All Types of Clearance Certificate - DOC

							                                         Bidder’s Application Form


___________________________________________________________________________________________________________________
                                                         (Type of work)

1.Company name _____________________________________________________________________
   _________________________________________________________________________________
                                           (полное и краткое наименовани е организации)

2. Former company name, if any and when it was changed
___________________________________________________________________________________
3. Head of the company
___________________________________________________________________________________
4. Chief accountant
___________________________________________________________________________________
5. Main activity
___________________________________________________________________________________
6. Charter capital
___________________________________________________________________________________
7. Founders
___________________________________________________________________________________

8. Basic activity
___________________________________________________________________________________
9. Address:

registered_______________________________________________________________________

operational :________________________________________________________________________

E-mail:
___________________________________________________________________________________
Telephone:
___________________________________________________________________________________
Fax:
 _____________________________________________________________________________

10. TIN
____________________________________________________________________________________

11. Date , place and registering office
____________________________________________________________________________________

12. Bank details: account__________________________________________________________
                  with _______________________________________________________
                                              (bank name)

                    in _________________________ city

13. Licenses (copies) for the right to carry out works:
_____________________________________________________________________________
                                       (Specify all types of works)

14. Company structure, branches, subsidiary enterprises, if any
____________________________________________________________________________________

15. The list of subcontractors the Bidder cooperates with, copies of their licenses
____________________________________________________________________________________
16. Production capacity, if any:
____________________________________________________________________________________

17. Bidder’s work experience in the field specified in tender:
_____________________________________________________________________________________

18. Current agreements:
_____________________________________________________________________________________

19. Bidder’s technical equipment:
_____________________________________________________________________________________

20. Bidder’s personnel and their qualification:
_____________________________________________________________________________________

21. Financial standing information, including accounting balance-sheet (with a registration mark of tax
authorities) and the profit and loss statement as of the latest reporting date.
If the Bidder is not a resident of RF, reporting should be provided under the Standards, applicable for
financial statements in the territory of RF.
If the Bidder reports under Simplified tax system, it is necessary to submit Tax statement, Tax clearance
certificate and Interpretation of debtor and creditors as of the latest reporting date with the registration
mark of tax authorities.

22. Client References (they should be provided as a separate enclosure).

23. Bidder’s ability to begin works without advance payment, using its own circulating assets.

24. Additional information, which the Bidder wants to give (Corporate documentation, marketing
material, etc.)



Head of the company                                                 _________________________

Stamp
                                                                             " __ " _____________200_ г.