Arab Company For Projects & Maintenance

Limited Liability Company

Paid Capital: 8,000,000 S.R. 8,000,000 :
C.R.: 2050045460 2050045460 :

Vendor Registration Form

1. Registration Request Letter

Attach a letter to the CEO of APM signed by your company Owner or POA.

2. Company Information:

a) Registration details

Arabic Company Name:

English Company Name:
Commercial Name:
Commercial registration No.:
Did your company have a name change in the past 12 months? ___Yes ___No
Ownership Type :
Is International? ___Yes ___No
Year of Establishment:
Total No of Employees:
No of Saudi Employees:
Phone 1.:
Phone 2.:
Fax No.:
Website:
Email Address:
Street:
Country:
City :
P.O. Box.
Postal Code.

B) Authorized Representative:

First name:
Middle Name:
Last name :
Job Title:
Department:
Email Address:
Phone No 1.:
Phone No. 2.:
Fax No.:
Mobile No.:

Page 1 of 2
Arab Company For Projects & Maintenance
Limited Liability Company
Paid Capital: 8,000,000 S.R. 8,000,000 :
C.R.: 2050045460 2050045460 :

3. Quality Management System

Are you ISO certified? ___Yes ___No

If Yes, please attach copy of certificate with this form.
Registered or certified to any other Quality Management System or model?
Details:
____________________________________________________________

4. Legal Document

Attachments:

Valid commercial registration certificate.

Valid zakat and income tax payment or clearance.
Valid Certificate from the general organization for social insurance.
Valid Certificate from labor office.
Power of Attorney.
SAGIA license (If applicable).
Company Profile.

Note: Copies of above required documents to be submitted, originals to be produced for

verification on demand

Authorized Representative Signature: Company Stamp:

Page 2 of 2