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SECTION HEADING GOES HERE

PARLIAMENT

APPENDIX 1

CONTRACTOR’S INFORMATION FOR C. O. I. D. PURPOSES

NAME OF FIRM:________________________________________________

ADDRESS:_____________________________________________________

TELEPHONE NO:________________________________________________

FAX NO:_____________________________________________________

TYPE OF WORK PERFORMED: _____________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

COMMENCING DATE OF WORK:_______________________________

COMPLETION DATE:__________________________________________

IS YOUR FIRM REGISTERED WITH W.C.C.:YES   OR   NO

IF YES, YOU’RE REGISTRATION NUMBER:__________________________

NUMBER OF STAFF ON THE PREMISES:__________________________

SUPERVISORS:________________________________________________

NAME OF THE COMPETENT PERSON

ON SITE AND HIS TELEPHONE NO:_______________________________

Procurement of Catering Services forTaking Parliament to the People: T9/2/2010

INITIAL: _____________

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