Vendors Prequalification Application FormΔTFOLC VENDORS PREQUALIFICATION APPLICATION FORM We are excited to have you on board as one of our esteemed Vendors. To get started, please complete all fields accordingly. GENERAL INFORMATIONCompany NameCompany WebsiteTax Identification Number (TIN) VAT Registration No. Number of EmployeesCompany Registration Number Date of Incorporation BVN AddressRegistered Office Address Phone City/Town StateP.O. Box CountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweFax Secondary Phone NumberPhone Number of Contact PersonCompany Email Address BANK DETAILS Bank Name Account Name Account Type Account Number OTHER INFORMATIONType of Business Manufacturer Services Provision Authorized Distributor Services Others Registration of Firm Limited Liability Company PLC Joint Venture Sole Proprietor Others1.1 For Limited Liability Companies, PLC, Joint Venture Companies, please attach copies of the following documents:Memorandum & Articles of Association of the company and Certificate of IncorporationChoose File Verifiable evidence of current (1-2 years) affiliations with original equipment manufacturer where applicable Choose File Audited company accountsChoose File Comprehensive Company ProfileChoose File Health, Safety, Environmental and Quality Assurance policy manual and/or ISO Certification.Choose File Tax Clearance Certificate.Choose File Verifiable evidence of at least three recent (last two years) jobs performed for major clients.Choose File 1.2 For Sole Proprietorship Businesses and Enterprises, please attach copies of the following documents: Certificate of IncorporationChoose File Health, Safety, Environmental and Quality Assurance policy manual and/or ISO CertificationChoose File Comprehensive Company ProfileChoose File Tax Clearance Certificate.Choose File Verifiable evidence of at least three recent (last two years) jobs performed for major clients Choose File Declaration by Applicant I/We certify that I/We have read and understood the instructions set forth in this application form and the information I/We have furnished are true and correct to the best of My/Our knowledge and belief. I/We understand that the discovery at any time of any false or misleading information may result in the voiding of all relationships with The Fountain of Life Church. ------------------------------------------------------------------------------------------------------------------------- Please Note ---------------- Please review the categories of interest before completing the application form. Please indicate your Category(ies) of interest: Please note that the TFOLC shall only engage the services of qualified and registered vendors Applicants will be notified of the final decision. I/We Agree YesSubmit Form