HABIB UNIVERSITY
Vendor Pre-Qualification Form
Vendor General Information:
Business Name*
Pristine Clean Pvt. Ltd.
If no Business name, enter N/A
URL for Web Site
Contact Name* (Last name, First name)
Syada Tayaba Azeem
Name of Business Contact
Phone Number * Fax Number Cell Number
021-35172444 03022834049
Telephone number of Business Contact
Email For Contact Person *
[email protected]Email address of Business Contact
PO Email:
Email for Purchase Order (Email is the preferred distribution method for Purchase Order )
[email protected]
Corporate Address
Address Line 1 *
Office # 102 first floor Annam
Tower plot # 8C Badar
Commercial – Street # 2 DHA
Phase 5 – Karachi
Address Line 2
City *
KARACHI
Karachi
Province *
Sindh
Country *
Pakistan
Zip Code *
Vendor Classification
Individual (PVT) Ltd
Company
Category
Filer Non Filer
Provide Copy of CNIC *
NTN * CNIC #
8533676-3
STRN ( If Applicable)
Product / Service Information
1. Lab Equipment
Capital Items Lab Consumable Items
2.Computers & AV Equipment
Hardware and Peripherals (Micro) Software (Micro)
Hardware and Peripherals (Mini) Software (Mini)]
Accessories & Supplies Audio & Vedio Supplies
3. Building & Maintainance
Builder’s Supplies Lumber Products
Builders & Structures Painting Equipment & Supplies
Building, Modular& Portable Plumbing Equipment & Supply
Cafeteria Equipment Roofing
Clothing apparel Signage
Material Handling Equipment Water Treatment
Fire Protection Equipment Signage
Floor Covering Pest Control
Janitorial Equipment & Supplies Electrical, HVAC
Rental or Lease of Equipment Asphalt Materials
Security System
4. Office Equipment & Supplies
Health Care Auditorium
Laboratory Office Furniture
Cafeteria/ Classroom/ Library Office Supplies (General)
Forms & Labels- Continuous Stock Forms & Labels
Office Machines & Accessories Writing Instruments – Pens, Pencils & Markers
Copiers – Plain Bond Paper (For Office and Print Shop Use)
Carbon Papers & Ribbons
5. Contractors / Service Provider
Consultation charges Educational Sector
Paving/ Resurfacing Masonry
Construction General Plumbing
Concrete Painting
Roofing Food Services / Event Management
Rental Insurance Charges
6. Printing Products & Advertising Services
Printing Plant Equipment’s Printing & Related Services
Graphic Arts & Signage Services Mailing Services ( TCS /DHL )
Advertising Specialties -Imprinted Items Publication & Audio Visual
Others (Please Specify)
Experience Record
1. Please Provide 3 references for your work experience
Organization Contact Person Designation Phone Email
PNSC Building Engr. Hammad Shaikh Estate Manager 03453616345
Marriott Hotel Karachi Syed Iftekhar Chief Engineer 03000775428
FTC – Building Mr. Abid GM – Engineering 03002090805
b. Technical & Professional Ability should be submitted
C. Product Support
Provide Details of your product support policy and after sales service *
2. How many years has your organization been in the current business?
5 years 5-10 years 10-15 years 20 years
3. Have you had any contracts terminated for poor performance in the last five years? YES NO
If yes, please give details
YES NO
4. Do you use any software solution that integrates routine operations like purchasing, order management, invoicing etc.?
YES NO If yes , Please give details
Professional Information
1.Are there any outstanding law suits against your organization in the state or elsewhere?
YES NO
2. Is your organization the subject of proceedings for a declaration of bankruptcy or any other similar proceedings under national laws or regulations?
YES NO
Bank Details
Bank Name Bank Al Hibib
Address Badar Commercial – Street 1 DHA – Phase 5
Telephone
Branch Badar Branch
Account Name PRICTINE CLEAN [SMC – PRIVATE] LTD.
Account Number 1085-0981-998313-01-0
SWIFT/ BIC Code 1085
IBAN No PK18BHAL1085098100831301
Finance Department
Declaration
We hereby declare that the above particulars are
True and correct and accept that Habib University has a right to Name :
Verify them as when required
Tittle :
Date :
Signature
Affix offical Company Stamp / logo
If the space provided in this document is insufficient for your responses, provide each detailed response in separate, clearly identified numbered attachments.
The registered suppliers are required to immediately advise Habib University of any significant change to their:
• Financial capacity or technical capability
• Ownership or holding
• Any court convictions or prohibition orders from governmental agencies.
• Significant changes to supplier or sources of products/services.
• Significant changes of range of products/services offered
• Changes in address, phone, email, fax, contact person or other communication details.
• Habib may make revisions to the registration scheme, or seek new applications at any time.applications from currently pre-qualified suppliers will be sought.
Whenever a full revision of the system is carried out, additional information or new applications from currently pre-qualified suppliers will be sought.
• Provide a brief description that describes the nature of your business and the products and/or services that you are able to supply to Habib
For Habib use only (Signature/Name/Date)
Approved By
