Supplier Contact Details

PQQ For Suppliers

Trading Name:*

Personal Name (If Sole Trader):

Services Offered:*

Areas Serviced:*

Date Established:*

Trading Address:*

Sales Contact Name:

Sales Contact Number:*

Fax:

Main Email Contact:*

Accounts Details

Company Type

National Insurance Number:

Company Registration:*

Enter "None" if Not Applicable

UTR Number:

VAT Number:

Bank Details

Please advise details of bank account you would like payment made to

Bank:*

Account Name:*

Sort Code:*

Account Number:*

Supplier Trading Name:*

Insurances - Public Liability Insurance (Required in all cases)

Name of Insurer:*

Policy Number:*

Expiry Date:*

Limit of idemnity, any one occurrence:*

Aggregate limit of indemnity:

Amount of any excess:

Insurances - Professional Indemnity Insurance (Required if you carry out any design function e.g. electricians)

Name of Insurer:

Policy Number:

Expiry Date:

Limit of idemnity, any one occurrence:

Aggregate limit of indemnity:

Amount of any excess:

Insurances - Employers Liability Insurance (Not required for sole traders)

Name of Insurer:

Policy Number:

Expiry Date:

Limit of idemnity, any one occurrence:

Aggregate limit of indemnity:

Amount of any excess:

Subcontractor Trading Name:

Supplier Trading Name:

Certifications - ISO 9001:2015 Certification (preferred in all cases)

Name of Certification Body:

Certification Number:

Expiry Date:

Certifications - ISO 14001:2015 Certification (preferred in all cases)

Name of Certification Body:

Certification Number:

Expiry Date:

Policies (preferred in all cases)

Data Protection Policy (GDPR) - Date of Issue:

Health & Safety - Date of Issue:

Declaration

I can confirm that all details entered are correct.

Name:*

Position:*

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