Vendor Pre-Qualification

Vendor Pre-Qualification
1.0 Invitation to Pre-Qualify
WESTLITE DORMITORY MALAYSIA hereby invites your company to participate in a pre-

qualification for potential deliveries to future projects and other services that you are invited for.
WESTLITE DORMITORY MALAYSIA recognize cooperation of Suppliers and Service providers and
have simple and transparent systems in place for managing good relationship with suppliers and
stakeholders.
The purpose of this Vendor Pre-Qualification is to identify quality firms supporting our business
objectives and ensure delivery and compliance in the services to our customers.
2.0 Selection criteria
WESTLITE DORMITORY MALAYSIA will study Suppliers with regard to the following main selection
criteria:
 Recent, relevant and representative references to performance of similar work
 Implemented Quality Management System and status
 Implemented Health, Safety, and Environment (HSE) System and status
 Human resources, Competence and Organization
 Verified total and available capacity for delivery of the relevant supply category
 Financial capacity
3.0 Instructions for your pre-qualification application
The information that is requested for your prequalification application is listed in the questionnaire
attached to this document. Please kindly answer all the questions with attachment to show evidence.
4.0 Transmission of Pre-qualification application
Prequalification application shall be returned to WESTLITE DORMITORY MALAYSIA in an

electronic format, and send via email to: the REQUESTOR copied to: cathy.low@westlite.com.my
(Cathy Low) and kwchan@westlite.com.my (Steven Chan) .
Attached copy of WESTLITE DORMITORY MALAYSIA Anti-Corruption Policy for your
compliance. Please kindly read and tick to acknowledge you have fully understood the
critical and requirement of the following policy.
WESTLITE DORMITORY MALAYSIA Anti-Corruption

 Acrobat Document
Policy
** After reading the policies, please tick on all the boxes on the left, and acknowledge by signing and
complete with a company stamp
Acknowledgement :
Signature : _______________________
Name : _______________________
Date : _______________________
Company Stamp : _______________________

Section 1 – Company’s Information
Full name of company (As registered)
1
Attach your SSM
/ CTOS
Company registration number SST/GST Registration Number: Certificate here.
2
Date of Registration:
3
Type of Company
4 Sole Proprietor Limited Private Company Limited Exempted Private Limited
Others : ____________________________________________________
Registered Office Postal Address of your company:
Contact details
Telephone number :
6
Website Address:
Email Address:
Point of Contact Person
Name
7 Email Address
Office:
Contact Details
Mobile:
Section 2 – Financial Information
Financial Position
Authorised Capital
(specified currency)
8 Present Paid-up Capital
Accumulated Reserves
Financial Report (past 3 years Report)
Year Turnover (MYR $) Attached Report

9
1
Insurance
Type Up-To-Limit MYR$ Attached insurance
10 Professional Lability:
Public Liability:
Work Injury
Compensation
Section 3 – Business Activities
Products / Services Profile:
Appointed Dealer
Service Capabilities: Product Make/Brand:
(Yes/No):
11
Security Services No
a) Choose an item.
b) Choose an item.
In-house Resources
Number of
Number of Direct
Services Contracted
Employees
12 Employees
System Certification (ISO 9001, 14001, OSHAS 18001 etc)
Attached Certificate/
Certification Date of Certification
Licences
13
Local System Certificate/ Licences
(Malaysia Business Licence / DOE Licence/ Ministry of Home Affairs (KDN) etc)
Attached Certificate/
Certification Date of Certification
Licences
14
Section 3 – Business Activities – Cont’d
Do you have a Code of Conduct or similar Compliance Attachment
15 Choose an item.
and Ethics related policy in place? If yes, please attach. here
Does your company currently have any pending legal Attachment

16 Choose an item.
actions? If yes, please attach. here
Has a court order or winding up proceedings been Attachment

17 Choose an item.
passed against your company? If yes, please attach. here
Has your company ever had a contract terminated under Attachment

18 Choose an item.
the terms of a contract? If yes, please attach. here
Section 4 – Quality, Health, Safety and Environment

Management System and Policy
1. Company Injury Statistics
Please provide the safety record information for this year to date and the previous three years.
WESTLITE DORMITORY MALAYSIA uses per million exposure hours reporting requirements to
classify recordable injuries. Attached summary of Injury Cases in the year and their Root Cause
A recordable injury includes: a fatality, loss of consciousness, days away from work authorized by a
medical practitioner, or an injury which kept the person from performing one or more of their routine
tasks.
First aid case is not recordable injuries.
a. Total b. c. Recordable d. No. of

Year Exposure Recordable Injury Rate Fatality Attachment
Work Hours Injuries =(b x 1000000)/a Case
Y-T-D :
Year :
Year:
2. Management System
Does your company have Quality and Health, Safety and Environment Management System in
place? If yes please attached the cover page and the content page.
Yes No
Section 4 – Quality, Health, Safety and Environment
Management System and Policy – Cont’d
3. Training and Competency
Do you have a process to assess the skills of your workers to

Yes No
assure they are qualified and competent?
Are employees job skills certified where required by regulatory

Yes No
or industry consensus standards?
Section 5- Declaration
I/ We declare that the information contained in this prequalification is true and correct to the best of
my knowledge.
I understand that the information will be used in the evaluation process to assess my company’s
suitability for WESTLITE DORMITORY MALAYSIA’s requirements.
Name Designation
Signature & Stamp Date
For Official use only:
Approved Supplier
WESTLITE DORMITORY MANAGEMENT SDN BHD ( )
Approved by :
Name: Designation:
Signature: Date:

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Vendor Pre-Qualification

1.0 Invitation to Pre-Qualify

WESTLITE DORMITORY MALAYSIA hereby invites your company to participate in a pre-

2.0 Selection criteria

 Recent, relevant and representative references to performance of similar work

 Implemented Quality Management System and status

 Implemented Health, Safety, and Environment (HSE) System and status

 Human resources, Competence and Organization

3.0 Instructions for your pre-qualification application

4.0 Transmission of Pre-qualification application

Prequalification application shall be returned to WESTLITE DORMITORY MALAYSIA in an

WESTLITE DORMITORY MALAYSIA Anti-Corruption

Company Stamp : _______________________

4 Sole Proprietor Limited Private Company Limited Exempted Private Limited

Registered Office Postal Address of your company:

Point of Contact Person

Financial Report (past 3 years Report)

Year Turnover (MYR $) Attached Report

Type Up-To-Limit MYR$ Attached insurance

System Certification (ISO 9001, 14001, OSHAS 18001 etc)

Local System Certificate/ Licences

Does your company currently have any pending legal Attachment

Has a court order or winding up proceedings been Attachment

Has your company ever had a contract terminated under Attachment

Section 4 – Quality, Health, Safety and Environment

First aid case is not recordable injuries.

a. Total b. c. Recordable d. No. of

Do you have a process to assess the skills of your workers to

Are employees job skills certified where required by regulatory

Signature & Stamp Date

For Official use only:

WESTLITE DORMITORY MANAGEMENT SDN BHD ( )

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