Private & Confidential

VENDOR PRE-QUALIFICATION APPLICATION & APPROVAL FORM For Official Use

Please submit your Pre-Qualification application to the following address:

OCBC Property Services Pte Ltd

Attention: _________________________(Department)
18, Cross Street #11-01/03
Singapore 048423

Name of company :

Address : _____________________________________________________

Contact Number : ___________________________Fax Number:________________

Email Address : _____________________________________________________

Company registration No: _____________________________________________________

Please tick
CATEGORY FOR REGISTRATION (please enclose relevant document if applicable) :

Please state trade category Please state Please state Category (if applicable) Verified correct
registration authority
Document received
eg: Electrical work eg: BCA eg: L4

FORM OF BUSINESS ORGANISATION : (Please tick for whichever is applicable)

Sole-Proprietorship
Partnership
Private Limited
Public Limited
Others (Please state)

CORPORATE INFORMATION

1. Name of contact person: ____________________________________________

Title: ___________________________________________________________
Contact Number: __________________________________________________

2. Principal officers (legally empowered to act and sign on behalf of company)

Name:______________________________Name:__________________________
Title:_______________________________Title:____________________________
Contact No: _________________________Contact No:______________________

Ref: Revised Nov 2016 -1-

 Private & Confidential

For Official Use

3. Parent companies

a)__________________________________________________________________

b)__________________________________________________________________

4. Subsidiary companies

a)__________________________________________________________________

b)__________________________________________________________________

Please tick
5. Kindly furnish the following documents with full details:
Received
a ACRA record (date of search not more than 30 days from submission)
Date of search:________

Received
b Completion and submission of Confidentiality and Secrecy Agreement by Vendor

6. For expenditure above S$100,000, the following additional documents must be

submitted:-

a Questnet DP Information Search (date of search not more than 30 days from Received
submission)
Date of search:________

INFORMATION ON LITIGATION/GOVERNMENT DEBARMENT

1 Have there been any law suits of the following nature against your
Company?

Yes No

If Yes, please tick the appropriate box(es) below:

Under Bankruptcy / winding up petition Questnet verified
Under Judicial Management
Criminal proceeding against Company

2 Is there any government debarment against your Company? Yes No

If yes, please furnish details:
____________________________________________________________
____________________________________________________________

Profitable for the

b Audited Accounts of the Company for the preceding year preceding year?
Yes No

Ref: Revised Nov 2016 -2-

 Private & Confidential

DECLARATION For Official Use

With regards to the information provided herein, we hereby make this solemn declaration
conscientiously believing the same to be true. Any contract awarded will be deeming to be
null and void should there be any discrepancies of information at any point in time.

Subscribed and solemnly declared by: ______________________________________

Signed : ______________________________________

Name in full: ______________________________________

In the Capacity of: ______________________________________

Duly authorised to sign on Behalf of: ______________________________________

Company Stamp: ______________________________________

Date: ______________________________________

For Official Use (Evaluation)

Name / Position Signature Date Approved / Rejected
Approved by: Approve to include in the Pre-Q list

If approve with deviation, please state

reasons:-
Name:
Position: _________________________________
_________________________________
_________________________________
_________________________________

Reject to include in the Pre-Q list

Prepared and Recommended Recommended

by:
Not Recommended, in view of:-

Under Bankruptcy / winding up

Name:
petition
Position: Under Judicial Management
Criminal proceeding against
Company
Government debarment against
company
Not profitable for the preceding
year
Other reasons:

Ref: Revised Nov 2016 -3-