P R O C U R E M E N T D E PA R T M E N T

S U P P L I E R R E G I S T R AT I O N A P P L I C AT I O N

S U P P L I E R R E G I S T R A T I O N F O R M

COMPANY DETAILS Full Company Name Commercial Registration Number

VAT Number Zakat Number Mailing Address Website Country City P.O. Box Zip Code Telephone Fax

CONTACT DETAILS CEO Contact Person Designation Mobile Number Email Contact 1 Contact Person Designation Mobile Number Email Contact 2 Contact Person Designation Mobile Number Email

ORGANIZATION TYPE ¨ Sole Proprietorship ¨ Stock Corporation

¨ Limited Liability Company ¨ Partnership Company

¨ Limited Partnership ¨ Other ( )

Years in Business Number of Employees out of KSA

Number of Employees in KSA

Last Year Revenue Last Net Profit TYPE OF BUSINESS o Construction o Manufacturer

o Services o Trader/Distributor

o Consultancy o Other ( )

BUSINESS AREA/S (Please list down products and services being supplied and offered) 1 2 3 4

ACCOUNT DETAILS Bank Name Branch Name Beneficiary Name Account Number IBAN Currency Country Swift Code Other Details

SUPP L I E R R E G I S T R A T I O N D O C U M E N T S

No REQUIRED DOCUMENTS - KSA BASED COMPANIES SUBMISSIONSTATUS

1 Vendor Registration Form 2 NDA - Signed and stamped 3 Code of Conduct - Signed and stamped 4 Company Presentation/Profile 5 Article of Association 6 Valid Commercial Registration Certificate 7 Valid Chamber of Commerce Registration Certificate 8 Valid Zakat Certificate 9 Valid VAT Certificate 10 Valid GOSI Certificate 11 Valid Saudization Certificate 12 Audited Financial Statements for last 3 years 13 List of Completed Projects for the last 5 Years

14 Authorized Signatory Letter identifying the Authorized Company Employees dealing with NEOM

15 Bank letter that shows the Beneficiary Name & Account Details 16 Contractors Government Classification (MOMRA, Saudi Contractors Authority)17 Valid SAGIA Certificate

No REQUIRED DOCUMENTS - NON KSA BASED COMPANIES SUBMISSIONSTATUS

1 Vendor Registration Form 2 NDA - Signed and stamped 3 Code of Conduct - Signed and stamped 4 Company Presentation/Profile 5 Audited Financial Statements for last 3 years 6 Registration License 7 List of Completed Projects for the last 5 Years

8 Authorized Signatory Letter identifying the Authorized Company Employees dealing with NEOM

9 Bank letter that shows the Beneficiary Name & Account Details

I certify that the above information and documents are true, complete and correct.

Name and Designation

Date, Stamp and Signature