General Information
Company Name *
Main Contact *
Title/Position
Address *

Telephone *
Mobile
Fax
Email *
Website

Company Information
Average annual turnover
Typical value of projects undertaken	<$1,000 $1,000 - $5,000 $5,001 - $10,000 $10,001 - $25,000 $25,001 - $50,000	$50,001 - $200,000 $200,001 - $400,000 $400,001 - $1M $5M + Over $10M
% Turnover with Defence *
% Turnover you would like with Defence in the next 12 months *
Total Full Time Equivalent Employees (FTEs) *
Total Contract Employees *
Please put a brief description of your business
Please list 5 key words that reflect the services your business offers

Safety
Do you have a documented safety management system?	Yes No
If yes, please specify and provide evidence
Does your company have an acredited safety rating?	Yes No
If yes, state the rating system and the level achieved

Quality
Does your company have a quality system?	Yes No
If yes, please specify
If your quality system certified?	Yes No
If yes, specify Quality Certification Type, Certifying Authority and Certification No.

Liability
Do you have public liability insurance?	Yes No
Do you have professional indemnity insurance?	Yes No

Export
Do you export?	Yes No
If yes, what % of turnover is export?
To which countries?

Defence
Is your company pre-qualified/approved to undertake work for NZDF?	Yes No
Do any of your staff have security clearance?	Yes No
If yes, specify who and to what level
If no, would you be prepared to undergo relevant checks?	Yes No