供应商调查表中英对照.doc

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PREQUALIFICATION FORM FOR SUPPLIERS / CONTRACTORS 供应商调查表 A) PARTICULARS OF THE FIRM 企业概况 1. Name of the Firm公司全称 : 2. Registered Address注册地址 : 3. Mailing Address邮寄地址 : (If different from 2) 4. Telephone No.电话 : 5. Fax No.传真 : 6. Web-site Address公司网址 : 7. E-mail Address 电子邮件 : 8. Type of Company公司性质 : Public/Private/ Partnership/ Sole Proprietor/Joint Venture/Others (Please specify)国营/私营/股份制/独资/合资/其他（请列出） 9. Country of Incorporation国家 : 10. Registration No.营业执照号 : 11. Date of Registration/Incorporation注册日期 : NB : To attach a copy of the latest Business Instant Information from Registry of Companies请附上最近的公司登记情况表 12. Registration with Professional, Trade or Quality Control Organisation, board and/or Association etc. 在有关专业团体，贸易机构和质量控制机构的登记证书 : (Please attach a copy of the certificate of registration请附上营业执照附本) 13. Other Affiliations, Subsidiaries or Joint Venture (with indication of % owned)其他从属关系或合资关系（请用%指出）第 20 页 B) PARTICULARS OF HEAD QUARTERS (IF ANY) 总公司概况（如有） 1. Name of the Firm公司全称 : 2. Registered Address注册地址 : 3. Telephone No.电话 : 4. Fax No.传真 : 5. Web-site Address公司网址 : 6. Type of Company经济性质 : 7. Country of Incorporation国家 : C) FINANCIAL CAPACITY 财务概况 1. Name of Bank and Address银行全称和地址 : 2. Credits Facilities / Overdrafts信用设备/透支款项 : 3. Financial Standing of the Last 3 Financial Years:过去三年里财务状况 Year 20__ Year 20__ Year 20__ Authorized Capital 注册资金 Paid up Capital 已缴资金 Net Worth 净值 Turnover 交易额 Net Profit / <Loss> after Tax 除税后净利/损 Current Assets 流动资金 Current Liabilities 流动债务 NB : To attach complete annual reports with corresponding Statements of Profit and Loss Account certified by accountants and a certified copy of the audited Balance Sheet for the last 3 years. 请会计员附上过去3年完整的相应年度亏赢报告和审计对比报告。 D) PARTICULARS OF PARTNERS / PROPRIETOR / DIRECTORS AS AT DATE OF THIS APPLICATION 合伙人/股东/主席人员名单 Name名字 Designation职位 Qualification资历 Employment History雇佣记录 Other Directorships其他管理者职位 To indicate whether any of the above Partners/ Proprietors/ Directors related to the Directors/ Key management of The Ascott Group Limited, or Capitaland Limited, Singapore Technologies Pte Ltd, Temasek Holdings (Private) Limited and/ or its subsidiaries/ associated companies. 请指出上述人员是否认识XXX的高层管理人员或XX置地，XXX公司，XXX控股公司或其他下属公司的人员。 Yes / No * (* Please delete where not applicable, and if “Yes”, please give details below如果是“是”，请详细指出) E) PARTICULARS OF KEY MANAGEMENT / EXECUTIVE AS AT DATE OF THIS APPLICATION企业上级主管人员名单 Name名字 Designation职位 Qualification资力 Year of Experience工作年限 Year of Employment雇佣年限 To indicate any of the above key management/ Executives related to the Directors/ Key management of The Ascott Group Limited, or Capitaland Limited, Singapore Technologies Pte Ltd, Temasek Holdings (Private) Limited, and/ or its subsidiaries/ associates companies. Yes / No * (* Please delete where not applicable, and if “Yes”, please give details below请删除不适用的内容，如果“是”的话，请列出) F) TYPE OF PRODUCT(S) / SERVICE(S) PROVIDED BY THE FIRM 所生产的产品或所提供的服务 1. Type of Product(s) / : Service(s)产品/服务性质 2. Please indicate if the firm is engaged in the manufacturing and/or distribution of the products provided by the firm请指出公司是否是产品的直接供应商或分销商: (* Please delete where not applicable) Manufacturing供应商: Yes / No * Distribution分销商: Yes / No * 3. Type(s) and/or brand(s) of product(s) manufactured产品性质或品牌 : 4. Type(s) and/or brand(s) of product(s) distributed产品分销的性质或品牌 : 5. Location of Manufacturing Plant / Factory and Address供应商所在区域和地址 : 6. Type(s) and length of Product Warranty Provided产品类型和质量保证期 Product Type产品类型(brand where applicable品牌可经营区域) Length of Warranty保证期 (months月) NB : To enclose relevant company brochures请附上相关公司的文件 G) GLOBAL PRESENCE / DISTRIBUTION NETWORK 全球销售或代理网络 (please tick accordingly) Yes No Southeast Asia东南亚 City / Location城市/区域 Mode *模式 1. Singapore新加坡 2. Indonesia印尼 : 3. Malaysia马来西亚 : 4. Myanmar缅甸 : 5. Philippines菲律宾 : 6. Thailand泰国 : 7. Vietnam越南 : North Asia亚洲北部 8. China中国 : 9. India印度 10. Japan日本 : 11. Korea韩国 : Australasia澳大利亚 12. Australia澳大利亚 : 13. New Zealand新西兰 : United Kingdom英国 14. London伦敦 : Europe欧洲 15. Belgium比利时 : 16. France法国 : 17. Germany德国 : 18. Spain西班牙 : Middle East中东 19. Dubai迪拜 : Others (if any)其他 20. 21. 22. 23. * Please state mode via subsidiary companies, factory set-ups, distributors, agents, etc. etc. 请指出公司的模式，工厂组织，发行人，代理商等等 H) STAFF STRENGTH 员工组织 Local当地 Worldwide外来人员 1. Total总数 : 2. Management管理人员 : 3. Others (please state)其他 I) OTHERS 其他 1. Has the company been terminated from an awarded contract (if yes, please give details below):公司是否提前终止过合同（如果有，请指出） 2. Has the company been involved in any litigation (if yes, please give details below):公司有被牵涉过任何诉讼方面的事宜？（如果有，请指出） 3. Has the company been served with any writ of summons (if yes, please give details below):公司是否收到过法院方面的传票（如果有，请指出） J) PARTICULARS OF CLIENTS / PROJECTS / SERVICES IN THE LAST 5 YEARS 过去五年内完成的主要工程项目 Name of Property / Project项目名称 Name of Client客户名称 Contact Person联系人 Telephone No.电话 Contract Value合同价值 Actual Completion Date实际完成日期 NB : To enclose copies of testimonials where applicable请附上相关可适用的证明文件 K) PARTICULARS OF CLIENTS / PROJECTS / SERVICES IN PROGRESS 目前在设计的主要工程项目 Name of Property / Project项目名称 Name of Client客户名称 Contact Person联系人 Telephone No.电话 Contract Value合同价值 Contract Completion Date合同到期日期 NB : To enclose copies of testimonials where applicable请附上相关可适用的证明文件 L) DECLARATION声明 1. I certify that the information provided above is accurate to the best of my knowledge. Any inaccuracy or misrepresentation will render the company to be disqualified from tendering.我保证以上所提供的信息是准确无误的。如有任何不附事实的信息，本公司将承担一切责任。 Signature签名 : Name名字 : Designation职位 : Date日期 :

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