NIGERIAN NATIONAL PETROLEUM CORPORATION
COOPERATIVE MULTIPURPOSE SOCIETY LAGOS
APPLICATION FOR REGISTRATION
AS A CONTRACTOR TO THE
SOCIETY
This document is the property of
NIGERIAN NATIONAL PETROLEUM CORPORATION
COOPERATIVE MULTIPURPOSE SOCIETY, LAGOS
WARNING
This form is given out
Free of charge. Any
person found selling
it or charging money
for it will be
prosecuted.
NIGERIAN NATIONAL PETROLEUM CORPORATION
MULTIPURPOSE SOCIETY, LAGOS
APPLICATION FOR REGISTRATION AS A CONTRACTOR
FOR THE SOCIETY
PART 1
The Secretary,
Nigerian National Petroleum Corporation
Cooperative Multipurpose Society, Lagos,
23A Adeyemi Lawson,
Ikoyi, Lagos.
Sir,
I/We hereby apply to be registered as a contractor for your Society in the category
indicated herein.
Attached hereto is a photocopy of the receipt issued by your Account department for the non-
refundable registration fee pertaining to the category of my/our registration.
I/We agree that registration with the Society does not in any way guarantee the registered
contractors any form of work for the society. The society is not precluded from placing any of its
work on an open tender whereby registered and unregistered contractors would be free to bid for
the work.
I/We also declare that the information given herein are true and correct, and however
understand that any false information given about myself/ourselves will lead to my/our
disqualification or subsequent cancellation of any award to me/us at the full discretion of the
Society.
This application is accompanied by:
1. A reference letter from my/our bank
2. A photocopy of my/our tax clearance certificate
3. A photocopy of certificate of incorporation of my/our company
4. Curriculum vitae of my/our key personnel (application to consulting companies only)
…………………………………………………….. ………………………………………………
Name of the Company CEO
………………………………………………
Date
PART II
N.B:
Registration for more than one area of specification can be effected by completing one or more
registration forms.
(All applicants not duly registered would be informed accordingly).
1. Name of applicants/company……………………………………………………………………………………….……
…………………………………………………………………………………………………………………………………………
2. Are you doing business as an individual? …………………………………………………………………………
…………………………………………………………………………………………………………………………………………
3. Are you in partnership with any individual/firm/company ………………………………………………...
…………………………………………………………………………………………………………………………………………
4. If so, what is the name and address of the individual/firm/company? ([Link]- P.M.B not
applicable)
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
5. Are you doing business as firm or company?...................................................................................................
6. If so, give full name and address of your firm/Company [Link] not accepted) ……………………
…………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………....
7. Is the firm/Company registered or incorporated?
………………………………………………………………………………………………………………………………………....
8. What was date of registration? …………………………………………………………………………………………..
9. (Photocopying of certificate of registration to be attached). How long have you been in
business? ………………………………………………………………………………………………………………………….
10. Are you registered as a contractor for any other large organization like NNPC?.............................
11. If so, give name and address……………………………………………………………………………………………….
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
12. Give brief details of the type and value of work you have done since the past 24 months
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
13. Give brief details of the areas of specialization……………………………………………………………………
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
14. What is the highest value of job you have done so far? Give details.
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
15. Have you paid the requisite registration fees to the Account department of NNPC
Cooperative Multipurpose Society, Lagos? …………………………………………………………………………
16. If so quote details………………………………………………………………………………………………………………
(Photocopy of receipts to be attached)
Yours faithfully
Official Designation
Official Rubben Stamp
NB:
ALL MANNER OF CONTRACTS ARE FOR 2+1 YEARS AND NO ANNUAL RENEWAL FEES REREQUIRED
PART III
(For official use only)
The Secretary, Management Committee
Nigerian National Petroleum Corporation
Cooperative Multipurpose Society, Lagos
23A Adeyemi Lawson,
Ikoyi, Lagos.
I have examined the information supplied by the applicant for the registration as a contractor and
hereby confirm that the company has satisfied/has not satisfied all the criteria for registration. I
therefore recommend that the company be registered.
Secretary, Management Committee
The application for registration as a contractor in category……………………………………………………………
By…………………………………………………………………………………………… is hereby approved/ disapproved.
Please issue the necessary certificate for my signature. Please inform the company accordingly.
Secretary, Management Committee