RABDAN - Vendor Registration

Vendor Registration
Prequalification
Conflict of Interest Disclosure

Vendor Information

Supplier Company Name*

Email Address*

Password*

Confirm Password*

Registration Number

Trade License*

Issue Date*

Expiry Date*

Po.Box No

Business Type *

TRN Number

Sector*

Company size *

Mandatory Documents

Document Name*

Upload Document

Maximum file size 10Mb Maximum no of file 5

Mandatory attachment: Trade license, VAT Certificate, Bank details, Power of attorney.

Contact Details

Name of Contact Person*

Designation

Mobile Number*

Landline Number *

Email Id *

Contact Type

Bank Account Details

Bank Account Number*

Bank Account Name *

Bank Name*

Bank Branch*

Effective Start Date*

Effective End Date

IBAN *

Location Name

Location List

Location Sites

Type the code from the image*

Company/Establishment Registration Details

Place and year of incorporation*

UAE Ownership %*

Name of Owner/ Partners*

Number of Employees *

Post Address

Email*

Website

Communicate with*

Tel No*

Address*

Certificates and Standards

Abu Dhabi Local Content (ADLC)

ICV Attachment

Maximum file size 10Mb Maximum no of file 1

ISO certificates granted for Quality

Maximum file size 10Mb Maximum no of file 1

Other ISO certificates granted

Maximum file size 10Mb Maximum no of file 1

ISO certificates granted for EHS

Maximum file size 10Mb Maximum no of file 1

Summary of approve EHS Policy

Technical Experience

Newly Established Company

Contract Type*

Name of Entity*

Contract Subject*

Start Date*

End Date

Status*

Contract Value (AED)*

kindly note that the Technical experience is not Mandatory for newly establishment company

Legal Issues

Did you have legal issues*

No Yes

Court cases won by the company/establishment*

Lost court cases*

Management and Financial

attach a copy of the general organization chart

Maximum file size 10Mb Maximum no of file 1

Please attach a copy of the general organization chart, otherwise explain reasons for non attaching it.

No of permanent workforce and average*

No of temporary workforce*

Please attach a copy of last 2 years audited accounts (compulsory for public companies)

Maximum file size 10Mb Maximum no of file 1

Please attach a copy of last 2 years audited accounts (compulsory for public companies), otherwise explain reasons for not attaching

Operations revenue last 2 years by number*

Did you make net profit last 5 years (Yes/No)*

Yes No

Name of your bankers*

Logistics

Number and location of premisis *

Particulars of vehicles and equipment fleet

Vendor Conflict of Interest Disclosure Form

Vendor Name	Vendor Contact
##VenderName##	##VenderContact##

All vendors interested in conducting business with Rabdan Academy must complete and return the vendor conflict of interest disclosure form in order to be eligible to be awarded a contract. Please note that all vendors must comply with Rabdan Academy conflict of interest policies as stated within the certification section below.

If a vendor has a relationship with a Rabdan Academy employee, member of the Rabdan Academy board of trustees, or an immediate family member of Rabdan Academy employee, the vendor shall disclose the information required below.

Certification

I hereby certify that, to my knowledge,

No, there is no conflict of interest involving the vendor named below.
Yes, there is conflict of interest involving the vendor named below.

No Rabdan Academy employee or member of Rabdan Academy board of trustees or their immediate family members has an ownership interest in the vendor’s company or is deriving personal financial gain from this contract.
No retired or separated Rabdan Academy employee or member of the Rabdan Academy board of trustees or employee who has been retied or separated from Rabdan Academy and/ or the Rabdan Academy board of trustees for less than one year has an ownership interest in the vendor’s company.
No Rabdan Academy employee or member of Rabdan Academy board of trustees is contemporaneously employed or prospectively to be employed with the vendor.
The vendor hereby declares that it has not and will not provide any gifts or hospitality of any monetary value or any other gratuities to any Rabdan Academy employee or member of Rabdan Academy board of trustees to obtain or maintain a contract.

Conflict of Interest disclosure *
Name of Rabdan Academy employee, member of Rabdan Academy board of trustees, or their immediate family members with whom there may be a potential conflict of interest.	( 1 ) Relationship to employee/ member of the Rabdan Academy Board of Trustees ( 2 ) Other

* Disclosing a potential conflict of interest does not disqualify vendors, in the event vendors do not disclose potential conflicts of interest and they are detected by Rabdan Academy, these vendors will be disqualified from doing business with Rabdan Academy.

I certify that the information provided is true and correct

Name of Vendor Authorised Representative

##VenderName##

Date :

Vendor Registration

Prequalification

Conflict of Interest Disclosure

Vendor Conflict of Interest Disclosure Form