REQUEST FOR INFORMATION (RFI) FORM

PRIVATE & CONFIDENTIAL

INSTRUCTION: ​
You are required to fill up all the items. You may submit
attachment if space is insufficient.
1. COMPANY PARTICULARS

a) COMPANY NAME

b) ADDRESS

c) TEL NO

d) FAX NO

e) CONTACT PERSON

f) EMAIL ADDRESS

g) DATE OF
INCORPORATION

2. REGISTRATION WITH KLCC / PETRONAS / GOVERNMENT AGENCIES (e.g. CIDB,

PKK, MOF)

CLASS OR WORK REGISTRATION EXPIRY

NO NAME OF AGENCY
CATEGORY NO DATE

Note: ​Please furnish a copy of the above registration / license certificate.

3. ​EQUITY OF COMPANY SHAREHOLDERS

SHAREHOLDERS NAME & IC / AMOUNT

NO SHARE PERCENTAGE (%)
PASPORT NO (RM)

BUMI NON BUMI FOREIGN

Note: Please submit latest Form 24

4. BOARD OF DIRECTORS

DIRECTORS NAME & IC / PASPORT SHARE PERCENTAGE (%) AMOUNT

NO
NO (RM)

BUMI NON BUMI FOREIGN

Note: Please submit latest Form 49

5. PROJECT MANAGEMENT TEAM (KEY PERSONNEL)

Please list down all your Project Management Team (Skilled / Semi-skilled)
YEARS OF
NO NAME OF PERSONNEL JOB CATEGORY
EXPERIENCE

Note: Please submit CV for the above key personnel ​

6. ​COMPANY’S CAPITAL STRUCTURE AND FINANCIAL CAPABILITIES

a) AUTHORISED CAPITAL

b) PAID-UP CAPITAL

c) WORKING CAPITAL

d) NAME OF BANKERS

e) CREDIT FACILITIES

7. PLEASE ENCLOSE RECORD OF PAST 5 YEARS & PRESENT PROJECTS IN

RELATED FIELD AS PER FORMAT IN APPENDIX 1

8. PLEASE ENCLOSE SUPPORTING DOCUMENTS EG. TECHNICAL BROCHURES,

COMPANY PROFILE OR ‘PRINCIPAL’ APPOINMENT LETTER (IF APPLICABLE)

​
I/We hereby certify that the information provided above is accurate and true. I/We fully
understand and acknowledge that KLCC decision is final and it does not constitute on the
part of KLCC to include us in the eventual tender exercise

SIGNED BY:
 NAME:

DESIGNATION:

DATE:

COMPANY’S
STAMP :

​
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REQUEST FOR INFORMATION (RFI) FORM

PRIVATE & CONFIDENTIAL

APPENDIX 1

NO PROJECT TITLE CLIENTS NAME YEAR AWARDED VALUE OF

PROJECT (RM)

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