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Page of total pages FEDERATION INTERNATIONALE DES INGENIEURS-CONSEILS INTERNATIONAL FEDERATION OF CONSULTING ENGINEERS FIDIC INTERNATIONALE VEREINIGUNG BERATENDER INGENIEURE Standard prequalification form for contractors Name and address of the contractor: Name of the employer Title and location of the project Name of the engineer: Date: Peoe A AB Prequalification form Page of _ total pages ooh oN H Project: Company: Notes to applicants Please answer all questions Supplementary pages may be photocopied and inserted if required. Please number each page in the space provided at the top of each page. Please retain a copy of your complete submission. If a joint venture is proposed, all companies are to respond to all questions. * Project financial data is to be given in US dollars unless otherwise requested, Standard pages A Title page 5 H_ Resources: personnel 2 B_ Notes 1 Resources: plant Structure and organisation 1 J_ Resources: other D Structure and organisation 2 K Experience: geographical E Financial statement L_ Experience: relevant projects completed F Joint Venture M Experience: projects in progress G Resources: personnel 1 N_ Additional information Please list below any additional pages attached to each standard page: oY EBB Preauattcation tom Page of __ total pages Project: Company: Structure and organisation 2 ————— 7 Names anc addresses of any associates the company has in the country of the project, knowledgeable in the procedures of customs, immigration etc.: 8 lease indicate here or attach an organisation chart showing the company structure inclu- ding the positions of directors and key personnel, if relevant Page D

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