received
information on any specific hazards arising out of the nature of
the activities? What training do you provide to ensure that all
employees are aware of requirements?
Please attach training calendar copy
d) What arrangements does your company have to ensure
existing staff HSE knowledge is up to date?
Attach a copy of skill matrix.

(iv) Specialized training
a) Have you identified areas of your company's operations
where specialized training is required to deal with potential
dangers? (If YES please itemize and provide details of training
given.)
b) If the specialized work involves radioactive, asbestos removal,
chemical or other occupational health hazards, how are the
hazards identified, assessed and controlled?

(v) HSE qualified staff Does your company employ any staff who possess HSE
‐ additional qualifications that aim to provide training in more than the
training basic requirements?
Attach HSE Officer Qualification and training certificates.

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Vendor Registration Form
Questionnaire for contractor HSE prequalification
(vi) Assessment of suitability
of subcontractors/ other
companies
(vii)HSE Manual and Standards
Section 4: Hazards and Effects Management
(i) Hazards and
effects
a ssessment
(ii) Exposure of the workforce
(iii) Personal protective
equipment
(iv) Waste management
Section 5: Planning and Procedures
(i) HSE operations manuals
(ii) Equipment control and
maintenance
Questionnaire items Responses
a) How do you assess:
i) HSE competence of subcontractors. Attach procedure for
subcontractor evaluation.
ii) HSE record of the sub‐contractors evaluation and companies
with whom you place contracts?
a) Does your company certify with any standard?
If yes, please attach a copy
b) How do you ensure these are met and verified?
c) Is there an overall structure for producing, updating and
disseminating standards requirement? If yes, please attach
copy of procedure.
What techniques are used within your company for the
identification, assessment, control and recovery of hazards and
effects? Please attach a copy of risk assessment
Do you have in place any systems to monitor the exposure of
your workforce to chemical or physical agents? Please attach
inspection record.
What arrangements does your company have for provision and
upkeep of protective clothing, and that required for specialized
activities?
Please attach a copy of personal protective equipment standard
procedure.
Does your company have in place systems for identification,
classification and management of waste? Please attach a copy of
waste management procedure and waste disposal record.
a) Do you have a company HSE manual (or Operations Manual with
relevant sections on HSE) which describes in detail your company
approved HSE working practices relating to your work activities?
If the answer is YES, please attach a copy of supporting
documentation.
b) How do you ensure that the working practices and procedures
used by your employees on‐ site are consistently in accordance
with your HSE policy objectives and arrangements? Please attach
inspection/monitoring record
How do you ensure that plant and equipment used within your
premises, on‐site, or at other locations by your employees are
correctly registered, controlled and maintained in a safe working
condition?
Please attach equipment inspection/maintenance record
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Questionnaire items Responses

(iii) Road Safety Management What arrangements does your company have for combating
road and vehicle incidents?
Please attach road safety management procedure copy

Section 6: Implementation and Performance Monitoring

(i) Management and a) What arrangements does your company have for supervision
performance and monitoring of performance?
monitoring of work b) What arrangements does your company have for passing on
activities. any results and findings of this supervision and monitoring to
your:
i) base management
ii) Site employees?
Attach a copy of safety observations tracking and closure

(ii) HSE performance Has your company received any award for HSE performance
achievement awards achievement?

(iii) Statutory notifiable Has your company suffered any statutory notifiable incidents in
incidents dangerous the last five years (safety, occupational health and
occurrences environmental)?
(Answers with details including dates, most frequent types,
causes and follow‐up preventative measures taken.)

(iv) Improvement Has your company suffered any improvement requirement or

requirement and prohibition notices by the relevant national body, regulatory
prohibition notices body for HSE or other enforcing authority or been prosecuted
under any HSE legislation in the last five years?
(If your answer is YES please give details.)

(v) HSE performance a) Have you maintained records of your incidents and HSE
records performance for the last five years?
(If YES, please give following details for each year, number of
Non Lost Time Injuries, number of Lost Time Injuries, number
and type of injuries, general, total hours worked by workforce
for each corresponding year, Frequency Rates, your company
definition of a Lost Time incident).
Please attach a copy of last five years TRCF & LTIF performance
of your company

b) How is environmental performance recorded?

Please attach environmental monitoring/ inspection record

c) How often is HSE performance reviewed? By Whom

Section 7: Auditing and Review

(i) Auditing a) Do you have a written policy on HSE auditing and how does
this policy specify the standards for auditing (including unsafe
acts auditing)?

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b) Do your company HSE Plans include schedules for auditing and
what range of auditing is covered?

c) How the effectiveness of auditing is verified and how does

management report and follow up audits?

Section 8: HSE Management ‐ Additional Features

(i) Memberships of Does your company hold membership of any industry,

Associations trade or HSE organization?

(ii) Additional features of your Does your company have any other HSE features or
HSE management arrangements not described elsewhere in your response to the
questionnaire?

Section 9 – Membership of Associations, etc.

Provide the names of any professional,

trade or other associations, societies etc to
which you belong (indicate whether this is
as an organisation, or on an individual
basis)

Agencies / Dealerships a) Manufacturer

b) Manufacturer Rep.
c) Supplier
d) Stockist
e) Other
On a separate sheet List Agencies & Dealerships your company possess,
in the format given bellow:

Agency / Dealerships Products

Registration with Chamber of Commerce &

Industry (if applicable)

Section 10 – Ancillary Services

Provide details of other project

management related services provided by
your organisation, which might be of use
MPCL

Section 11 – Ethics

Please confirm your acceptance to the MPCL Code of Conduct ‐ available at https://mpcl.com.pk/code‐of‐conduct/

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Vendor Registration Form

Section 12 – Disclosures & Declarations

Have you or your Company ever been If yes, from which company:
awarded with Performance
Certificates / Bonuses etc? Yes / No
Work/job/event:

Were you or your Company / Group If yes, name of company:

involved in any Arbitration / Litigation
for any of the past works / Contracts/ Yes / No
Orders with any Organization? Reason:

Section 13 – Enclosures
Please confirm that you have enclosed the following with your completed questionnaire, where necessary / appropriate:

Tick to indicated document has

Enclosure Status
been included
Audited Accounts for previous 3 years Required
Quality Standard Certificates Required
Insurance or Professional Indemnity Certificates Required
Organisation Chart Required
Details of Qualifications, etc. Required
Details of Relevant Previous / Current Experience Required
Health, Safety & Environment Policy Required
Typical site evacuation & emergency response plan Required

Thank you for completing this questionnaire. The information it contains will be held in confidence and used for
determining your suitability for meeting our general requirements for pre‐qualification.

Authorized signatory:

Name: …………………………………………………………

Signature: ………………………………………………………… Position: …………………………………………………………

Telephone Number: ………………………………………………………… Date: …………………………………………………………

All pages should be signed and stamped by the authorized representative of the applicant.

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Section 14 – Processing and approval

SCM Assessment (Procurement Manager) Financial Assessment

Qualified Not Qualified Approved Not Approved

If qualified, registration category: Reason (if not approved)

Critical Non Critical
Reason (if not qualified)
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
Name & Signature:______________

Name & Signature:______________ Date: ________________________

Date: ________________________

HSE Assessment Approval (Head Supply Chain)

Approved Not Approved Approved Not Approved

Reason (if not approved)

______________________________________ Sign: ________________________
______________________________________
______________________________________ Date: ________________________
______________________________________
______________________________________

Name & Signature:______________

Date: ________________________

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