SAMPLE SAMPLE - wrpcnnpcng.com

1 WARRI REFINING & PETROCHEMICAL COMPANY LIMITED (A Subsidiary of NNPC) EKPAN WARRI 44, EFFURUN, NEAR WARRI. APPLICATION FOR registration AS A contractor TO WRPC WARNING This form is given out free of charge.

2 Any person found selling it or charging money for it will be prosecuted. THIS IS A PROPERTY OF WARRI REFINING AND PETROCHEMICAL CO. LTD. SAMPLE SAMPLE Page 2 THIS IS A PROPERTY OF WARRI REFINING AND PETROCHEMICAL CO. LTD. WARRI REFINING & PETROCHEMICALS COMPANY LIMITED APPLICATION FOR registration AS A contractor /SUPPLIER Dear Sir/Madam, I/We hereby apply for registration as a contractor to your Company in the category indicated herein. Attached hereto is a photocopy of the receipt issued by your Finance and Accounts division for the non-refundable registration fee pertaining to the category of my/our registration .

3 I/We agree that registration with the Company does not in any way guarantee the registered contractor any form of work or business from the company. The company is not precluded from placing any of its work or contract on an open tender whereby registered and unregistered contractors would be free to bid for the work. I/We also declare that the information given herein are true and correct, and however understand that any false information given about myself/ourselves or on behalf of the company/registered business name will lead to my/our disqualification or subsequent cancellation of any contract award to me/us at the sole discretion of the company.

4 registration for more than one area of specialization can be effected by completing one or more registration forms. This application should be accompanied by:- a) Original and photocopy of your Current Tax Clearance Certificate. b) Original and photocopy of your Certificate of Incorporation or registration . c) A Reference Letter from your Banker. d) An application for registration on your Company s Letter Headed Paper addressed to Managing Director, , Ekpan, 44, Effurun. Attention: Manager, CSLD.

5 E) Curriculum Vitae of your key personnel (applicable to consulting companies only). f) See Section 11 for relevant registration fees. g) 2 Passport Photographs. h) Original and photocopy of DPR permit. (All applicants not registered would be informed accordingly) a. Name of Company _____ b. Address of Firm or Company ( Box not acceptable) _____ _____ SAMPLE SAMPLE Page 3 c. Are you in partnership with any Individual OR Company? _____ d. If so, what is the name and address of the Individual OR Company?

6 ( Box not acceptable) _____ _____ e. What was the date your company was registered or incorporated? _____ (Photocopy of Certificate of registration or Incorporation to be attached) f. How long have you been in business _____ g. Are you registered as a contractor with any other large organization like WRPC _____ h. If so, give names and addresses: _____ i. Give brief details of the types and values of work you have done since the past 24 months _____ _____ j. Give brief details of your Area of Specialization (ONE AREA ONLY) (Please Turn Overleaf for the various Areas of Specialization) _____ k.

7 Fee to be paid (CASH ONLY) (Please tick your required Category) CATEGORY HIGHEST VALUE OF JOB registration FEE ANNUAL RENEWAL FEE A Up to but Not Exceeding Million N10, N5, B Up to but Not Exceeding N10 Million N25, N10, C Above N10 Million N50, N20, SAMPLE SAMPLE Page 4 l. Have you paid the requisite registration fee to the Finance and Accounts Department of WRPC? _____ m. If so, quote details (Receipt Number and Date) _____ (Photocopy of Receipts to be attached) _____ _____ OFFICIAL RUBBER STAMP SIGNATURE/NAME/OFFICIAL DESIGNATION AREA OF INTEREST (PLEASE CHOOSE ONLY ONE AREA FROM THE LIST BELOW)

8 CODE DESCRIPTION OF AREAS OF SPECIALIZATION P01 Industrial And Process Chemicals P02 Mechanical Equipment, Spare Parts Accessories and Components P03 Electrical Equipment, Spare Parts Accessories and Components P04 Instruments, Electronics Accessories And Spare Parts P05 Motor Vehicles and Spare Parts P06 Medical, Laboratory And Pharmaceutical Supplies P07 Fuel And Gas Supplies P08 Maintenance Tools P09 Domestic And Office Equipment / Furniture P10 Fire Fighting, Safety And Security Supplies P11 Building And Civil Material P12 Industrial Lubricants And Grease P13 Commercial Printing And Sign Writing P14 Stationery Supply P15 Provisions, Beverages And Toiletries P16 Kitchen And Catering Equipment P17 Laundry Equipment, Spare Parts, Chemicals And Detergents P18 Computer Hardware, Accessories And Consumables Supply P19 Tailoring Services P20 Telecoms/Security Equipment, Accessories And Spare Parts P21 Shipping.

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