1、PREQUALIFICATION FORMFORSUPPLIERS / CONTRACTORS供應商調查表A) PARTICULARS OF THE FIRM 企業概況1. Name of the Firm公司全稱:2. Registered Address注冊地址:3. Mailing Address郵寄地址: (If different from 2)4. Telephone No.電話:5. Fax No.傳真:6. Web-site Address公司網址:7. E-mail Address 電子郵件:8. Type of Company公司性質: Public/Private/ Pa

2、rtnership/ Sole Proprietor/Joint Venture/Others (Please specify)國營/私營/股份制/獨資/合資/其他（請列出）9. Country of Incorporation國家:10. Registration No.營業執照號:11. Date of Registration/Incorporation注冊日期:NB : To attach a copy of the latest Business Instant Information from Registry of Companies請附上最近的公司登記情況表12. Regist

3、ration with Professional, Trade or Quality Control Organisation, board and/or Association etc.在有關專業團體，貿易機構和質量控制機構的登記證書 :(Please attach a copy of the certificate of registration請附上營業執照附本)13. Other Affiliations, Subsidiaries or Joint Venture (with indication of % owned)其他從屬關系或合資關系（請用%指出）B) PARTICULARS

4、 OF HEAD QUARTERS (IF ANY) 總公司概況（如有）1. Name of the Firm公司全稱:2. Registered Address注冊地址:3. Telephone No.電話:4. Fax No.傳真:5. Web-site Address公司網址:6. Type of Company經濟性質:7. Country of Incorporation國家:C) FINANCIAL CAPACITY 財務概況1. Name of Bank and Address銀行全稱和地址:2. Credits Facilities / Overdrafts信用設備/透支款項:

5、3. Financial Standing of the Last 3 Financial Years:過去三年里財務狀況Year 20_Year 20_Year 20_Authorized Capital 注冊資金Paid up Capital 已繳資金Net Worth 凈值Turnover 交易額Net Profit / <Loss> after Tax 除稅后凈利/損Current Assets 流動資金Current Liabilities 流動債務NB :To attach complete annual reports with corresponding State

6、ments of Profit and Loss Account certified by accountants and a certified copy of the audited Balance Sheet for the last 3 years.請會計員附上過去3年完整的相應年度虧贏報告和審計對比報告。D) PARTICULARS OF PARTNERS / PROPRIETOR / DIRECTORS AS AT DATE OF THIS APPLICATION 合伙人/股東/主席人員名單Name名字Designation職位Qualification資歷EmploymentHi

7、story雇傭記錄Other Directorships其他管理者職位To indicate whether any of the above Partners/ Proprietors/ Directors related to the Directors/ Key management of The Ascott Group Limited, or Capitaland Limited, Singapore Technologies Pte Ltd, Temasek Holdings (Private) Limited and/ or its subsidiaries/ associate

8、d companies.請指出上述人員是否認識XXX的高層管理人員或XX置地，XXX公司，XXX控股公司或其他下屬公司的人員。Yes / No * (* Please delete where not applicable, and if “Yes”, please give details below如果是“是”，請詳細指出)E) PARTICULARS OF KEY MANAGEMENT / EXECUTIVE AS AT DATE OF THIS APPLICATION企業上級主管人員名單Name名字Designation職位Qualification資力Year of Experien

9、ce工作年限Year of Employment雇傭年限To indicate any of the above key management/ Executives related to the Directors/ Key management of The Ascott Group Limited, or Capitaland Limited, Singapore Technologies Pte Ltd, Temasek Holdings (Private) Limited, and/ or its subsidiaries/ associates companies.Yes / No

10、 * (* Please delete where not applicable, and if “Yes”, please give details below請刪除不適用的內容，如果“是”的話，請列出)F) TYPE OF PRODUCT(S) / SERVICE(S) PROVIDED BY THE FIRM 所生產的產品或所提供的服務1. Type of Product(s) /: Service(s)產品/服務性質2. Please indicate if the firm is engaged in the manufacturing and/or distribution of

11、the products provided by the firm請指出公司是否是產品的直接供應商或分銷商: (* Please delete where not applicable)Manufacturing供應商: Yes / No * Distribution分銷商: Yes / No * 3. Type(s) and/or brand(s) of product(s) manufactured產品性質或品牌:4. Type(s) and/or brand(s) of product(s) distributed產品分銷的性質或品牌:5. Location of Manufacturi

12、ng Plant / Factory and Address供應商所在區域和地址:6. Type(s) and length of Product Warranty Provided產品類型和質量保證期 Product Type產品類型(brand where applicable品牌可經營區域) Length of Warranty保證期 (months月)NB : To enclose relevant company brochures請附上相關公司的文件G) GLOBAL PRESENCE / DISTRIBUTION NETWORK 全球銷售或代理網絡 (please tick ac

13、cordingly) YesNo Southeast Asia東南亞City / Location城市/區域Mode *模式1. Singapore新加坡2. Indonesia印尼:3. Malaysia馬來西亞:4. Myanmar緬甸:5. Philippines菲律賓:6. Thailand泰國:7. Vietnam越南: North Asia亞洲北部8. China中國:9. India印度10. Japan日本:11. Korea韓國: Australasia澳大利亞12. Australia澳大利亞:13. New Zealand新西蘭: United Kingdom英國14.

14、London倫敦: Europe歐洲15. Belgium比利時:16. France法國:17. Germany德國:18. Spain西班牙: Middle East中東19. Dubai迪拜: Others (if any)其他20.21.22.23.* Please state mode via subsidiary companies, factory set-ups, distributors, agents, etc. etc. 請指出公司的模式，工廠組織，發行人，代理商等等H) STAFF STRENGTH 員工組織 Local當地Worldwide外來人員1. Total總數

15、:2. Management管理人員:3. Others (please state)其他I) OTHERS 其他1. Has the company been terminated from an awarded contract (if yes, please give details below):公司是否提前終止過合同（如果有，請指出）2. Has the company been involved in any litigation (if yes, please give details below):公司有被牽涉過任何訴訟方面的事宜？（如果有，請指出）3. Has the com

16、pany been served with any writ of summons (if yes, please give details below):公司是否收到過法院方面的傳票（如果有，請指出）J) PARTICULARS OF CLIENTS / PROJECTS / SERVICES IN THE LAST 5 YEARS 過去五年內完成的主要工程項目Name of Property / Project項目名稱Name of Client客戶名稱Contact Person聯系人Telephone No.電話Contract Value合同價值Actual Completion D

17、ate實際完成日期NB : To enclose copies of testimonials where applicable請附上相關可適用的證明文件K) PARTICULARS OF CLIENTS / PROJECTS / SERVICES IN PROGRESS 目前在設計的主要工程項目Name of Property / Project項目名稱Name of Client客戶名稱Contact Person聯系人Telephone No.電話Contract Value合同價值Contract Completion Date合同到期日期NB : To enclose copies of testimonials where applicable請附上相關可適用的證明文件L) DECLARA