Vendor Registration Form

GENERAL INFORMATION [A]
FINANCIAL INFORMATION [B]
PERSONAL [C]
CERTIFICATIONS [D]
WORK HISTORY [E]
DOCUMENTS TO BE ATTACHED [F]
PRODUCT / SERVICE [G]
DECLARATION [H]

GENERAL INFORMATION

Name of the Vendor *
E-mail *
Mailing Address *
Country *
State ( the Vendor is registered ) *
Abu Dhabi Dubai Sharjah Ajman Ras Al Khaimah Fujairah Umm al-Quwain
City *
Telephone 1 *
Telephone 2
P.O.Box. #. *
I hereby agree to the Agthia General Terms and Conditions
I hereby agree to the Supplier Code of Conduct

FINANCIAL INFORMATION

Name of the Bank *
Branch & Address
IBAN Number *

Please note our payment terms are 60-90 days net through bank transfer or cheque
Total Capital
Annual Sales Volume
Present Net Worth AED

PERSONAL

Contact Person Name *
Designation *
Direct Line *
Mobile Number *
E-mail Address *

CERTIFICATIONS

Check if it is not applicable ( Mandatory for Manufacturing Unit)
Certification		Expiry Date
Certification		Expiry Date
Certification		Expiry Date
Certification		Expiry Date
Certification		Expiry Date
Certification		Expiry Date
List of Key Performance Indicators (KPI)/Benchmarks that the Vendor Will Provide During Service to Al Foah LLC

WORK HISTORY

Have you previously supplied/worked with Al Foah LLC?

Yes

No

Do you have a contract with Al Foah LLC? Yes No
If yes, specify the contract/agreement number and the year.

DOCUMENTS TO BE ATTACHED

License/Certificate Name	License/Certificate Ref. No:	Expiry Date	Attached
VAT Registration Number *
Company Profiles				Upload
Trade License *				Upload
Chamber of Commerce Certificate				Upload
Power of Attorney				Upload
Signature Authority *				Upload
Quality Certificate				Upload
Safety Certificate				Upload
Property Insurance				Upload
Employee Insurance Policy				Upload
Liability Insurance				Upload
Workman’s Compensation Insurance				Upload
Vendor Non-Disclosure Agreement * [Download]				Upload
Vendor Guideline [Download]
Vendor Acknowledgement * [Download]				Upload

PRODUCT/SERVICE DEALING IN (STRICTLY ALLOWED AS PER TRADE LICENCE)

Products/Services List
Chemical - Cleaning	Chemical - Foods	Chemical - Industrial
Chocolate/Filling/Flavours	Construction	Consultancy Services
Consumables	Farm - Equipment	Farm - Fertilizers
Farm - Irrigation	Hotels & Travels	Information Technology
Maintenance Services & AMC	Manpower Services	Marketing & Advertisement Services
Nuts/Dry Fruits	Office - Equipment	Office - Furniture
Other Machines	Outsourcing	Packaging Machine/Lines
Packaging - Others	Packaging - Paper	Packaging - Plastic
Pallets & Crates	Printing	Processing Machine/Lines
Professional Services	Raw Material	Shipping & Freights
Stationery	Uniforms	Vehicles (Including Forklifts)
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DECLARATION


We hereby declare that the above information is correct and take full responsibility for its authenticity, and also agree to update whenever there is any change in the above information.
UNDERTAKING All Transactions shall be in compliance with legal and regulatory requirements of the UAE law 6-2008 and the laws of the country in which the goods or services are delivered. Inform AL FOAH Co. LLC immediately in case of bankruptcy or insolvency proceedings instituted against your company or in case of take‐over, merger proposals or any major change in stake holder positions. Also undertake that there is no person directly/indirectly related to an AL FOAH Employee in general and Supply Chain Employee in particular. Yes No (If Yes Disclose the Name & Relationship)
Full Name *		Relationship *
Full Name *		Relationship *
Full Name *		Relationship *
Enter the name of your authorized representative.
Name of Authorized Person *		Capacity/Designation *
Please note that information which you provide to Al Foah LLC will be used only with Al Foah LLC and will not be disclosed to any outside party. Provision of this information does not mean you are selected as Qualified/Approved Vendor. Al Foah LLC's Procurement Department will carefully consider the data provided herein while evaluating our procurement requirements and will contact you directly. You can view our requirement on www.alfoah.ae. However, we reserve the right to make all procurement decisions at our sole discretion.
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