United Nations Children’s Fund
Bangladesh Country Office
GPO Box 58
BSL Office Complex (3rd Floor)
1, Minto Road, Dhaka 1000
Bangladesh
Telephone 880 2 8852266
Telefax
880 2 9335641-42
E-mail
dhaka@unicef.org
www.unicef.org.bd
SUPPLIER PROFILE FORM
All pages to be completed by Supplier and submitted to UNICEF, Bangladesh.
INSTRUCTIONS: Registration is open to local manufacturers, authorized or duly appointed local representatives of manufacturers, local wholesalers,
general traders, retailers and service providers. UNICEF’s policy is to deal directly with local manufacturers for locally produced items and authorized or
duly appointed local representatives of manufacturers. Local wholesalers, general traders will be dealt with where the requirement involves the supply
and set packing of a wide range of products. Prospective local suppliers and companies duly registered to operate business in Bangladesh should submit a
completed UNICEF supplier profile form together with the company profile which should include: Company structure, Company line of business,
Number and type of employees, Trade License (copy of the original attested), Trade License (English Translated), Certificate of incorporation (if
applicable), TIN Certificate, VAT Registration Certificate, If manufacturer, site of factory, Number and types of equipment employed, Monthly and
annual production capacity, Description of quality control systems applied, Copy of ISO certification if available, Local Bank Account details, Audited
company accounts for two financial years, Any other licenses or authorizations issued by the appropriate government authority to operate a business in
Bangladesh, At least three references of major customers/clients, Suppliers have at least five years’ operating as a business concern in Bangladesh,
Suppliers must accept UNICEF’s General Terms and Conditions, Suppliers must have sufficient financial resources to maintain its business in
Bangladesh, Suppliers must not have prior record of inappropriate conduct in ethical, social or environmental issues (corporate responsibility).
All firms must attach a detailed itemized list of the products, services they offer. Registrations forms should be accompanied by the Suppliers Catalogues,
brochures, technical specifications literature, if applicable. Registration will only be completed when documentation is complete and evaluated. Only
written and fax communication will be accepted for registration purposes. Verbal communication will not be addressed. All queries should be addressed
in writing to the address above / email “suppplymanagement @unicef.org”.
It should be understood that falsified or misleading information could result in disqualification of the
company as a registered potential supplier for UNICEF.
Requested information is for UNICEF’s internal use only and will be treated as confidential.
UNICEF fully subscribes to the Convention on the Rights of the Child and draws the attention of
potential suppliers to Article 32 of the Convention which inter alia requires that a child shall be
protected from performing any work that is likely to be hazardous or to interfere with the Child's
education, or to be harmful to the Child's health or physical, mental, spiritual, moral or social
development.
UNICEF reserves the right to terminate any contract unconditionally and without liability in the event
that the supplier is discovered to be in non-compliance with the national labour laws and regulations
with respect to child employment.
The supplier guarantees that neither the supplier's company, nor any of its affiliates, nor any
subsidiaries controlled by the supplier's company, is engaged in the sale or manufacture of antipersonnel mines or of components utilized in the manufacture of anti-personnel mines (taken in its
broader definition). The supplier recognises that a breach of this provision will entitle UNICEF to
terminate its contract with the supplier.
The company, as well as any parent, subsidiary or affiliate companies:
Strive to abide by the UN Supplier Code of Conduct. (http://www.un.org/Depts/ptd - vendors)
Are not listed in, or associated with a company or individual listed in the UN Security Council
Resolution 1267 List website. (www.un.org/sc/committees/1267/consolist.shtml)
UNICEF requires that all suppliers / contractors associated with a purchase order / contract observe the
highest standard of ethics during procurement and execution of the work. In pursuance of this policy
UNICEF
A. Defines for the purpose of this provision the terms set forth as follows:
Page 1 of 11
United Nations Children’s Fund
Bangladesh Country Office
GPO Box 58
BSL Office Complex (3rd Floor)
1, Minto Road, Dhaka 1000
Bangladesh
Telephone 880 2 8852266
Telefax
880 2 9335641-42
E-mail
dhaka@unicef.org
www.unicef.org.bd
(i) Corrupt practice means the offering, giving, receiving or soliciting of anything of value to
influence the action of a public official in the procurement process or in the execution of a
contract, and
(ii) Fraudulent practice means a misrepresentation of facts in order to influence a procurement
process or the execution of a contract to the detriment of the client, and includes collusive
practice among bidders (prior to or after bid submission) designed to establish bid prices at
artificial non-competitive levels and to deprive the client of the benefits of free and open
competition;
B. Will reject a proposal for award if it determines that the selected supplier / contractor has engaged
in any corrupt or fraudulent practices in competing for the contract in question;
C. Will declare a supplier / contractor ineligible, either indefinitely or for a stated period of time, to be
awarded a UNICEF-financed contract if at any time it determines that it has engaged in any corrupt
or fraudulent practices in competing for, or in executing a UNICEF-financed contract.
OFFICIALS NOT TO BENEFIT
The supplier / contractor warrants that no official of UNICEF or the United Nations has received or
will be offered by the supplier / contractor any direct or indirect benefit arising from this contract or
the award thereof. The supplier / contractor agree that breach of this provision is a breach of an
essential term of the contract.
GUIDELINES ON GIFTS AND HOSPITALITY
Suppliers / contractors shall not offer gifts or hospitality to UNICEF staff members. Recreational trips
to sporting or cultural events, theme parks or offers of holidays, transportation, or invitations to
extravagant lunches or dinners are also prohibited.
DISCLOSURE OF SANCTIONS OR TEMPORARY SUSPENSION
The Contractor should not be suspended, debarred, or otherwise identified as ineligible by any
organization within the World Bank Group or any other International or UN Organisation. The
Contractor is therefore required to disclose to UNICEF whether its company, or any of its affiliates, is
subject to any sanction or temporary suspension imposed by the World Bank Group or any other
International or UN Organisation at the time of execution of this agreement and throughout the
duration of the agreement period. The Contractor recognises that a breach of this provision will entitle
UNICEF to terminate its supply contract with the Contractor.
Have no outstanding or pending bankruptcy, judgment or legal action that could impair a supplier /
contractor’s ability to continue operating as a going concern.
Agents, intermediaries and other persons retained by these companies, as well as all employees agree
to cooperate with the United Nations during any investigative processes undertaken by them, either
before during or after execution of a contract, including providing all required documents, company
records, access to employees, officers and staff, as well as financial information.
I, representing the Company, acknowledge and ensure the Company's compliance
with the above statements:
Name and Title: __________________________________
Page 2 of 11
United Nations Children’s Fund
Bangladesh Country Office
GPO Box 58
BSL Office Complex (3rd Floor)
1, Minto Road, Dhaka 1000
Bangladesh
Telephone 880 2 8852266
Telefax
880 2 9335641-42
E-mail
dhaka@unicef.org
www.unicef.org.bd
Signature: __________________________________
Date: __________________________________
Company name: __________________________________
(Please TYPE or PRINT) (attach additional pages if space in columns is not enough - but information
must be provided in the following sequence for all columns):
General Information (if available please provide all documentation with English translation)
1.0 Name of Company: ______________________________________________
1.1 Full address: __________________________________________________
Street __________________________________________________
City: _____________________________
State/County/Region __________________________________________________
Postal code: ______________________________
P.O. Box _____________ City: _____________________
1.2 Tel (incl. country code): __________________________________________________
1.3 Fax/Telex (incl. country code): ____________________________________________
1.4 Email address: __________________________________________________
1.5 Website: __________________________________________________
1.6 Contact person authorised to deal on your behalf:
Name: __________________________
Title: __________________________
Telephone Number: __________________________
Mobile Number:__________________________
Email Address: __________________________
1.7 Year established: ___________ 1.8 No. of full-time employees: __________
1.8 Legal registration of the company – Please provide documentation of legal registration.
1.9 Name change______________________ (Please provide documentation of name change, if
applicable).
1.10 Type of organization (Mark one X only)
Page 3 of 11
United Nations Children’s Fund
Bangladesh Country Office
GPO Box 58
BSL Office Complex (3rd Floor)
1, Minto Road, Dhaka 1000
Bangladesh
Telephone 880 2 8852266
Telefax
880 2 9335641-42
E-mail
dhaka@unicef.org
www.unicef.org.bd
State Enterprise:___________ Private Company:___________ Other (Please specify):_______
1.11 Activity category (mark X where applicable percentage business to annual sales
Manufacturer: ---------Service Provider: ---------Trading company: ---------Forwarder: ---------Authorised agent: ---------Other (please specify): --------------------- ---------Total of the above 100 %
1.12 If Agent/Trading House, do you hold sole/exclusive rights/license? Y / N_________
(If yes please state name and address of Principals and attach documentation):
____________________________________________________________________
1.13 Number of years with export sales: ___________
2.0 Parent Company (if applicable) : ______________________________________
2.1 Address : _________________________________________
2.2 Legal relationship of the parent company to the company_________________________
2.3. Year established: ________
2.4. No. of full-time employees: _______
2.5 Website: __________________________
Financial Information
3.0 Audited Financial Statements for two financial years.
The statements are to include - balance sheet, income statements and notes thereto, with English
translation.
3.1 Authorised to discuss financial issues:
Name: __________________________
Title: __________________________
Telephone Number: __________________________
Mobile Number: ___________________________
Page 4 of 11
United Nations Children’s Fund
Bangladesh Country Office
GPO Box 58
BSL Office Complex (3rd Floor)
1, Minto Road, Dhaka 1000
Bangladesh
Telephone 880 2 8852266
Telefax
880 2 9335641-42
E-mail
dhaka@unicef.org
www.unicef.org.bd
Email Address: __________________________
Activities
4.0 Previous Orders / Contracts (during the last 2 years) with United Nations/International,
Governmental or Non-Governmental Organizations/Private Companies, for below products/services:
(provide references):
Contract: Date Value Product Destination Organization Name/address.
ref. no.
1) ____________ _____ _______ ________ ___________ ____________ ________________
2) ____________ _____ _______ ________ ___________ ____________ ________________
3) ____________ _____ _______ ________ ___________ ____________ ________________
4) ____________ _____ _______ ________ ___________ ____________ ________________
5) ____________ _____ _______ ________ ___________ ____________ ________________
6) ____________ _____ _______ ________ ___________ ____________ ________________
7) ____________ _____ _______ ________ ___________ ____________ ________________
8) ____________ _____ _______ ________ ___________ ____________ ________________
4.1 What percentage of the company’s annual sales are for export markets ________ ?
4.2 Products/services offered:
Please tick off the material group your product/products/service/services fall under in the attached
Category of Products (Annex – A). Please add other category if not in the list.
4.3 Storage/warehousing capacity (In square meters if applicable): _________
4.4 Size of production plant(s) (In square meters if applicable): _________
4.5 Local representation at the region / district level: (Please attach list of regions / districts where your
local representative or outlet will provide warranty and / after sales services on products/services
purchased from you - provide complete addresses (of your subsidiaries/agents / outlets).
Other Information
5.0 Approved Standards (ISO, FDA, GMP, etc): ______________________________________
(Certificates of approval to be attached)
5.1 Does your company have a statement on quality policy?
(Circle as applicable) Y / N if yes, kindly attach a copy.
Page 5 of 11
United Nations Children’s Fund
Bangladesh Country Office
GPO Box 58
BSL Office Complex (3rd Floor)
1, Minto Road, Dhaka 1000
Bangladesh
Telephone 880 2 8852266
Telefax
880 2 9335641-42
E-mail
dhaka@unicef.org
www.unicef.org.bd
5.2 Which of the following does your company implement: (circle as applicable)
Raw material control Y / N Sub-component control Y / N
Process control Y / N Final/pre-delivery control Y / N
5.3 Authorised contact person regarding Quality control:
Name: __________________________
Title: __________________________
Telephone Number: __________________________
Mobile Number: ___________________________
Email Address: __________________________
5.4 Membership of National / International Associations?
(Circle as applicable) Y / N (if yes, please enclose list of names)
5.5 Does your company have social accountability policy?
(Circle as applicable) Y / N (if yes, please provide copy of relevant document)
5.6 Does your company have a documented environmental policy?
(Circle as applicable) Y / N (if yes, please attach a copy of relevant document)
I hereby certify that the information provided above and in all the annexures is correct and that no
person in any connection with this establishment, as a supplier for providing material, supplies or
services, or as a principal or employee, is employed by UNICEF, or barred by UNICEF.
I also understand that falsified or misleading information could result in disqualification of the
company as a registered potential vendor for UNICEF.
Name: ___________________________ Date: ___________________
Title: ___________________________ Signature: ___________________
Page 6 of 11
United Nations Children’s Fund
Bangladesh Country Office
GPO Box 58
BSL Office Complex (3rd Floor)
1, Minto Road, Dhaka 1000
Bangladesh
Telephone 880 2 8852266
Telefax
880 2 9335641-42
E-mail
dhaka@unicef.org
www.unicef.org.bd
ANNEX - A
CATEGORY OF PRODUCTS
GOODS:
- EDUCATION SUPPLIES:
 Classroom Supplies (stationery & consumables, text / reading books, learning materials,
truck/metal box, cupboard, education kit, etc.)
 Handcraft supplies (scissors)
 Physical Educations (sport items, balls, nets, whistles, tabards, skipping rope, etc.)
 Play materials (wooden and plastic blocks and toys)
 Students’ Supplies (carrier bag, slate, geometry set, exercise book, colouring pencil, crayon,
erasers, pencil, sharpener, ball pens, etc.)
 Training and Learning kit (TLM)
-MEDICAL KITS (first aid kit, thermometer, etc.
- MEDICAL EQUIPMENT (medical utensils, wheel chair, trolley, bend, bucket, cabinets, infusion
stand, stretcher, oxygen flow meter, oxygen & nitroxide cylinders, lab. equipment, etc.).
-ANTHROPOMETRIC EQUIPMENT (weighing scale, spring balance, baby/child height
measuring board, ID bracelets, etc.)
-POWER GENERATORS (Generators, Instant Power Supply (IPS), Uninterruptible Power Supply
(UPS), Anti Voltage Regulators, Voltage Stabilizers, solar power system, etc.
-PRINTING (books, booklets, reports, posters, folders, leaflets & flyers, stickers, flipchart, flip book,
calendars, stationery, etc.)
-SHELTER / FIELD EQUIPMENT (bedding, blanket, tarpaulins, tents, folding table & chair,
plastic sheets, etc.)
WATER AND SANITATION:
 Hygiene and sanitation (soap, latrine, hygiene kit, supplement kit, reusable kit, hand-washing
devices, etc.)
 Hand pumps & accessories, fitting & valves, centrifugal, etc.)
 Water storage tanks (collapsible & non-collapsible, polymer containers, etc.)
 Water quality (filters, port. test equipment/reagents, purification tablets, etc.)
-FIBER GLASS BOATS & ACCESSORIES
-COMMUNICATION EQUIPMENT (GPS receiver & software, radio communication, satellite &
audiovisual & telecommunication equipment, PAS, mobile phones, telephone sets, etc.)
-ELECTRICAL GOODS & APPLIANCES (Air-Conditioners, fans, television, refrigerator, DVD
player, etc.)
-ICT EQUIPMENT (desktop Computers (hardware, software & accessories), UPS, Printers, Laptop;
Digital Sender, Scanners, PDA, Tablet PC, etc.)
Page 7 of 11
United Nations Children’s Fund
Bangladesh Country Office
GPO Box 58
BSL Office Complex (3rd Floor)
1, Minto Road, Dhaka 1000
Bangladesh
Telephone 880 2 8852266
Telefax
880 2 9335641-42
E-mail
dhaka@unicef.org
www.unicef.org.bd
-MOBILE SERVICE PROVIDERS (Internet Modems, SIM Cards, etc.)
-PHOTO AND VIDEO CAMERA
-ELECTRICAL SUPPLIES & FIXTURES (cable, bulbs, etc.)
-OFFICE EQUIPMENT (photocopier, fax, de-humidifier, shredder, lamination machine, spiral
binders, etc.
-MOTOR CYCLES & BI-CYCLES
-OFFICE FURNITURE (desks, chairs, tables, cabinets, wall hanging, file rack, cupboard, etc.)
-SAFETY AND SECURITY EQUIPMENT (Fire Fighting equipment, security camera, smoke
detectors, ladder, flood light, emergency light, flash light, etc.)
-OFFICE STATIONERY & CONSUMABLES
-READY MADE GARMENTS /CLOTHING
-FOOTWEAR
-MUSICAL INSTRUMENTS (harmonium, toble, dogi, mondira, keyboard, nupur, kongiri, dhol,
etc.)
-UTENSILS (Ceramic, Stainless Steel, Melamine, Aluminum Cooking Pot, etc.)
-CHEMICALS (Calcium Hypochloride, Alum, Hydrated Lime, Ethanol, Hydroxylamine
Hydrochloride, Potassium Iodide, Sodium Borohydride, etc.)
-EMERGENCY & RELIEF GOODS (Family kits, plastics sheet, Recreation, Child Development
kits, etc.)
-CONSTRUCTION MATERIAL (cement, MS Rod, MS Angles, Corrugated Galvanized Iron Sheets
(CGI), paint, etc.)
-GENERAL GOODS (umbrella, Souvenir / Crest, Rubber & Plastics Products, etc.)
INSTITUTIONAL SERVICES:
-Advertisement (newspaper, Web, etc.)
-Auditing Service
-Logistics Services (Clearing &Forwarding, Packing & Moving, In-land Transportation &
Distribution, Warehouse and Inventory Management)
-Travel Services
Page 8 of 11
United Nations Children’s Fund
Bangladesh Country Office
GPO Box 58
BSL Office Complex (3rd Floor)
1, Minto Road, Dhaka 1000
Bangladesh
Telephone 880 2 8852266
Telefax
880 2 9335641-42
E-mail
dhaka@unicef.org
www.unicef.org.bd
-Vehicle Maintenance
-Security Services
-Cleaning and Maintenance Services
-Driving Services
-Courier Services
-Rent a car
-Constructions (Renovations, Maintenance Contractors, Repair Works)
-Electrical and Electro-mechanical Installation
-Event Management, Catering and Venues
-Graphic Design
-Hotels/Guest Houses/Accommodations
-Quality Assurance and Inspection
-Insurance Services
-Interior Design
-Internet Services (wire and potable wireless)
-Media Monitoring
-Pre-Testing of Materials (Communication/Training)
-Research, Survey, Monitoring & Evaluation in following areas:
Education, Health, Drowning and child injury prevention, Nutrition, HIV/AIDS, Child Protection,
Water & Sanitation, Environment, Health Population, Gender
-Studies (Baseline, Impact Studies, Formative)
-Social Communication Campaign through Electronic, Print & Outdoor Media, Interactive Popular
Theatre (IPT) including Social Marketing for promotion through various activities for behavior
change
-Social Mobilization
-Training & Facilitation: Administration, Finance & Budget, Procurement & Logistics, Inventory and
Warehouse Management, Human Resources, Information Technology, Communication, Monitoring &
Evaluation, Health & Nutrition, HIV/ AIDS, Water & Sanitation, Environment
Page 9 of 11
United Nations Children’s Fund
Bangladesh Country Office
GPO Box 58
BSL Office Complex (3rd Floor)
1, Minto Road, Dhaka 1000
Bangladesh
Telephone 880 2 8852266
Telefax
880 2 9335641-42
E-mail
dhaka@unicef.org
www.unicef.org.bd
-Private Hospitals/Company/Private Doctors for providing medical services including outreach mobile
unit
-Ambulance service, Tele-medicine/E-Health/E-medicine
-Translation Services
-Write-Up, Feature Articles, Text Brochures, Case Studies, Concept Papers, Short & Analytical
Reports and all other types of Writing Related Services
-Software/Database Development/Design
-Data Link / Connectivity services
-IT Training
-SIP trunk for Cisco Unified Communications Manager (IP PABX)
-Web Design, Help Desk Service
-MIS Development and Maintenance
-Architectural Consultancy
-Engineering Consultancy
-Land & Property Valuation and Management
-Identification & Signage
-Calibration and Maintenance of Cold Chain Equipment
-Installation, Commissioning, User Training and Maintenance of Medical Equipment
-Repair and Maintenance of Medical Equipment
-Programme, Process Documentation
-Pot Plant rental
-Photo documentation
-Video documentation
-Production of 2D/3D Animation, Video Game, interactive e-Book etc.
-Administrative support services like, Receptionist, Telephone Operator, Creche Supervisor etc.
-Gender audit, assessment and related training
-Theatre for folk songs, street drama
Page 10 of 11
United Nations Children’s Fund
Bangladesh Country Office
GPO Box 58
BSL Office Complex (3rd Floor)
1, Minto Road, Dhaka 1000
Bangladesh
Telephone 880 2 8852266
Telefax
880 2 9335641-42
E-mail
dhaka@unicef.org
www.unicef.org.bd
-Production and broadcasting of TV /Radio drama, talk show and other programme
Page 11 of 11