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Supplier Registration Form

1. Name of the Company: OWAIDA KHALID AL-KHALDI GEN.CONT. EST. 2. Company Information: a. Commercial Registration Number: 2053015821
b. (copy of the CR should be attached)

c. Years in business: 28 Years (Since 1985) d. No of employees: 55 Workers. e. Nature of Business: Manufacturer Distributor / authorized distributor Trader/wholesaler Others: Electrical and Mechanical Services for Sabic affiliates & Sasref Company. 3. Address: Building, Floor PO Box Street 31951 Postal Code 410 City AL-JUBAIL Telephone 361 0634 / 362 3255 State West Mazara Fax 362 6374 Country Kingdom of Saudi Website www.kokest.com Arabia 4. Communication Info: Designation Name Owner(s) Owaida Khalid Al-Khaldi General Shadid Khalid Manager Al-Khaldi Sales Head Shabbirul Alam Sales Executive Baseer Ahmed Technical Head K.A. Kabeer Quality Control Shadid Khaldi 5. Bank Details:

Telephone 361 0634 361 0634 361 0634 361 0634 361 0634 361 0634

Fax 362 6374 362 6374 362 6374 362 6374 362 6374 362 6374

email manager@kokest.com manager@kokest.com shabbirm@kokest.com sales@kokest.com kabeerka@kokest.com manager@kokest.com

Mobile 0505901843 0555883233 0567320391 -0503963031 0555883233

Beneficiary Name: Beneficiary Address: Bank Name: Account No. IBAN No. Swift Code:
Bank Address

OWAIDA KHALID AL-KHALDI GEN.CONT. EST. PO BOX 410, AL-JUBAIL 31951, KINGDOM OF SAUDI ARABIA AL RAJHI BANK 393608010000557 SA39 8000 0393 6080 10000 0557 RJHISARI ANAK BRANCH.

6. Products: Electrical Motors Repair and Mechanical Maintenance Services. 7. Quality Management: Quality Systems / Certificate Obtained: A written Quality Manual is in place: 8. Other info: a. Approximate sales turnover: 1000,000.00 SAR. (Monthly) b. Market share: .. c. Remarks by the buyer: . ...... d. Decision: approved supplier / potential supplier / not accepted / other to specified

On behave of the Supplier:


Name: Shabbirul Alam (Shabbir) Position: Sales Coordinator, Signature: .. Company Stamp:
Doc is to be scanned and sent via email.

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EICO Buyer:
Signature: ..

Supply Chain Manager


Signature: ..