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Nasittuq Corporation

Nasittuq Corporation

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Home > Doing Business With Us > Vendor registration form

Vendor 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?


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

Address of Company:


Key Contact:

Name:(Required)

Is your SHIP FROM address different from above?


Please indicate your ship from address if different from above.

Address of Company:


Supply Chain Contact:

Name:


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)
(select all that apply)


Health, Safety and Environment

Does your company have an employee safety program?(Required)
Does your company have an HSE policy document?(Required)
Do you track HSE performance statistics?(Required)
Does your company have an Environmental Program?(Required)


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.



Products and Services Information



Ordering Process Information

Do you have electronic order tracking?(Required)
Do you have an online quote system?(Required)
Product Inventory(Required)
Do you maintain a local inventory? (If yes, please specify).



Delivery Process

Can you deliver to multiple sites?(Required)
(If yes, please specify).
Is your company certified for TDG (transport of dangerous good) with documentation by air to meet I.A.T.A (International Air Transport Association)?(Required)
Can you provide emergency delivery within 24 hrs of notification?(Required)
Are you currently doing shipping to Northwest Territories / Nunavut?(Required)
(If yes, please specify carrier(s) used land or air or both).
Are you registered to a quality system?(Required)
(If yes, please provide registration date/ valid until & certificate number).
MM slash DD slash YYYY
Has your company ever conducted business with Nasittuq(Required)
(If yes, please provide details below).

The information submitted in this form is protected, as per our Privacy Policy.

Nasittuq Corporation

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

Phone: (613) 234-9033

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