COM_PRC_FRM_015 Vendor Registration Form

COM_PRC_FRM_015 Vendor Registration Form

Business Name*

Please insert the legal name of your business.

Business Structure*

Select from the drop-down list.

Select

Address Line 1*

Address Line 2

City*

State*

Select

Postal / Zip*

Country*

Website

Phone

ABN*

MPC requires an ABN to be provided for all of its suppliers.

Ultimate Parent

Where your company is part of a larger group of companies, please insert the legal name of the ultimate holding company.

Contact Name*

The name of the primary contact person for procurement based enquiries.

Position Title

Contact Phone Number*

Contact email address

Business Description*

Please provide a brief description of the type of services or goods provided.

Annual Turnover*

Please provide turnover for the last full financial year.

Select

Net Assets*

Please provide the net assets on the balance sheet for the last full financial year.

Select

Number of Employees*

Please provide the current number of direct employees including consultants and contractors.

Operation Locations*

Please select State or "Australia" if multiple States.

Select

Supply Nation Registration/Certification*

Is your business registered or certified by Supply Nation? Is your business at least 50% Indigenous-owned and based in Australia?

Yes, registered with Supply Nation

Yes, certified with Supply Nation

Yes, at least 50% Indigenous-owned and based in Australia

Market Sectors*

Please select the markets that your company typically services.

Select

Type of service*

Please select the service that describes your typical supplier / contracting model

Select

Project Name

Where applicable please insert the project name you are interested in tendering for

Work Type*

Please insert your work type from the drop down list

Select

Other Work Description

Insert further description of work where "Work Type" above does not adequately describe your work.

Further capability or product details

Please upload your business capability brochure or product specification details here.

Drag and drop files here or

Send me a copy of my responses

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