Contractor Pre-Qualifying Form

SECTION A
  Save Section-A Only  
Name Of Firm
Address
Person In-Charge
  Contact Number (O/HP)
  Fax Number
  Contact Email
Field Supervisor In-charge
  Personal Handphone
  Personal Email
Web Url
Trading License
(i) Date Registration
(ii) Expiry Date
upload (.jpg or  .pdf)  
If registered with Pusat Khidmat Kontraktor
(i) Class: Head/Sub-Head
(ii) Date of Registration
(iii) Expiry Date
upload (.jpg or  .pdf)  
If Registered Bumiputera Status Certificate
(i) Class: Head/Sub-Head
(ii) Date of Registration
upload (.jpg or  .pdf)  
If registered with PUKONSA
(i) Class: Head/Sub-Head
(ii) Date of Registration
(iii) Expiry Date
upload (.jpg or  .pdf)  
If registered with CIDB
(i) Class: Head/Sub-Head
(ii) Date of Registration
(iii) Expiry Date
upload (.jpg or  .pdf)  
If registered with PERMENDAHARAAN MALAYSIA SABAH
(i) Class: Head/Sub-Head
(ii) Date of Registration
(iii) Expiry Date
upload (.jpg or  .pdf)  
For Private Limited Company, state
(i) Authorised Capital (RM)
(ii) Paid-up Capital (RM)
For Sole Proprietorship, state
(i) Owner
SECTION B
  Save Section-B Only  
Company's Members
(i) Members of Board Of Director
 
No NAME POSITION SHARE CAPITAL HELD
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6.
 
(ii) Members Of Management
 
No NAME POSITION ACADEMIC QUALIFICATIONS
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6.
 
SECTION C
  Save Section-C Only  
(i) Machineries and Equipments
 
No TYPE OF MACHINERIES & EQUIPMENTS QUANTITY
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15.
 
(ii) Type of Experiences
 
No PROJECT TITLE CLIENT/S.O VALUE OF WORKS
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Applicant Name :
Position :
You can also email info@glob.com.my for other enquiry.