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SUPPLIER REGISTRATION FORM

Company Information:



Type of Firm Sole Proprietorship


Partnership Firm


Private Limited Co.


Public Limited






Supplier/Firm/Company Name:
Pagel Pakistan Pvt. Ltd.
Contact person:
Asad Zafar
Address:
1-A MISC. ZONE. VALUE
ADDITION CITY SAHIANWALA
ROAD KHURRIANWALA
FAISALABAD PAKISTAN

Telephone No:
+92 41 8507212-13
Mobile No:
0344-4449101
Email Id:
Asad@pagelpakistan.com
Fax No:
+92 41 8507214
Number of Employees:
50
Other Office Locations (if any):

Nature of Supply:
Construction Chemicals




Documents: Documents attached
CNIC #:
(In case of sole proprietorship & partnership firm)



Yes/No
National Tax No (NTN #): 2951025-2

Yes/No
General Sales Tax No. (GST #) : 03-00-6810-025-19

Yes/No
Firm/Company Registration No. & Certificate of
Incorporation No. or Partnership Deed:
00000018399/20070702

Yes/No
Trade Membership No. & Chamber of Commerce No: 1405930-1185

Yes/No
Other Attachments:


Financial Statements for the past two years (for annual
transactions above Rs. 1 million, applicable to Private & Public Ltd Co.)

Yes/No
Bank Reference Letter (for annual transactions above Rs. 1 million,
applicable to Private & Public Ltd Co.)

Yes/No
Health & Safety Policy (if any)

Yes/No
Signature on the LP Code of Business Conduct

Yes/No
Signature on the Declaration Signing Form

Yes/No







CLAUSE:
CODE OF BUSINESS CONDUCT

The Lafarge Code of Business Conduct is a set of standards that applies to all employees and officers of the
Lafarge Group worldwide (available on: www.lafarge.com). These standards set out basic rules to guide all
employees and officers in carrying out their day-to-day business duties. The same is expected of all of
Lafarge suppliers worldwide. [The Supplier] warrants that its operations and business strategies are in line
with the principles set out in Lafarges Code of Business Conduct for Suppliers, a copy of which can be found
on www.lafargepakistan.com.pk, by putting in place policies and procedures ensuring that all of its
employees comply and undertake to keep complying, in all respects, with these principles.


Suppliers Bank Account:
Bank Name: Habib Bank Limited (HBL)
Branch: Circular road, Faisalabad
Account #: 000147900886803
Payment Terms:
Through Cross Cheque in favour
of Pagel Pakistan Pvt.Ltd.
Mode of Delivery of Cheque: Courier
Name of Authorized Person to Receive Payment:

References:
(Please provide two current/former customer references)

Company Name 1: Nestle Pakistan

Contact person: Naveed Younas Sb Contact No: 0300-6329408
CNIC #:
Nature of Purchases: Water
proofing/ flooring

Company Name 2: Atlas Honda

Contact person:Sajjad ahmed Contact No: 03008027183
CNIC #:
Nature of Purchases: water
proofing/ flooring/ repairing

For Supply Chain Department
Special Note:
Requester Approver


Name: Name:


Signature: Signature:
For A/P Section (Finance Department)
Supplier No:
Receiving Date: Category:
Date Entered: Approved by:
Uploaded By: Signature:





Date: ____30-5-2014___________
Name of Supplier: ___Pagel Pakistan Pvt. Ltd____________

Dear Suppliers/ Dear Business Partners,
We would like to share with you our Code of Business Conduct dedicated to our Suppliers, hereby attached. We have
prepared this Code of Business Conduct (the Code) to provide our Suppliers a sense of what the Lafarge Group stands
for, and what it expects. It is applicable to all business conducted by the Group anywhere in the world.
The Code makes it clear that we will not tolerate any illegal or unethical behavior in any of our business dealings.
All Lafarge suppliers are required to read, understand and abide by the standards of this Code by signing the
Declaration hereunder. We also strongly recommend you to spread Lafarge standards to your suppliers.
We invite you to ask any questions you may have about interpreting or applying this Code with your Lafarge contact or
members of the Lafarge Ethics and Compliance Team who can provide guidance and assistance.
We thank you for your support to Lafarge in ensuring our commitment to ethics and compliance.
Lafarge Pakistan
Country Supply Chain Director
Syed Saeed Alam
Signature: ________________________

Declaration
I, _____ASAD ZAFAR_____________, hereby declare that I have read and I am in full agreement with the principles and
values enunciated in the Lafarge Code of Business Conduct (the Code) and hereby undertake for myself and/or for
and on behalf of ____Pagel Pakistan Pvt. Ltd_____ to abide by the Code and to extend my/our fullest cooperation to
the Lafarge Group of companies in their implementation of the Code.


Date: 30-05-2014 Company Name: Pagel Pakistan Pvt. Ltd
Name: Asad Zafar Designation: Technical Manager

Signature