Vendor Registration Fee: RM 10, Legal Registration Fee: RM 10, Type of Registration [Please tick ( ) the appropriate box]

APPLICATION FOR VENDOR REGISTRATION WITH

BIG BLUE FOOD CAPITAL SDN BHD Unit 108, Level 4, Wisma Central, Jalan Ampang

50450 Kuala Lumpur Tel: 03-21815393 Homepage: www.bigbluefood.com.my

Vendor Registration Fee: RM 10,000.00 Legal Registration Fee: RM 10,000.00

Type of Registration [Please tick (√)the appropriate box]

New Existing

INSTRUCTION:

1. Please read the instructions carefully before filling up this form.

2. Form should be clearly type/handwritten and send to BIG BLUE FOOD CAPITAL SDN BHD by hand or post together with the supporting documents and product catalogues/brochures for the attention of Procurement Unit.

3. Incomplete Application Form will be rejected.

4. Registration does not guarantee vendors are automatically included in the quotation exercise. 5. Please state clearly the category(s) for registration

(Please refer to Vendor Application Guidelines to get the vendor category. Limited to (5) category only)

NOS CODE DESCRIPTION

1. 2. 3.

4.

5.

NOTE: YOUR VENDOR REGISTRATION FORM WILL ONLY BE ATTENDED IF COMPLETE WITH SUPPORTING DOCUMENTS.

(This form must be fully completed by VENDOR)

1.0

COMPANY’s PARTICULARS

1.1 Name of Company :

1.2 Business/Company Registration Nos. :

1.3 Registered Business Address :

1.4 Business Operating Address :

1.5 Correspondence Address :

1.6 Telephone Nos. :

1.7 Fax Nos. :

1.8 E-mail :

1.9 Contact Person(s) & Hand phone Nos. : (i) (ii)

1.10 Nature of Organization : Sdn Bhd

(Please tick where appropriate) Berhad

Enterprise Partnership Sole Proprietor Others (to specify) 1.11 Date & Place of Incorporation : Date :

Place :

1.12 Date of Commencement of Business : Operations

2.0

Malaysian : %

Foreign : %

Status (Please Circle) : Bumiputra/Non Bumiputra/Foreign

3.0

3.1 Capital Structure

(For Sole Proprietor or

Partnership, please specify your company’s capital paid-up)

3.2 Banker’s Name/ Address

: Paid-up Capital

:

Authorised Capital

:

Working Capital

:

:

3.3 Account Nos.

:

4.0 COMPANY’s REGISTRATION

Registered with

:

(Please tick the Malaysia

appropriate box)

Pusat Khidmat Kontraktor Professional Bodies

(PKK) (Please specify below)

Others (Please specify below)

5.0

Please specify credit/payment term offered to BIG BLUE FOOD CAPITAL SDN BHD if your company is successfuly registered as Approved Vendor List. (Please tick the appropriate box)

45 days from the date of receipt undisputed invoice & its relevant supporting document. 60 days from the date of receipt undisputed invoice & its relevant supporting document.

Others: Date of payment is not later than 22nd _{day of the month. [Means an invoice issued for the} period of 1st _{November, till 31}st _{November, the payment of the said invoice will only be made NOT} LATER THAN 22ND _{OF THE FOLLOWING MONTH.}

5.0 CATEGORY OF PRODUCT

1. Seafood Salmon Prawn Tuna Lobster

Squid Others: _____________________

2. Frozen Lamb

Meat Chicken

3. Fresh Lamb Meat Chicken 4. Live Stock Cattle Goat Sheep Chicken

Other 6.0 CATEGORY OF SERVICES

1) CONTRACT FARMING 2) SUPPLY OF LIVESTOCK

a. Cattle b. Chicken c. Others

Please Specify: __________________________ 3) SUPPLY OF FRESH MEAT

a. Lamb b. Beef c. Chicken d. Others

4) SUPPLY OF FROZEN MEAT a. Lamb b. Beef c. Chicken d. Others

Please Specify: _______________________ 5) INFORMATION TECHNOLOGY

a. Software b. Application c. Maintenance d. Installation e. Others:

Please Specify: _________________________ 6) OFFICE SUPPLY

a. R.O Water b. Stationery c. Others

Please Specify: _________________________ 7) TAXI MANAGEMENT SDN BHD

a. New Taxi Registration b. Inspection

c. Spare parts d. Licensing e. Maintenance f. Others

Please Specify: ________________________ 8) ELECTRICAL

a. Installation

 Lighting

 Printer

 CCTV

 Telephone

 Others

Please Specify: _________________________ b. Maintenance

Please Specify: ______________________ 9) CONSTRUCTION

a. Partition b. Plumbing c. Tiling d. Extension e. Carpeting

f. Others: __________________________ 10) RENOVATIONS

a. Cabinets b. Shelves c. Painting d. Wallpaper

e. Others : __________________________ 11) OTHERS

7.0

7.1 We, the undersigned hereby declare to the best of our knowledge and belief that the particulars furnished under this application are true and accurate. We also authorize BIG BLUE FOOD CAPITAL [M] SDN BHD and its representatives to undertake further investigation if so desired. We also agree that any incorrect information stipulated in this form may render our registration invalid.

Signature :

Name :

Designation :

Date :

Company Stamp :

PRE-SUBMISSION CHECKLISTS

Yes No

Mandatory Supporting Documents for Local Company (1) Vendor Registration Form.

(2) Company’s Profile (Organization Chart, Services Offered, List of past project experience, Product Information & Catalogue) (3) Certificate of Registration and business license with

Kementerian Kewangan Malaysia, PKK, CIDB and/or others.

Additional Documents for Private Limited and Public Limited Company (1) Form 9 / Form 13 – Company Registration

(2) Form 24 – Return of Allotment of Shares (3) Form 49 – Director’s Details

(4) Audited Account for the last Financial Year

Additional Documents for Sole Proprietor/Partnership

(1) Company Registration Certificate from Companies Commission of Malaysia (SSM)

(2) Business Information & Current Owner

(3) Company Renewal of Registration Certificate from Companies Commission of Malaysia

(4) Income Statement & Balance Sheet for the last Financial Year Preferable Supporting Documents for Non Local Company (1) Oversea Certificate of Registration

(2) Memorandum of Article (M&A) (3) List of Directors

(4) Audited Account for the last Financial Year

NOTE:

Scanned documents must be duly verified by the Company’s authorized Personnel or “Certified True Copy” by the authorized party.

Logistics 1) Shipping 2) Forwarding 3) Transport

a. Reefer container b. Cold Truck 4) Warehouse

a. Cold Room b. Chiller c. Freezer

JAKIM Requirements (Eligible Halal Confirmation Certificate) 1) Manufacturer / producer

2) Distributor / trader

3) Sub contract manufacturer 4) Repackaging

5) Food premise

6) Abattoir / Slaughterhouse 7) Halal Certificates

8) GMP Requirements 9) HACCP Requirements

Department of veterinary services Malaysia

1) Abattoir auditing and overseas processing plant

2) Meat inspection under Arahan Prosedur Tetap Veterinary Malaysia (APTVM) 23(f) 1/2013 3) Animal inspection under APTVM 23 (e) 1/2013

4) Animal product inspection APTVM 23 (c) 1/2011

6) Import and export of animal and animal product APTVM 17 (c) 1/2011 7) Approval for slaughter 21 (a) 1/2010

8) Temporary registration of animal quarantine station APTVM 17 (b) 1/2009 9) Vaccine registration APTVM 15 (a) 1/2011

10) Animal quarantine process APTVM 17 (a) 1/2011

11) Registration of permanent identification marks of animals APTVM 2 (34) 1/2015