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Nasittuq Corporation

Nasittuq Corporation

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Home > Doing Business With Us > Contractor Registration Form

Contractor Registration Form

Step 1 of 3

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If this is an update to an already existing application, please send the updated information directly through email to:


Company Information

Address of Company:(Required)


Key Contact:

Name:(Required)

Is your mailing address for purchase orders and billing different from above?(Required)


Please indicate the correct address for mailing (if different from above) for purchase orders and billing.

Address:(Required)


Billing Contact:

Name:(Required)



Contact for Insurance Information:

Name:

Are you insured?(Required)

Are there any judgments, claims or suits pending or outstanding against your company?(Required)
If Yes, please provide details.

Are you now (or have you ever been) involved in any bankruptcy or reorganization proceedings?(Required)
If Yes, please provide details.


Business Classification & Ownership

(Required)

If Inuit, please state land claim area and include Aboriginal/Inuit certificate/ownership:

Max. file size: 50 MB.


Please select the applicable Security Clearance of your organization:

Please select all that apply:(Required)


Is your Company registered with the Controlled Goods Program (CGP) to handle Controlled Goods? (Canada: Controlled Goods Program)

Is your Company registered with the Controlled Goods Program (CGP) to handle Controlled Goods? (Canada: Controlled Goods Program)
If yes, please provide registration number and expiry date.
MM slash DD slash YYYY


Which provinces/territories are you licensed to do business in? (select all that apply)(Required)


Health, Safety, Environment and Quality

Does your company have an employee safety program?(Required)
Does your company have an HSE policy document?(Required)
Do you track HSE (Health, Safety and Environment) performance statistics?(Required)
Does your company have an Environmental Program?(Required)
Are you registered to a quality system? (If yes, please provide registration date/ valid until & certificate number).(Required)
MM slash DD slash YYYY
Has your company ever conducted business with Nasittuq?(Required)
(If yes, please provide details below)


COMPANY WORK HISTORY AND REFERENCES

Customer Type of Work Size (in $ M) Customer Contact Phone LocationActions
      
There are no Jobs in progress.

Maximum number of jobs in progress reached.

Customer Type of Work Size (in $ M) Customer Contact Phone LocationActions
      
There are no Jobs in the past 3 years.

Maximum number of jobs in the past 3 years reached.



Please select primary category of business:

Category:

Category
Consultant
Contractor

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Nasittuq Corporation

Nasittuq Corporation
1600-275 Slater St, Ottawa, ON
K1P 5H9 Canada

Phone: (613) 234-9033

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