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Supplier Application Form
COMPANY DETAILS
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Name
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First
Last
Company Name:
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ABN/ACN:
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Street Adress
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Suburb:
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Western Australia
Northern Territory
Queensland
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Postcode
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Contact Name:
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Email
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Telephone:
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ACCREDITATION
Does your Company hold current Quality certification to AS/NZS ISO 9001:2008?
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Yes
No
Does your Company hold current Environmental certification to AS/NZS ISO 14001:2004?
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Yes
No
Does your company hold a current independent certification of an Occupational Health and Safety System, eg ISO 4801:2001?
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Yes
No
SUPPLY OF GOODS OR SERVICES
Please indicate all applicable locations:
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Arthur Gorrie Correctional Centre, QLD
Parklea Correctional Centre, NSW
Junee Correctional Centre, NSW
Fulham Correctional Centre, VIC
Corporate Office, NSW
Nationwide
Please indicate all applicable categories:
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Audiovisual equipment and supplies for education
Barber/beauty shop equipment or supplies
Clothing or other items of apparel
Maintenance services for:
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Correctional equipment
Fire protection equipment
Medical equipment
Radio and telecommunications equipment
Choose Any
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Correctional equipment or supplies
Cleaning supplies
Dairy products
Dental care equipment or supplies
Food products, either fresh or canned
Food services equipment or machinery
Food services supplies (cutlery, dishes, glassware, trays, utensils, etc)
Furniture
Laundry Chemicals
Medical equipment or supplies
Office machines, equipment, supplies
Pest control
Pharmaceuticals
Protective clothing
Radio or telecommunications equipment
Safety equipment
Sporting goods, athletic equipment and products
Television/VCR equipment
Please provide a detailed description of product(s) or service(s)
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