ALL RELEVANT ATTACHMENTS MUST BE SUBMITTED. ALL FIELDS MARKED WITH * ARE MANDATORY.

    CATEGORIES

    CATEGORIES: A-E
    Please Specify Consultancy Services
    CATEGORIES: F-J
    CATEGORIES: K-O
    CATEGORIES: P-T
    CATEGORIES: U-Z
    OTHER CATEGORIES
    Please Specify Other Categories

    Financial Category

    Under $50,000$50,0000 to $100,000$100,000 to $350,000$350,000 to $750,000$750,000 to $1 million$1 million and over



    Name of Applicant/ Company*
    Trading Name (If different from Name of Applicant/ Company)
    Registered Address*
    Address 1*
    Address 2
    Town/City*
    Country*
    Is your Registered Address different from Mailing Address?
    YesNo
    Mailing Address 1
    Mailing Address 2
    Mailing Town/City
    Mailing Country
    Telephone Country Code
    Telephone Number
    Mobile Country Code*
    Mobile Number*
    Fax Country Code
    Fax Number
    Email*
    Confirm Email*
    Website



    Type of Legal Entity*
    Sole TraderPartnershipLimited Liability CompanyPublic Company/CorporationOther
    Please specify
    Is your company incorporated under the Laws of Trinidad and Tobago?*
    YesNo
    If no, state where incorporated
    Are you registered with the Board of Inland Revenue?*
    YesNo
    Please enter BIR number
    If no, please specify why  
    Kindly attached a copy of the following documents where applicable.(Documents size should not exceed 10MB. PDFs submission only)
    Certificate of Registration / Incorporation / Continuance
    Valid Income Tax Certificate
    Valid VAT Clearance Certificate (Please note that companies who are not VAT registered can and must obtain VAT clearance. Failure to provide a VAT Clearance Certificate will result in the rejection of your application)
    Valid NIB Compliance Certificate
    Company’s Brochure


    The total number of people currently employed with the organisation*
    20 and under21 -5051 -100More than 100
    Please list the Key Personnel (including Principal, Directors, Managers and Technical and Supervisory Staff) of the entity
    First Name
    Last Name
    Position/Title
    Qualification
    Time with Firm
    Months
    Years


    Organisational Structure and Responsibility Matrix*


    Please attach your Organisational Structure which should include the above option. (Documents size should not exceed 10MB. PDFs submission only)


    Kindly list all Shareholders with an interest of ≥ 10%
    First Name
    Last Name
    Ownership Percentage


    Are you a relative of or do you have a relationship with any NFM employee or their immediate relative that would cause any conflict of interest?* All Contractors are required to disclose any existing relationship, business or otherwise, with the NFM and/or any of its employees and/or immediate relative.
    YesNo
    Please specify



    How many years of experience do you have in Quantity Surveying?*
    Less than ten (10) yearsOver ten (10) yearsNo experience
    Please Specify
    Are you registered with the Institute of Surveyors of Trinidad and Tobago?*
    YesNo
    Please Specify
    What is your level of qualification?
    Please attach relevant qualification certificates. (Documents size should not exceed 10MB. PDFs submission only)



    Bank Name*
    Bank Address 1*
    Bank Address 2
    Bank Town/City*
    Bank Country*


    Kindly attach a copy of the company’s most recent Bank Statement. (Documents size should not exceed 10MB. PDFs submission only)


    Annual Income for the past three (3) years (TT$)*
    Year 1
    Year 2
    Year 3


    Do you keep accounts?*
    YesNo
    Please specify why?
    Please attach the company’s Audited Financial Statements for the past three (3) years. The Audited Statements must be signed by the Directors and must include the signed Auditor’s Report.(Documents size should not exceed 10MB. PDFs submission only)


    Please attach a Banker’s Note or Credit Reference which shows your Organisation’s standing with your bankers. (Documents size should not exceed 10MB. PDFs submission only)


    Do you have Workmen’s Compensation Insurance?*
    YesNo
    Please state maximum amount as of now ($TT)
    Please provide the name and address of the Workmen’s Compensation Insurer:
    Insurer's First Name
    Insurer's Last Name
    Insurer's Address 1
    Insurer's Address 2
    Insurer's Town/City
    Insurer's Country

    Please provide copies of the relevant Workmen’s Compensation Insurance.(Documents size should not exceed 10MB. PDFs submission only)


    Do you have Public Liability Insurance coverage?*
    YesNo
    Please state maximum amount as of now ($TT)
    Please attach the name and address of the Public Liability Insurer
    Insurer's First Name
    Insurer's Last Name
    Insurer's Address 1
    Insurer's Address 2
    Insurer's Town/City
    Insurer's Country

    Please attach copies of the relevant Public Liability Insurance coverage.(Documents size should not exceed 10MB. PDFs submission only)


    Do you have any other insurance coverage?*
    YesNo
    Do you give NFM permission to seek Bank and other References?*
    YesNo



    Past Performance*

    Please list three (3) organisations that you have completed work with from the categories you have selected. You must include the name of a responsible official within that company to whom NFM official may address inquiries:
    Organisation 1
    Name of Organisation*
    Contact Person First Name*
    Contact Person Last Name*
    Position*
    Nature of Contract*
    Telephone Country Code*
    Telephone Number*
    Contract Value (TT$)*
    Organisation 2
    Name of Organisation*
    Contact Person First Name*
    Contact Person Last Name*
    Position*
    Nature of Contract*
    Telephone Country Code*
    Telephone Number*
    Contract Value (TT$)*
    Organisation 3
    Name of Organisation*
    Contact Person First Name*
    Contact Person Last Name*
    Position*
    Nature of Contract*
    Telephone Country Code*
    Telephone Number*
    Contract Value (TT$)*



    Has the Business or any constituent part ever been involved in any litigation and/or arbitration for failing to fulfil or to comply with the terms of a contract?*
    YesNo
    Please specify why?
    Is the business involved in any litigation and/or arbitration proceedings at present?*
    YesNo
    Please specify why?
    Are there any judgements registered against the firm?*
    YesNo
    Please specify why?
    Has the organisation failed to fulfil obligations relating to the payment of taxes in accordance with the legal provisions of the Republic of Trinidad and Tobago or the country in which it is established?*
    YesNo
    Please specify why?
    Has the organisation had a contract similar in nature to that being sought in this submission, terminated prematurely in the last 3 years?*
    YesNo
    Please specify why?



    HAVE YOU UPLOADED ALL THESE FORMS?

    Please see checklist:

    1. Certificate of Registration / Incorporation / Continuance
    2. Valid Income Tax Certificate
    3. Valid VAT Clearance Certificate
    4. Valid NIB Compliance Certificate
    5. Company’s Profile
    6. Quantity Surveyor’s qualifications
    7. Organisational Chart
    8. Most Recent Bank Statement
    9. Financial Statements (Audited or Unaudited)
    10. Banker’s Note or Credit Reference
    11. Workmen Compensation Insurance
    12. Public Liability Insurance
    13. Other insurance
    Don’t have all your forms, click "Previous" to attach all your forms.
    I hereby certify that the foregoing information is true, correct and complete to the best of my knowledge.*