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NJQS Essential Supplier Registration Form.v4

This document provides information and an application form for companies to join the NipeX Joint Qualification System (JQS) as an Essential (Community) Services Supplier. To qualify, applicants must be from an oil producing community in Nigeria, have contract values below $50,000 or N10,000,000, and be a wholly Nigerian owned business. The form collects contact and company information and should be returned to the listed address or email for processing.

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Tracy Grace Julius
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3K views1 page

NJQS Essential Supplier Registration Form.v4

This document provides information and an application form for companies to join the NipeX Joint Qualification System (JQS) as an Essential (Community) Services Supplier. To qualify, applicants must be from an oil producing community in Nigeria, have contract values below $50,000 or N10,000,000, and be a wholly Nigerian owned business. The form collects contact and company information and should be returned to the listed address or email for processing.

Uploaded by

Tracy Grace Julius
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NipeX Joint

Qualification System

This form should only be used by Essential (Community) Services Suppliers.


To apply to join NipeX JQS as an Essential (Community) Services Supplier please fill in the
registration form.
The eligibility requirements for an Essential Services Supplier are:
Be from the oil bearing / oil producing Community
Execute contracts valued at N10,000,000.00 (Ten million Naira) or $50,000 (Fifty thousand
US dollars), and below.
Provide a formal identification by your Local Government Authority.
Operate a wholly Nigerian owned business.
If these statements apply to your company, please complete the form below, and forward it to the
NipeX JQS team. See the Return Address and Contact Information section, below.
Upon receipt of your completed form, we will send you information on how to access the NipeX
JQS website, including your login details, and guidance on how to complete the questionnaire.

1. Contact Person (Please write or type your details clearly, using capital letters)

First Name & Initials: _______________________________________________________________


Surname: _________________________________________________________________________
Job Title: __________________________________________________________________________
Department (if available): ___________________________________________________________
Email: ____________________________________________________________________________

2. Your Company Information


Company name: ____________________________________________________________________
Address: __________________________________________________________________________
Postcode: _________________________________________________________________________
Telephone: ________________________________________________________________________
Fax: ______________________________________________________________________________
Email: _____________________________________________________________________________

3. Return Address and Contact information:


NJQS Team, 30 Lady Oyinkan Abayomi Drive
Ikoyi, Lagos, Nigeria
Tel: +234 1 271 7592 - 4, +234 1 463 0400 - 3
Website: www.nipexng.com
Email: [email protected], or [email protected]
Version 3. 12/08

FS56567

NipeX Joint Qualification System Application Form

Title: _____________________________________________________________________________

NJQS Essential Services Supplier (ESS) Application Form

NJQS Essential Services Supplier (ESS) Application Form

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