This document contains a vendor pre-qualification and registration form for Plaza Premium Lounge. It requests information about a company's profile, quality assurance and food safety certifications, delivery details, contacts, financial information, and terms and conditions. The form has multiple sections requesting company name, address, licenses, products supplied, management systems, delivery schedules, contacts, bank account information, and a signed statement agreeing to terms. It also includes an attachment checklist for supporting documents.
This document contains a vendor pre-qualification and registration form for Plaza Premium Lounge. It requests information about a company's profile, quality assurance and food safety certifications, delivery details, contacts, financial information, and terms and conditions. The form has multiple sections requesting company name, address, licenses, products supplied, management systems, delivery schedules, contacts, bank account information, and a signed statement agreeing to terms. It also includes an attachment checklist for supporting documents.
Original Title
2. 1A. Vendor Pre Qualification & Registration Form (HKG)
This document contains a vendor pre-qualification and registration form for Plaza Premium Lounge. It requests information about a company's profile, quality assurance and food safety certifications, delivery details, contacts, financial information, and terms and conditions. The form has multiple sections requesting company name, address, licenses, products supplied, management systems, delivery schedules, contacts, bank account information, and a signed statement agreeing to terms. It also includes an attachment checklist for supporting documents.
This document contains a vendor pre-qualification and registration form for Plaza Premium Lounge. It requests information about a company's profile, quality assurance and food safety certifications, delivery details, contacts, financial information, and terms and conditions. The form has multiple sections requesting company name, address, licenses, products supplied, management systems, delivery schedules, contacts, bank account information, and a signed statement agreeing to terms. It also includes an attachment checklist for supporting documents.
Food Manufacturing License Number for food vendor (Please attach copy of the above document)
A4. Year of Establishment
A5. Nature of Business Distributor
Please tick () Manufacturer Service provider Other. Please specify : A6. Name of item or service supplied to Plaza Premium Lounge
A7. Category of Item or service supplied Food Item Proceed to Part B0 and skip B1 to Plaza Premium Lounge. Food contact item Proceed to Part B0 and skip B1 Please tick () Non food item Proceed to Part B1 and skip B0 Service provider Proceed to Part B1 and skip B0
Part B - Quality Assurance Evaluation
B0. Is the company certified with a GMP, HALAL, ISO 9001, HACCP, ISO 22000, FSSC 22000 or equivalent quality and food safety management Requlatory compliance declaration statement system (FSMS)? Please tick () and attach copy of Laboratory test report certificate or others supporting Internal quality or food safety management system in place document Others. Please specify : B1. Is the company certified with a ISO 9001, ISO 14000, ISO 18000 or equivalent management system or meet the Requlatory compliance declaration statement criteria? Laboratory test report Please tick () and attach copy of certificate or others supporting Internal management system in place document Others. Please specify:
Part C - Delivering Service
C1. Does the company have minimum Yes. Please specify : order quantity or amount for goods No delivering? Please tick () Not applicable C2. Delivery schedule i. State the day of delivery. Pick () Mon Tues Wed Thurs Fri Sat Sun
ii. Delivery availability on public holiday
Yes No
Page 1 of 3 Part D - Contact Person Ordering Hotline Contact 1 Contact 2 D1. Name of Person In Charge
D2. Title
D3. Telephone No.
D4. Mobile No.
D5. Facsimile No.
D6. Email Address
Part E - Financial Detail
E1. Beneficiary Name
E2. Bank Name
E3. Bank Address
E4. Bank Account No.
E5. Bank Swift Code
(Applicable to oversea bank account only)
E6. Correspondent Bank Name
(Applicable to oversea bank account only)
E7. Correspondent Bank Swift Code
(Applicable to oversea bank account only)
E8 Payment term Standard Payment Term: 45 Days After Receipt Of Invoice
Part F - Personal Information Collection Statement
1 Plaza Premium Lounge will use the information provided for the purpose of processing this pre-qualification and registration form and dealing with our procurement related matters.
2 Information will be kept confidential and will be used by Plaza Premium Lounge and its subsidiaries only.
Part G - Remarks
1 Vendors are required to submit Business Registration Certificate copy or other certificate to Purchasing Department once renewed.
2 Plaza Premium Lounge has the rights to visit vendors' companies, factories and warehouses for site inspection. 3 Food and beverage shall comply with local health and food safety authority's requirement. 4 All the supplied food and beverage shall be imported legally.
Page 2 of 3 I declare that all information given in this form is, to the best of my knowledge, accurate and complete. If any false information is given, the application is deemed to be invalid and I shallgive up my right to submit quotations and tender. I understood and agreed to comply the attached "GENERAL TERMS AND CONDITIONS of [Purchase Order/Contract/Agreement] FOR PURCHASE OF GOODS. (Please refer to Appendix 1)
Name : Position Held :
Authorized Signature :
Company Stamp : Date : D D / M M / Y Y Y Y
Attachment Checklist (For Internal Use Only) Recommendation
Part I - Requirements 1. Stamped & Signed Vendor Pre-Qualification & Registration Form 2. Stamped & Signed General Terms & Conditions of Purchasing Goods & Services 3. Copy of Business Registration Document Accepted/Not Accepted 4. Copy of Bank Statement shows Bank Account no. & Beneficiary Name 5. Product List 6. Name Card 7. Job Reference
Part II - Optional Supporting Document
Food/ 1. GMP, HALAL, ISO 9001, HACCP, ISO 22000, FSSC 22000 or equivalent Food 2. Requlatory compliance declaration statement Accepted/Not Accepted Contact 3. Laboratory test report Item 4. Internal quality or food safety management system in place Non Food 1. ISO 9001, ISO 14000, ISO 18000 or equivalent Remark: Item/ 2. Requlatory compliance declaration statement Service 3. Laboratory test report Provider 4. Internal management system in place
Prepared by Reviewed by Approved by
Signature
Name
Admin Specialist Head of HumanManager
Resources Finance Controller Manager Position Procurement Officer Procurement Financial
Date D D / M M / Y Y Y Y D D / M M / Y Y Y Y D D / M M / Y Y Y Y
