Tender 1107059

SUPPLIER INFORMATION FORM (SIF)
Please provide the following information and attach extra documentation as required. Every
question of this form must be completed. Insert “N/A” where questions are not applicable. All
information held within this form is CONFIDENTIAL and will be handled accordingly.
1 Legal Name of the Company:
Local Address:
Telephone: Mobile:
Fax No.:
E-mail:
2 Web Address:
Registered Address:
Telephone: Mobile:
Fax No.:
E-mail:
Web Address:
Type or Structure of Supplier’s Firm (please tick the appropriate one):
Public Limited Private Limited Partnership
Proprietorship Other
Please provide the following information if yours' is a Proprietorship/ Partnership/Other

Company:
3 a. Date of Establishment:
b. Total Capital/Investment (in BDT):
Please provide the following information if yours' is a Limited Company/ Corporation:
a. Place of Incorporation:
b. Date of Incorporation:
c. Paid-up Capital/Investment (in BDT):
c. Estimated Total Amount of Revenue:
Nature of Business:
Manufacturer Supplier Service Provider Contractor
Please provide the product & service list below:

Goods & Services Traded:
1.
4 2.
3.
4.
5.
6.
7.
The City Bank Limited Procurement Department Page 1

Questioners (Use √ Mark in the box)
1. Do you and Employees have Receive, Knowledge and Agree to YES No
the Comply CBL’s SCOC?
5
2. Do you Had any negative news in any sort of media? YES No
IF Yes mention .
List of Subsidiary/Branches
Contact Person &
Name Address Business Category
Contact No.
6
Owner’s & Staff Information

Owners/Key Personnel Name, Address & Contact No.
Name Address Contact Number
No. of Management staff: ______________. No. of Non-Mgt Staff: _______________.
No. of Contractual/Outsourced Staff: ___________. No of Technical Staff: ____________.
Main Contact Person for The City Bank Limited Enquiries & Correspondence:
Contact Numbers (Phone, Cell &
8 Name Address Email)
Vendor Bank Accounts Information:

List of the Supplier’s Principal Bank(s):
Name of the Bank: [The City Bank Ltd Preferable]
Bank Account Name:
Bank Account No.:
9 Address:
Telephone No.:
Fax No.:
E-mail:
Web Address:
After Sale Support Service :
Dedicated Maintenance & Support Stuff (Yes/No: _________________.
If yes number of service stuff: ____________________.
10 Country Wide Network (Sales & Service Centers): (Yes/No: __________________.
If yes, number of Centers:______________________.
Response Time (in Hour): ____________.
11 Experience with the City Bank Ltd: Yes/No: ………………………...If yes fill up the followings-

Got first W/O (year):______________. Number of project executed: ______________.
Note: Please provide necessary documents.
12
Supplier will Provide Copies of the Following Documents: (please mark items provided)
Name of the Document Yes No N/A
Memorandum and Articles of Association (certified copy) (applicable for

A
Limited Company Only)
B Certificate of Incorporation (applicable for Limited Company Only)
C Valid Trade License

Value Added Tax (VAT) Registration Certificate (applicable for Local
D Company/ Foreign Company if they participate through their local office
in Bangladesh)
Tax Identification Number (TIN) Certificate (applicable for Local
E Company/ Foreign Company if they participate through their local office
in Bangladesh)
Bank Solvency Certificate not older than 30 days from the date of
F
submission (if not a Limited Company)
Most current Annual Report (audited, if available) (applicable for Limited

G
Company)
H Partnership Deed (applicable only for Partnership Firm)
I Company Brochure (recent/updated)
J ABC Supervisory License (electrical works only)
Other document(s) related to your business (Licenses, Certifications,
K
etc.)
L Experience Certificate
M Major Client List

n Logistic Support (applicable for distribution & related service company)
Supplier Information Forms that are not completed in their entirety, with all relative and requested
attachments or which are not certified by an acknowledged official of the entity may not be accepted by The
City Bank Limited.
The undersigned is authorized to Certify on behalf of the entity that all stated information in the above form
and attachments are true and correct and no important and relevant information has been suppressed. The
undersigned acknowledges that the Company at any time may verify the validity the above information.
I do hereby declare that all the provided information here above is fully correct. In case of any false/ mis-
declaration, I shall personally be liable to appropriate legal action. I do take the responsibility to immediately
inform of any change concerning the advice declaration. Considering all the details as above, I would like to
be enlisted as a vendor in your esteemed company.
Signature & Seal :
Name of the Signatory :
Designation of the Signatory :
Name of Company :
Date :

Note: This enlistment does not give vendors guarantee of awarding any jobs. Rather it will give the
opportunity to the vendors to participate in competitive bidding process as an competent vendor
to supply goods/services to the City Bank Ltd.

Tender 1107059

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SUPPLIER INFORMATION FORM (SIF)

Please provide the following information if yours' is a Proprietorship/ Partnership/Other

Manufacturer Supplier Service Provider Contractor

Please provide the product & service list below:

The City Bank Limited Procurement Department Page 1

Owner’s & Staff Information

No. of Management staff: ______________. No. of Non-Mgt Staff: _______________.

No. of Contractual/Outsourced Staff: ___________. No of Technical Staff: ____________.

Vendor Bank Accounts Information:

If yes number of service stuff: ____________________.

10 Country Wide Network (Sales & Service Centers): (Yes/No: __________________.

If yes, number of Centers:______________________.

Response Time (in Hour): ____________.

The City Bank Limited Procurement Department Page 2

Memorandum and Articles of Association (certified copy) (applicable for

B Certificate of Incorporation (applicable for Limited Company Only)

C Valid Trade License

Most current Annual Report (audited, if available) (applicable for Limited

M Major Client List

Signature & Seal :

Name of the Signatory :

Designation of the Signatory :

The City Bank Limited Procurement Department Page 3

The City Bank Limited Procurement Department Page 4

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No. of Management staff: . No. of Non-Mgt Staff: _.

No. of Contractual/Outsourced Staff: _. No of Technical Staff: __.