CONSULTANT REGISTRATION FORM ‫طلب تسجيل استشاري‬

[Please fill the form electronically, and not by hand] ]‫[يرجى تعبئة النموذج الكترونيا ً وليس عن طريق الكتابة اليدوية‬

Registration No. ( ) ) ( ‫رقم التسجيل‬

COMPANY DETAILS ‫بيانات الشركة‬

Name of Company ‫اسم الشركة‬

Address ‫العنوان‬

P.O. Box ‫صندوق بريد‬

Emirate ‫اإلمارة‬
Telephone No. (1) Telephone No. (2)
(1( ‫هاتف رقم‬ )2( ‫هاتف رقم‬
Contact Person (1) Designation (1) Mobile No. (1)
)1( ‫الشخص المسئولة‬ )1( ‫الوظيفة‬ )1( ‫رقم الهاتف المتحرك‬
Contact Person (2) Designation (2) Mobile No. (2)
)2( ‫الشخص المسئولة‬ )2( ‫الوظيفة‬ )2( ‫رقم الهاتف المتحرك‬
Fax No. (1) Fax No. (2)
)1( ‫فاكـس رقـم‬ )2( ‫فاكـس رقـم‬
E-mail (1) E-mail (2)
)1( ‫بريد اإللكتروني‬ )2( ‫بريد اإللكتروني‬
[Hotmail/Gmail/Yahoo [Hotmail/Gmail/Yahoo
not accepted] not accepted]
Web-site Address ‫الموقع على االنترنت‬
Owner of the Co. ‫صاحب الشركة‬
Company Manager ‫مدير الشركة‬

Names & Nationalities of Partners: :‫أسماء الشركاء وجنسياتهم‬

NAME/‫اسم‬ NATIONALITY/‫جنسية‬
1.
2.
3.

LICENSE DETAILS ‫بيانات الرخصة‬

License No. Expiry Date

‫رقم الرخصة‬ ‫تاريخ االنتهاء‬
Chamber of Comm. Reg. No. Company Ownership  100% U.A.E. Local ‫ إماراتي‬%100 
‫رقم التسجيل بغرفة التجارة‬ ‫ملكية الشركة‬  51% U.A.E. Local ‫ إماراتي‬%51 
 Free Zone ‫منطقة حرة‬ 

BANK DETAILS ‫بيانات البنك‬

Name of Bank (1)

)1( ‫اسم البنك‬
Account No. (1) Branch
)1( ‫رقم الحساب‬ ‫فرع‬
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Name of Bank (2)
)2( ‫اسم البنك‬
Account No. (2) Branch
)2( ‫رقم الحساب‬ ‫فرع‬

DOCUMENTS REQUIRED: :‫المستندات المطلوبة‬

1- Copy of valid Certificate from Chamber of Commerce & Industry. .‫صورة شهادة غرفة التجارة سارية المفعول‬ -1
2- Copy of Power of Attorney for Authorized Signatory. .‫صورة عن الوكالة القانونية للشخص المخول بالتوقيع نيابة عن الشركة‬ -2
3- List of Products / Services. ‫ الخدمات‬/ ‫قائمة المنتجات‬ -3

 Information requested below is to be filled, and documentary evidences should be submitted for the same.
 The documents should be submitted in a file divided by numbered separators/slides*, and the particular slide no. should
be mentioned in the last column below.
 The same should be submitted in soft copy also, in the form of CD.
*Slide No.
Information Supporting document
for the
to be filled below to be attached
document
1) Financial capabilities
a) Company paid-up capital Auditor's report
b) Annual turnover Auditor's report
c) Annual financial audited statement (Yes/No) Auditor's report

2) Past Experience
a) Company established period (dd/mm/yyyy) License Copy
b) No. of contracts/orders with FEWA Copies of contracts/orders within
last 5 years (Max. 2)
c) No. of contracts/orders with other local parties Copies of contracts/orders within
last 5 years (Max. 4)
d) No. of contracts/orders with GCC/International parties Copies of contracts/orders within
last 5 years (Max. 3)
e) No. of Performance Certificates Copies of Performance
Certificates/
Payment certificates
(Max. 3)
3) Manpower
a) No. of Engineers / Experts (having a minimum of 7 years exp.) List of Employees by M.O.L./
Copies of Visa/Labour card
(Max. 6 engineers/experts)
b) No. of Technical Support Staff List of Employees by M.O.L./
(Operator, Supervisor, etc.) Copies of Visa/Labour card
(Max. 8 staff)
c) No. of Admin Support Staff List of Employees by M.O.L./
Copies of Visa/Labour card
(Max. 4 staff)

*Slide No.
Information Supporting document
for the
to be filled below to be attached
document
4) Facilities
a) Do you have an office within U.A.E.? (Yes / No) License Copy
b) No. of Instruments/Equipments List of instruments/equipments
[for Surveying/Testing/Measuring etc.] with Sl. No./Model No.
(Max. 4 instruments/eqpts.)

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 c) No. of Softwares License copies
(Max. 4)
d) No. of Transportation and service equipments (crane, cars etc.) List of vehicles from R.T.A./
Copies of Vehicle Registration
(Max. 3)
a) No. of Communication facilites Telephone / Fax / Internet Bill
Statements, E-mail services etc
(Max. 2)
5) Quality Control & Assurance
e) Quality Policy (Yes / No) Copy of the same
f) Quality Procedures (Yes / No) Copy of the same
g) Quality certificates (Available / Under Process / Not Available)  Copy of the same, if
"Available"
 Application letter if "Under
Process"
6) Health, Safety & Environment
a) Staff health insurance (Yes / No) Copy of agreement with Insurance
Co./Copy of Insurance card
b) Safety Procedures (Yes / No) Copy of the same

c) Safety Policy (Yes / No) Copy of the same

7) Legal status
a) Commercial License (Local or Free Zone) License Copy
b) Shareholding ratio (Percentage of Local Shares / Free Zone) Copy of Memorandum of
Association, if local company
c) Classification (by Ministry of Labour) Copy of the same

SIGNATURE & STAMP OF THE COMPANY: :‫توقيع وختم المنشأة‬

Authorized Signatory (FEWA): :)‫الموظف المختص (الهيئة‬

Manager of Purchases ‫مدير قسم المشتريات‬

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