Profile Submission Form
 
Office of the Minister of State for Administrative Reform
Tuesday, December 11, 2018
FIRM/CONSULTANT PROFILE REGISTRATION FORM

NB: Fields marked with * are mandatory

Company Name: *
Company Acronym:
Legal Form of Company: *
Name of (ultimate) Parent Company (if applicable):
 
Head Office Address: Building, Floor #:
 Street:
 City, Postal Code:
*
P.O.Box Address:
Country: *
Telephone: *
Fax: *
Web Site Address:
 
Commercial Registration (if applicable)
Commercial Register Number:
Place of Registration:
Date of Registration (mm/dd/yyyy):
 
VAT Registration # (if applicable):
 
Annual Turnover (last year):
Currency
Total Number of Employees: *
 
General Manager Name: *
 
Contact Information
Contact Person Name: *
Contact Person Title: *
Contact Person Telephone: *
Contact Person E-Mail: *
 
Business Sectors:

NB: Use the Ctrl key to allow multiple selections

Selected Sectors:
*
Specific Business/Activities or Services:

Fields must be delimited by a comma i.e. technical support, auditing, etc...

*
 
Specific Fields of Experience (detailed services and/or supplies):

Please add one Field of Experience per entry.

 
Main brands/companies for which the firm is an authorized dealer/representative:

Please add one Brand/Company per entry.

 
List of major previous projects:

One listing is obligatory; maximum five (500 characters maximum for each project description). Please add one Project per entry.

   
 
LOGIN INFORMATION
User Name: *
Password: *