TABLE 1
PARTICULARS OF SHAREHOLDER & BOARD OF DIRECTORS
No.
Name (person / organization)
NRIC no. / Passport
no. / Company
registration
Citizen
Designation
Equity (%)
1
2
3
4
5
6
7
8
Total %
Note: Certified True Copy of Form 9, 24, 49 and 13 of the Companies Act 1965
CONFIDENTIAL
TABLE 2
PARTICULARS OF CERTIFICATION / REGISTRATION WITH GOVERNMENT / STATUTORY & REGULATORY BODIES
No. Registration / Certification Bodies
1
Suruhanjaya Syarikat Malaysia (SSM)
2
Ministry of Finance (MOF)
3
Construction Industry Development
Board (CIDB)
4
Suruhanjaya Tenaga Malaysia
5
Department of Safety & Health (DOSH)
6
Tenaga Nasional Berhad (TNB)
7
ISO or similar
Validity Period
Approval Ref. / Code
Grade / Type of Works
8
9
10
Note: Certified True Copy of Certificate(s) to be enclosed
CONFIDENTIAL
TABLE 3
RELATIONSHIP WITH KEY SUPPLIER(S)
No.
Supplier/Principal
Relationship (sole /
authorized distributor,
reseller, etc.)
Type of Systems/Hardware
1
2
3
4
5
CONFIDENTIAL
TABLE 4
ORGANISATION EXPERIENCE / TRACK RECORD FOR THE PAST 3-YEARS: ON-GOING & COMPLETED PROJECTS
No. Project Title / Description
Client
Customer
contact
Contract Value
(RM)
Contractual
Period
Status
(Completed/Ongoing)
Biggest projects (descending)
1
2
3
4
5
6
7
8
Note: Copy of Letter of Award (LA) or Purchase Order (PO) to be enclosed.
CONFIDENTIAL
TABLE 5
Submission Checklist
Description
Tick ( √ ) if you
have submitted
Companies Commission Malaysia Certificate of Business Registration and relevant forms specified in Table 1
Relevant Certificates of registration with government / statutory and regulatory bodies as listed in Table 2
Company Profile and Organisation Chart including directors information
Latest Audited financial statements demonstrating minimum net worth of RM1 million and past 3-months’ bank statement
Evidence of Relationship with Key Suppliers (Letter or Certificate)
Relevant project references and customer contact information for contracts in excess of RM3 million
Demonstrate Service & Maintenance capability and experience with contracts in excess of RM3 million
Provide Quality Management Statement
Declaration of no litigation or dispute has been instituted against the company and / or its directors
CONFIDENTIAL