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Sitemap : Opportunities > Subcontract Opportunities > International Pre-Qualification Form

ECC International Development Pre-Registration Form

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NOTE: ALL FIELDS MARKED WITH * ARE REQUIRED!

*Contact Name:

First Name Last Name

*Company Name:

*Company Website:

*Address:

*City:

Parish/County:

State:

*Postal/Zip Code:

*Country:

*Phone:

Fax:

Enter only Entity or Business Number

*Entity Registration No.:

*Business License No.:

*Date of Registration:

(required date format: mm/dd/yyyy)
*If only year is known then enter as 01/01/yyyy. Example: 01/01/2003.

NOTE: If you have a spam or junk email filter/folder, where you must add email addresses to a list in order for you to receive email from that particular address, add Webmaster@ecc.net to the list. You must do this before submitting this form or you will not receive the necessary confirmation email to complete the submittal process.

*Email:

*Confirm Email:

You will receive instructions via e-mail on how to confirm your form!

D&B #:

*Services Provided:

Vendor / Supplier
Electrical
Generators
Heavy Equipment
HVAC
Mechanical
Plumbing
Renewable Energy Systems
Water Treatment System

Contractor
Food Systems
Healthcare Systems
Power Infrastructure
Transportation Infrastructure
Water Infrastructure

*Product/Services Description:
(state available personnel and equipment resources)

*Level Of Experience:

*Locations Provided:

South Pacific	Southeast Asia
Northeast Asia	South Asia
Central Asia	Middle East & North Africa
East & South Africa	West & Central Africa
East Europe & Eurasia	West Europe
Central & South America	North America & Caribbean

*Financial Surety Question:
(If providing services, what percentage (%) of the value of the Works are you able to provide as an Irrevocable Letter of Credit (ILOC) to guarantee performance?)

DUNS:

Does your company have a Foreign Corrupt Policy Act and/ or UK Bribery Act policy in place? :

Yes No

Do you have an established Health & Safety program? :

Yes No

* I have read and understood the information contained in ECC's Privacy Policy.

Additional Information

Pre-Qualification Form

Confirm Pre-Qualification Form

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