Supplier Registration
Coronado Australia Holdings Pty Ltd (CAH)
Were you directed by a Coronado representative to register as a supplier?
*
Yes
No
Please provide the name of your Coronado representative
If you selected Yes to question above
1. Company Details
Trading Name (as per invoice)
*
Country
ABN | Tax Registration Number | International Tax Number
*
Organisation Type
Foreign Company
Government Agency
Partnership
Sole Trader
Other
Provide a description of the goods / services you will provide to Coronado.
*
2. Contact Details
Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Organisation Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is this address used for (select at least 1 purpose)
*
Receive Purchase Order
Receive Payments
Bid on RFQs
3. Business Classification
Select a classification or confirm that none are applicable
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Donation-Sponsorships
Government
Indigenous Owned
International Company
Labour Hire Licence
Marketing
Modern Slavery
Not for Profit
None are applicable
Is your business registered as an Indigenous-owned corporation?
Yes
No
If yes, please provide your Indigenous Corporation Number (ICN)
Is 50% of your business Aboriginal / Torres Strait Islander-owned?
Yes
No
4. Bank Details
Rows
Bank Account Details
Account Name
BSB
Account Number
SWIFT / IBAN
Bank Name
Currency
Attachments of evidence required for Bank Details (provide one of the following):
*
Copy of void bank deposit slip (supporting documents are required)
Copy of top section of the relevant bank accounts statement (supporting documents are required)
Bank account details on company letterhead with original (wet) signature authorised by Chief Finance Officer, Owner or a Director
Bank details file upload
*
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5. Questionnaire
Are you registered for GST?
*
Yes
No
Does your organisation commit to accept Purchase/service orders electronically with Coronado Australia Holdings and accept payment by EFT?
*
Yes
No
Are you a small business?
*
Yes
No
Total number of employees employed by your organisation
*
Is your organisation free from ever being placed into administration (current and/or previous names)?
*
Yes
No
Is your organisation free from any threatened liquidation, wind up proceedings or pending investigation, enquiry, complaint, claim, prosecution or other legal or administrative proceedings relating to any of the above policies and/or non-compliance therewithin or any other failure to maintain, implement and/or adhere to appropriate policies (current or previous names)?
*
Yes
No
Does your organisation have Public Liability Insurance of minimum $10M?
*
Yes
No
Does your organisation have Professional Indemnity Insurance MINIMUM $1M for any one claim (consultants only)
Yes
No
Insurance file upload
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This organisation has reviewed, acknowledges and accepts Coronado Purchase order Terms and Conditions and company policies. (Note that the Standard Purchase Order Terms and Conditions and company policies may change from time to time). Refer section 6
*
Yes
No
This organisation has reviewed and acknowledges the Curragh Anti-Corruption Expectations for Business Partners and agrees to abide by these requirements (refer Section 6).
*
Yes
No
This organisation agrees to at all times comply with all applicable Laws relating to anti-bribery, and improper payments, anti-slavery and human trafficking laws including but not limited to the Criminal Code Act 1995 (Cth) (Australia), the Foreign Corrupt Practices Act 1977 (United States), and the Bribery Act 2010 (United Kingdom), the Modern Slavery Act 2018 (Cth) and the Modern Slavery Act 2018 (NSW)? (refer Section 6).
*
Yes
No
Do you acknowledge and agree not to commence work, nor provide any goods or services until you receive a valid Contract and/or Standard Purchase Order?
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Yes
No
Are your goods or services intended to be carried out at a Coronado Mine Site now or in the future?
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Yes - Onsite
No - Offsite
Both
We hereby confirm that the information provided is accurate and reflects our company structure, practices and capabilities. We understand that should the company's profile change, we may be required to update and re-submit the Vendor Prequalification documentation. We acknowledge the right of Coronado to verify our conformance by audit.
*
Yes
No
6. Referenced Documents
Coronado Australia Holdings - Purchase Order Terms and Conditions
Coronado Company Policies
Coronado Global
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