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Supplier Information Form
Business with EQUATE
Supplier Information Form
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Supplier Information Form
Company Information
Company Name:
*
Please enter your Company Name
Company Adress:
*
Please enter your Company Adress
Incorporated in:
*
Select One
ARUBA
AFGANISTAN
ANGOLA
NETHERLANAD ANTILLES
ARGENTINA
ARMENIA
ANTIQUA AND BARBUDA
AUSTRALIA
AUSTRIA
AZERBEIJAN
BELGIUM
BENIN
BURKINOFASO
BULGARIA
BAHRAIN
BELARUS
BELIZE
BOLIVIA
BONAIRE
BRAZIL
BARBADOS
BHUTAN
BOTSWANA
CANADA
CHILE
CHINA
COLOMBIA
UNION OF COMOROS
CURACAO
CUBA
CYPRUS
REPUBLIC OF CYPRUS
CYRIA
CZECH
DAKAR
GERMANY
DENMARK
DOMINICAN REPUBLIC
ALGERIA
ECUADOR
EGYPT
EMIRATES
SPAIN
ESTONIA
ETHIOPIA
FIJI
FINLAND
FRANCE
UK
GEORGIA
GHANA
GREECE
GRENADA
GUATEMALA
GUYANA
HUNGARY
CROATIA
INDONESIA
INDIA
IRAN
IRELAND
IRAQ
ITALY
JAMAICA
JORDAN
JAPAN
KAZAKSTAN
KENYA
KYRGYSTAN
CAMBODIA
ST KITTS AND NEVIS
KOREA (NORTH)
KUWAIT
LAOS
LEBANON
LIBERIA
LIBYA
SAINT LUCIA
SRI LANKA
KINGDOM OF LESOTHO
LITHUANIA
LUXEMBOURG
MADAGASCAR
MALDIVES
MEXICO
ARUBA
MALTA
MYANMAR
MONGOLIA
MOROCCO
MOZAMBIQUE
MAURITIUS
MALAWI
MALAYSIA
NAMIBIA
NIGER
NIGERIA
IVORY COAST
DAR-US-SALAM
PALESTINE
NETHERLANDS
NORWAY
NEPAL
NEW ZEALAND
OMAN
PANAMA
PERU
PHILLIPINES
PAPUA NEW GUINEA
POLAND
KOREA (SOUTH)
PORTUGAL
QATAR
REUNION ISLAND
ROMANIA
RUSSIA
RWANDA
SAUDI ARABIA
REPUBLIC OF SLOVANIA
SUDAN
SINGAPORE
SENEGAL
SOMALIA
SURINAM
SLOVAKIA
SWEDEN
SWITZERLAND
SEYCHELES
SYRIA
CHAD
TOGO
THAILAND
TAJIKISTAN
TURKMENISTAN
TRINIDAD & TOBAGO
TUNISIA
TURKEY
TAIWAN
TANZANIA
UAE
UGANDA
UKRAINE
USA
UZBEKISTAN
HOLY SEE VATICAN
SAINT VINCENT AND GRENADINES
VENEZUELA
VENEZULA
VIETNAM
YEMEN
YEREVAN
SERBIA AND MONTEGRO
SOUTH AFRICA
ZAIRE
ZAMBIA
ZIMBABWE
Please Specify country
Website:
*
Please enter company website address
Firm/Organization:
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Select One
Mfg:
Trading
Export house
Other (Specify)
OEM agent/distrubutor
Please enter, type of Firm/Organisation
Other:
Year of Establishment:
*
Please enter Year of Establishment
No. of employees:
*
Please enter the no of Employees
No. of Kuwaiti employees:
Primary Contact Information
Contact person Name:
*
Enter your Contact person Name
Designation / Position:
*
Please enter your Designation / Position
Telephone:
*
Please enter your Telephone No.
Fax:
*
Please enter your Fax No.
E-mail Address:
*
Please enter your E-mail Address
Office hours:
*
Please enter your Official office timing
Your major customers
(Kindly attach a minimum of 2 latest POs for each customer)
Customer1:
*
Please enter your Customer Name
Location:
*
Please enter your Company Address
Attachement
*
Customer2:
*
Please enter your Customer Name
Location:
*
Please enter your Company Adress
Attachement
*
Customer3:
*
Please enter your Customer Name
Location:
*
Please enter your Company Adress
Attachement
*
Customer4:
Location:
Attachement
Customer5:
Location:
Attachement
Product Category
MRO-Mechanical
MRO-Instruments
MRO-Electrical
MRO- Fire/safety
MRO- Administrative/ Stationary
MRO- Misc /Others
IT and IT services
Labour and other services
Raw materials/Chemical
Packaging
Logistics
Product range
Names of major products:
*
Please enter major products
Attachement
Names of major products:
*
Please enter major products
Attachement
Names of major products:
*
Please enter major products
Attachement
Names of major products:
Attachement
Names of major products:
Attachement
Are you an authorized agent /distributor of OEM?
Yes
No
Company/OEM name1:
Please enter Company/OEM name
Product detail:
*
Please enter Product detail
Company/OEM name2:
*
Please enter Company/OEM name
Product detail:
*
Please enter Product detail
Company/OEM name3:
*
Please enter Company/OEM name
Product detail:
*
Please enter Product detail
Do you have any relatives working at EQUATE?
Yes
No
Relatives name1:
Please enter your relatives name
Relationship:
*
Please enter your relationship
Relatives name2:
*
Please enter your relatives name
Relationship:
*
Please enter your relationship
Relatives name3:
*
Please enter your relatives name
Relationship:
*
Please enter your relationship
Does your company have ISO certification(s)?
Yes
No
Date of registration1:
*
Please enter registration date
Number:
*
Please enter registration number
Other comments/ information that you may like to provide
Paid up Capital:
*
Please enter paid up capital
Annual turnover/sales in USD/KWD (last three years):
Year
Turn Over
Financial Reference:
*
Please enter financial reference
Note: Kindly attach certified financial statements or bank references, if you are a privately owned company. The statements/references must be current and within the last financial year:
Do you have warehouse facilities?
Yes
No
Location:
Please enter the location
Size:
*
Please enter the size
No of employees:
*
Please enter the No of employees
Type of materials stocked:
*
Please enter the type of materials stocked
Stock value:
*
Please enter the stock value
Provide detail of office holders/partners/officers
Name
Title
Yrs of service
All the information given above is true to the best of our knowledge
EQUATE reserves the right to accept or reject the application.