South Nyanza Sugar Company Limited

PRE-QUALIFICATION OF SUPPLIERS FOR SUPPLY,REPAIR,SERVICE AND MAINTENANCE OF PRINTERS(TALLY,LASERJET & PLOTTERS)

TENDER REF: SNSC /077/2016/2017

CLOSING DATE: 6TH SEPTEMBER 2016 AT 10.00AM

Issued by: SONYSUGAR

PART I

INSTRUCTIONS 1)

You are requested to provide particulars as indicated in part II, III, IV, V, VI, VII, VIII, IX, X & XII of this form as accurately as possible and where space provided is not sufficient, please use a separate sheet of paper and attach to this form.

2)

The Corporation attaches great importance to correct information given. If the information given is found to be incorrect in any respect, the applicant shall be rendered ineligible for registration/deregistration.

3)

The Corporation reserves the right to visit and inspect business premises of all the applicants to verify information provided.

4)

All the information provided will be treated as confidential but will not necessarily be used as the only basis of registering or rejecting an applicant or existing suppliers/contractors/agents/consultants.

5)

Copies of all relevant registration certificates, Tax Compliance Certificate, Licences and other documents requested and other documentations applicable to the line of business MUST be attached to the form.

6)

Firms associated with employees of the Corporation are ineligible to apply for registration.

7)

Please attach a copy of Ksh. 2,000/= payment receipt with this form. Not applicable

8)

This form is eligible for one speciality of WORKS Not applicable

9)

This form should be typed or completed in legible block letters.

10)

Your prequalification documents shall be submitted spiral or velo bound and properly page numbered. The Corporation shall not be responsible for Loss of documents not bound (loose).

11)

The evaluation criteria will be done as shown on Part XI. This shall be done for those suppliers who shall have complied with all the instructions and supplied all information requested herein.

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PART II

SUPPLIER DETAILS A.

Business Name ……………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………… Pin No. ……………………………………………………

VAT Reg. No ……………………………………………

Electronic Tax Registration No………………………………. (Attach copy of registration certificate) B.

Location Business Location…………………………………………………………………………………………………………... Name of building …………………………………………………….

Plot No. ………………………………

Road/Street Name ………………………………………………............................................................. Floor No. ………………………………………………… C.

Room No. ………………………………………..

Address Postal Address

…………………………………………………………………………………

Telephone Nos.

…………………………………………………………………………………

Fax No.

…………………………………………………………………………………

Mobile Nos.

…………………………………………………………………………………

Website & e-mail …………………………………………………………………………………

___________________________________________________________________ PART III

COMPANY DETAILS A.

Nature of Institution



Company



Partnership



Sole Proprietorship



Other (specify)

………………………………………………………………

(Tick where applicable) B.

Ownership Details of the Directors Names

Nationality

Citizenship

Shares

Details …………………………………………………………

…………………………