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本辦公室檔號:

Our Ref.:

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使用「電子採購系統(採購通)」登記申請書(適用於工程採購) Application Form for the Use of the e-Procurement System (GovProcurement) (Applicable to Works Procurement)

申請者須知 Notes to Applicant

如貴公司已是發展局認可公共工程承建商名冊或認可公共工程物料供應商及專門承造商名冊所列的認 可承建商,而只希望登記使用電子服務,則無須塡寫申請書的第一部份及無須遞交業務證明文件。 If you are already an approved contractor of the List of Approved Contractors for Public Works or the List of Approved Suppliers of Materials and Specialist Contractors for Public Works under the Development Bureau, and would only like to enroll to use e-Services, you do not need to fill out Part I of the application form and do not require to submit a copy of business documents.

表格填妥並遞交後,貴公司的申請將會轉交適當部門處理。我們會盡快通知貴公司有關的申請結果。 After completing and submitting this form, your application will be passed to appropriate departments for further processing. We will inform you of the result about your application as soon as possible.

請填妥本申請書及交回: This form should be completed in FULL and returned to:

發展局

Development Bureau

電郵地址: eprocurement@devb.gov.hk

E-mail:

eprocurement@devb.gov.hk

傳真號碼: 2521 9682

Fax No.:

2521 9682

第一部份 -- 公司資料 PART I - DETAILS OF THE COMPANY

 

公司名稱:

 
 

Name of Company:

 

地址:

 
 

Address:

 

電話號碼:

 
 

Tel. No.

 

傳真號碼:

 
 

Fax No.

 

電郵地址:

 
 

E-mail

 
 

公司網址 (如適用):

 
 

Company Website (if applicable)

回答有關合約問題的聯絡人 (請提供最少一名)Persons to contact on matters relating to contracts (at least one person):

   

稱謂 Title

姓名 Name(s)

 

職位 Official Capacity

電話號碼 Tel. No.

 

*Mr / Miss / Ms

 
 

*Mr / Miss / Ms

 
 

*請選擇適用稱謂 (Select appropriate title)

         

ePS APForm (Works Tender) Version 1.1 (April 2018)

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第二部份 -- 登記使用電子服務 PART II - ENROLLMENT TO USE E-SERVICES

 

貴公司會否登記使用「電子採購計劃」所提供的電子服務? Do you want to enroll to e-Services under the e-Procurement Programme?

 

Yes (如選擇”, 貴公司必須於第三部份選擇同意接收電子訊息並提供主帳戶的聯絡

   

人名稱及電郵地址。有關的啟動帳戶編號和個人密碼會另行通知。) (If you have selected “Yes”, you also need to select “Agree to Receive Electronic Messages” in “Part IIII” and provide the Contact Name and Email for Master Account. We will then provide an Activation ID and a PIN to you.)

   

聯絡人名稱:

   

Contact Name:

   

電郵地址:

   

Email:

 

不會 No

 
   

第三部份 -- 接收電子訊息聲明 PART III - RECEIVING ELECTRONIC MESSAGES DECLARATION

 

本人現同意香港政府在合適情況下向本公司發出投標邀請。本人明白邀請可由香港政府以郵件或電子方式(如 電子郵件或傳真)發送。 I hereby agree the Government to send invitations to tender invitations to our company whenever such opportunity arises. I understand that the invitations may be sent from the Government by mail or electronic means such as email or fax.

 

同意接收電子訊息 Agree to Receive Electronic Messages

       
 

不同意接收電子訊息 Not Agree to Receive Electronic Messages

       

ePS APForm (Works Tender) Version 1.1 (April 2018)

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第四部份 -- 業務證明文件 PART IV - BUSINESS DOCUMENTS

若持有有效的香港商業登記證,請連同此申請書一併遞交該有效商業登記證的副本,以供本辦公室參考和存照。 If you have a valid Hong Kong Business Registration Certificate, please submit a copy of that valid Business Registration Certificate together with this application form for reference and record.

第五部份 -- 證明 PART V - CERTIFICATION

本人謹代表上述公司,申請成為電子採購通的使用帳戶(1),接收投標邀請。本人明白倘若故意在本表格內提供任何虛 假資料,可使本公司喪失申請資格,即使申請已獲批准,也會被即時在帳戶名冊中除名。

I, on behalf of the above company, apply for being a user of the e-Procurement System (Note 1) for receiving tender invitations. I understand that any willful submission of false information by means of this form will result in our disqualification and, in such case, our company will be removed from the user list forthwith despite successful application.

 

受權人簽署:

 
 

Authorised Signature

 
       
     
 

姓名(正楷):

 
 

Name in block letters

 
       
 

職銜:

 
 

Designation

 
       
 

公司名稱:

 
 

Name of Company

 
       
 

電話號碼:

 
 

Tel. No.

 
       
 

傳真號碼:

 
 

Fax No.

 
       

(公司印鑑)

日期:

(Space for company chop)

Date

(註 1 :如必要的話,參與局/部門可以要求供應商提供補充資料。 ) (Note 1: The participating bureaux/departments may request for supplementary information as deemed necessary.)

ePS APForm (Works Tender) Version 1.1 (April 2018)

資料用途 Purpose of Collection

備註

NOTES

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本表格內填報的資料 (包括個人資料),會供政府審批有關登記成為參與使用採購通的申請,以便日後邀請投標之用。

The data (including personal data) provided by means of this form will be used by the Government for consideration on the application for being the user of the e-Procurement System for tender invitation.

資料轉介 Transfer of Data

本表格內填報的資料 (包括個人資料),可能會向其他政府部門或非政府機構披露。

The data (including personal data) you provide by means of this form may be disclosed to other government departments and non-government organizations.

查閱個人資料 Access of Personal Data

根據《個人資料(私隱)條例》第 18 條、第 22 條及附表 1 6 原則,你有權查閱及更正個人資料,包括索取本表格 內填報資料的副本。

You have the right of access and correction with respect to personal data as provided for in sections 18 and 22 and Principle 6 of Schedule 1 of the Personal Data (Privacy) Ordinance. Your right of access includes the right to obtain a copy of your personal data provided in this form.

查詢 Enquiries

如欲查詢本表格內的資料,包括查閱途徑及更正資料,請以下述方式與我們聯絡:

Enquiries concerning the personal data collected by means of this form, including the making of access and corrections, should be addressed to:

發展局 Development Bureau

電話號碼: 3509 8322 Tel:

傳真號碼: 2521 9682 Fax:

電郵地址: eprocurement@devb.gov.hk Email:

ePS APForm (Works Tender) Version 1.1 (April 2018)