Foreign_Vendor_Information_Sheet_AFRICOM.pdf

PDF 640 KB Posted Dec 12, 2019

Attached to: AL20 Basic Life Support (BLS) Services - Tunisia
Solicitation number: W56PFY20Q0003
Issued by: Department of the Army Materiel Command Expeditionary Contracting Command

About this file

Written by GovTribe AI · Dec 27, 2023

This document contains a foreign vendor information sheet and details of a related federal contract opportunity. The foreign vendor information sheet requests business and ownership information from foreign companies for US AFRICOM, including company name, address, registration details, number of employees, annual revenue, nature of business, ownership and key employee information. The related federal contract opportunity is for basic life support services in Tunisia in support of the African Lion 2020 exercise. The solicitation number is provided, along with details that the Army Materiel Command Expeditionary Contracting Command is the contracting agency. Interested offerors are instructed to review the attached documents for complete requirements.

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File	Type	Posted
W56PFY20Q00030001, Conform Copy Sol Amend 1 - BLS Tunisia1.pdf	PDF	Dec 12, 2019
W56PFY20Q00030001, Sol Amend 1 - BLS Tunisia.pdf	PDF	Dec 12, 2019

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US AFRICOM Foreign Vendor Information Sheet

Please attach copies of Passport or National ID for all owner(s) and key employee(s). Please ensure all fields are completely filled out. This form will not be accepted if there is missing information or documents.

Official Business Name

Doing Business As Name

Country Incorporated / Registered Date Business Commenced

Business Commercial Registration Number

DUNS (if applicable) CAGE / NCAGE (if applicable)

Complete Business Address Complete Mailing Address

Company Contact(s) Information:

Position Name Phone Email Other Phone

Type of Business (Corporation / LLC / Sole Proprietorship / Partnership / etc…)

Number of Employees

Annual Revenue (USD / CFA / TND / EURO / RWF / etc…)

Nature of Business (Industry / Transportation / Construction / Logistics / etc…)

Additional Business Locations (Inventory / Trading / Registered in Other Countries)

Trading / Inventory Location Name Address Own / Rent

Owners Information (attach copy of passport or National ID) First Name Middle Name Last Name Amount of Capital

Contributed Ownership Start Date

% of Business / # of Shares

Key Employee’s Information (attach copy of passport or National ID) First Name / Middle Name Last Name Position Work Phone

Number Mobile / Other Phone Number

Banking Information for Electronic Funds Transfer (note your bank must accept USD / if an intermediary bank is used, please provide information below)

Bank Name Bank Address Account Number SWIFT Code / IBAN

Intermediary Bank Information

Parent Company Name / Address (if applicable)

Subsidiaries Name / Address (if applicable)

Formerly Operated As Name / Address (if applicable)

PositionRow1:

NameRow1:

PhoneRow1:

EmailRow1:

Other PhoneRow1:

PositionRow2:

NameRow2:

PhoneRow2:

EmailRow2:

Other PhoneRow2:

Trading Inventory Location NameRow1:

AddressRow1:

Own RentRow1:

Trading Inventory Location NameRow2:

AddressRow2:

Own RentRow2:

Trading Inventory Location NameRow3:

AddressRow3:

Own RentRow3:

First NameRow1:

Middle NameRow1:

Last NameRow1:

Amount of Capital ContributedRow1:

Ownership Start DateRow1:

of Business of SharesRow1:

First Name Middle NameRow1:

Last NameRow1_2:

PositionRow1_2:

Work Phone NumberRow1:

Mobile Other Phone NumberRow1:

First Name Middle NameRow2:

Last NameRow2:

PositionRow2_2:

Work Phone NumberRow2:

Mobile Other Phone NumberRow2:

First Name Middle NameRow3:

Last NameRow3:

PositionRow3:

Work Phone NumberRow3:

Mobile Other Phone NumberRow3:

Bank NameRow1:

Bank AddressRow1:

Account NumberRow1:

SWIFT Code IBANRow1:

Business Name:

DBA:

Country Incorporated:

Date Business:

Registration Number:

DUNS:

CAGE / NCAGE:

Business Address:

Mailing Address:

Type of Business:

Number of Employees:

State Currency:

Nature of Business:

First Name Row 2:

Middle Name Row 2:

Last Name Row2:

Capital Contributed:

Text19:

Text20:

First Name Row3:

Middle Name Row3:

Last Name Row3:

Text24:

Text25:

Text26:

Intermediary Bank Information:

Parent Company:

Subsidiaries:

Formerly Operated As:

File details come from the government source that posted it. Updated Dec 12, 2019.