Online Vendor Registration Form

You must complete all required fields in this form and submit it online.

(All fields marked with * are necessary)

Organization Details

Name of Organization: *
Address: *
Phone: *
Fax:
Email: *
Website:
Organization type: *
Year of Establishment: *
Registration/License No.:
NTN No.: *
Total No. of Staff:

Contact Person Details

Name: *
Designation: *
Phone:
Mobile: *
Fax:
Email: *

Bank Details

Account Title: *
Account No.: *
Bank Name: *
Branch Address: *

Services Details

Availability of Credit Facility: *

Services Offered: *	(check all that apply)

SUPPLY OF GOODS General Office Stationary, General Order Suppliers Computers, laptops, UPS, printers, scanners, photocopier and accessories Electric equipments and accessories Grocery for office mess including tea/coffee/sugar etc. Software, computer/printer/IT consumables Audio visual and photographic materials CNG, Petrol and petroleum products

PROVISION OF SERVICES Internet, airtime or mobile services Travel and air ticketing services (IATA registered firms only) Outside catering services/workshops organizer/event management firms Interior Decorators Collection and disposal of garbage Printers and publishers, provision of design, printing of promotional, communication, advertising materials, printing of T-shirt, caps, banners etc., general printing services Newspaper, print and electronic media advertisement agencies Guest houses and hotels from all major cities of Pakistan Goods transport companies Rental Car Services Furniture and fixtures, New supplies & Repair work both wood and steel Vehicle parts, Tyres, Lubricants and Maintenance services Office equipments and electric appliances Medicine/Medical supplies and Equipments Office Security Solutions Office automation solutions (including ACs, furniture, wood work, curtains, generators and others) Maintenance of office building and equipments (including civil/electric/plumbing work, fumigation and janitorial services) Construction Companies both Pre-Engineered & Permanent structured Any other office related services

PROVISION OF CONSULTANCY SERVICES Consultancy on employee satisfaction, training needs assesment, training services and baselines surveys Consultancy on monitoring and evaluation/financial management services and procurement services Translation services Software or IT solutions Any other consultancy services

Vendor Declaration

I do hereby certify that:

I have the authority to prepare and submit this vendor application form on behalf of the entity requesting registration
The information provided is true and correct. In the event of it being found to be false in any manner, Rutgers WPF reserves the right for termination of any contract entered in with the Vendor OR black listing from the Vendor list without any Notice.
I hereby acknowledge acceptance of the Rutgers WPF Terms and Conditions.
Submission of this form does not guarantee that your firm will be registered as a Vendor. Acceptance of this application and the issuance of a Vendor Registration Number does not entitle your firm to be on a bidders/offerors list for future procurement and/or to the award of any particular Contract.
Vendor Registration Applications are reviewed based on the information provided. Failure to submit the requested supporting documentation may cause your application to be rejected.

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