SUPPLIER PROFILE FORM
All pages to be completed by the supplier and submitted to UNICEF.
It should be understood that falsified or misleading information could result in the disqualification
of the company as a registered potential supplier for UNICEF.
The requested information is for UNICEF’s internal use only and will be treated as confidential.
UNICEF fully subscribes to the Convention on the Rights of the Child and draws the attention of
potential suppliers to Article 32 of the Convention which inter alia requires that a child shall be
protected from performing any work that is likely to be hazardous or to interfere with the Child's
education, or to be harmful to the Child's health or physical, mental, spiritual, moral or social
development.
Supplier must be in compliance with the National Labour Laws and Regulations with respect to
child employment.
The supplier guarantees that neither the supplier's company, any of its affiliates, nor any
subsidiaries controlled by the supplier's company, is engaged in the sale or manufacture of anti-
personnel mines or of components utilized in the manufacture of anti-personnel mines (taken in
its broader definition
The company, as well as any parent, subsidiary or affiliate companies:
Strive to abide by the UN Supplier Code of Conduct. ( http://www.un.org/Depts/ptd - vendors)
Are not listed in, or associated with a company or individual listed in the UN Security Council
OFFICIALS NOT TO BENEFIT
The supplier warrants that no official of UNICEF has received or will be offered by the supplier any
direct or indirect benefit arising from any future contract.
GUIDELINES ON GIFTS AND HOSPITALITY
Suppliers shall not offer gifts or hospitality to UNICEF staff members. Recreational trips to
sporting or cultural events, theme parks or offers of holidays, transportation, or invitations to
extravagant lunches or dinners are also prohibited. Please note that all decisions on the contracts
are made by a committee and not by any local staff member.
DISCLOSURE OF SANCTIONS OR TEMPORARY SUSPENSION
Have no outstanding or pending bankruptcy, judgment or legal action that could impair a supplier
ability to continue operating as a going concern.
Agents, intermediaries and other persons retained by these companies, as well as all employees
agree to cooperate with the UNICEF survey processes undertaken by them, including providing all
required documents, company records, access to employees, officers and staff, as well as
financial information. Please note that UNICEF will inspect the original documents of copies
submitted with this Form.
I, representing the Company, acknowledge and ensure the Company's compliance with the above
statements:
Name and Title: ______________________________Signature: _____________________
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1.0 Name of Company: __________________________________________________
1.1 Full visitor address: __________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Note: Provide information for all your offices in Pakistan (national and provincial levels). If
required, please attach an extra page. UNICEF deals only with suppliers having established
offices. Therefore, the premises will be visited to confirm.
1.2 Tel: ___________________________1.3 Email address:__________________
1.4 Website: __________________________________________________________
1.5 Contact person authorized to deal on your behalf: Name _____________________
Title______________________ Email__________________ Telephone____________
1.6 Year established: ___________ 1.7 No. of full-time employees: ______________
1.7. Legal registration of the company in Pakistan: Please provide documentation of legal
registration/ certificate of incorporation. The original documents will also be checked
during the selection process. Without the attachment, the suppliers will not be considered
1.8 Type of organization (Mark one X only)
State Enterprise: Private Company: Other (Please specify):
2.0 Parent Company (if applicable): ______________________________________
2.1 Address: _______________________________________________________
2.2 Legal relationship of the parent company to the company (attach documents)
2.3. Year established: ____ 2.4 No. of full-time employees: _______
2.5 Website: __________________________
Financial Information
3.0 Audited Financial Statements (last two years): Please attach or if there is a website, with
the information, this can be stated here: _____________
The statements are to include - a balance sheet, income statements and notes thereto. The
financial statements should be for the company itself, and the parent company, if applicable.
3.1 UNICEF Payment terms are net after delivery of service. Do you accept? Y/N
If no, please mention your Company terms: _________________________________________
Activities
4.0 Provide a complete list of products and services offered by your company related to
solarization in Pakistan. UNICEF deals with the suppliers who have relevant and extensive
experience in the field:
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____________________________________________________________
____________________________________________________________
____________________________________________________________
(UNICEF's preference is to work with suppliers having a minimum of five years of experience.)
4.1 Previous contracts (during the last 5 years) with United Nations/International, Governmental
or Non-Governmental Organizations/Private Companies for the products and services mentioned
by you: (attach only UN or INGO Contracts and the appreciation certificates issued by
any department.)
The vendor must provide a minimum of three references of completed projects of implementation
of large-scale Solar systems within Pakistan for any customer and not necessarily UN or INGOs.
Contract No. Date Value Service Organization address
__________ _____ _________ _________ ____________ ____________________
__________ _____ _________ _________ ____________ ____________________
__________ _____ _________ _________ ____________ ____________________
__________ _____ _________ _________ ____________ ____________________
__________ _____ _________ _________ ____________ ____________________
__________ _____ _________ _________ ____________ ____________________
__________ _____ _________ _________ ____________ ____________________
4.2 Membership of National / International Associations? If yes, please enclose evidence.
I hereby certify that the information provided above and in all the annexures is correct and that
no person in any connection with this establishment, as a supplier for providing material, supplies
or services, or as a principal or employee, is employed by UNICEF, or barred by UNICEF.
I also understand that falsified or misleading information could result in the disqualification of the
company as a registered potential vendor for UNICEF.
Name: ___________________________ Date: ___________________
Title: ___________________________ Signature: ___________________
Company STAMP: ___________________________
Notes:
1. Any Form received without the required supporting documents will not be processed further.
2. ONLY the relevant or necessary documents to be submitted. Highlighted for your ease.
3. In addition to this form, please also attach other documents mentioned in the EoI.
4. The Supplier Profile Forms and supporting documents will be reviewed by an independent technical committee.
Suppliers meeting the requirements will be invited to participate in a tender leading to the establishment of Long
Terms Agreements(s) that will be utilized by UNICEF and all UN Agencies in Pakistan.
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