form:Preferred Supplier - Cooke & Dowsett Pty Ltd

COMPANY DETAILS

Legal Entity:(Required)

Trading Name:

ABN:(Required)

Company Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company Registered Address (if different to above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Years Trading:

ACCOUNT DETAILS

Title of Account:(Required)

Account Number:(Required)

BSB Number:(Required)

Proof of Bank Account(Required)

Proof of Bank Account is required before any payments can be made to your nominated account. This can be in the form of deposit slip, an extract from a bank statement, or bank details on a company letter head signed by CFO/Director. Please attach proof of Bank Account:

Max. file size: 128 MB.

Accounts Contact:(Required)

Accounts Phone Number:

Accounts Contact Email:(Required)

REFERENCES

Have you previously worked for the Cooke & Dowsett Plumbing Group (CDPG)?

If yes provide details; if no please provide 3 references below:

Yes

Please detail previous work completed for CDPG:

REFERENCES

Please list 3 references below:

Reference 1:

Company:

Contact Name:

Phone Number:

Reference 2:

Company:

Contact Name:

Phone Number:

Reference 3:

Company:

Contact Name:

Phone Number:

SUPPLIER TYPE

Social Benefit Supplier

Are you a business that trades to intentionally tackle social problems, improve communities, provide people access to employment and training, or help the environment and derive most of the income from trade, not donations or grants and use at least 50% of their profits to work towards their social mission.

Yes

Is your business a social enterprise, certified by Social Traders (www.socialtraders.com.au) or listed on the online social enterprise Map for Impact (www.mapforimpact.com.au);

Yes

Is your business aligned to or an Australian Disability Enterprise (ADE) listed with Buy Ability (www.buyability.org.au) and providing ‘supported employment services’ as defined in section 7 of the Disability Services Act 1986 (Cth); or is an Aboriginal Business, verified by Supply Nation (www.supplynation.org.au) or Kinaway (www.kinaway.com.au)

Yes

Mainstream supplier: A company that is not a social benefit supplier?

Yes

MODERN SLAVERY:

Does your business adhere to the Modern Slavery Act 2018 (Cth)?

Yes

Have you established a policy and /or procedure for suppliers and partners in your supply chain to reduce the risk of modern slavery?

Yes

Please provide a copy of Modern Slavery policy/procedure

Max. file size: 128 MB.

What is the Primary Country your company sources its products from?

TRAINING PROVIDER

Are you a training provider?

Yes

Please provide details:

LOCATION/SERVICES

Please select all of the locations you service:

VIC

QLD

NSW

TAS

ACT

Please select all of the materials you supply:

Pipe & Fittings

Concrete Pipe

Valves

Meters

Hot Water Units

Sanitary Fixtures

Quarry Items

Grates

Lagging

Pits & Manholes

Pumps

Tanks

Clips & Fixings

Other

Please provide further details on Other materials:

SOCIAL PROCUREMENT

How many full-time employees does your company employ?

Does your company employ Apprentices / Trainees?

Yes

Provide year status of Apprentices (i.e.1st, 2nd, 3rd or 4th)

Are any Mature Age Apprentices?

Yes

Do you employ Trainees or Cadets?

Yes

Does your company currently employ any of the following:

Aboriginal or Terres Strait Islander

Disadvantaged and or persons with a disability

Women in Construction

Ethnicity / Migrants

Other

Please provide further details

Does your company engage / procure from a social benefit Supplier to supply labour, goods or services?

Yes

Please provide further details

AUTHORISED PERSON ACKNOWLEDGEMENT

By clicking on Submit below, you acknowledge that you are an authorised person acting on behalf of the named business above, and hereby confirm that all information noted in this document is accurate, true and current at the time of signing.(Required)

Please note the following CDPG account conditions:
All invoices/progress claims are to be emailed through as single PDF document to [email protected]
CDPG will not be held responsible for delays in processing/payment where this process was not adhered to.
All statements are to be emailed to [email protected]
CDPG payment terms are 45 days end of month.

I understand and acknowledge.

Date:(Required)

MM slash DD slash YYYY

Name:(Required)

First Last

Position:(Required)

Contact Number(Required)

Email:(Required)

Additional information/comments:

+61 3 9365 7000

Preferred Supplier

COMPANY DETAILS

ACCOUNT DETAILS

REFERENCES

REFERENCES

Reference 1:

Reference 2:

Reference 3:

SUPPLIER TYPE

Social Benefit Supplier

MODERN SLAVERY:

TRAINING PROVIDER

LOCATION/SERVICES

SOCIAL PROCUREMENT

AUTHORISED PERSON ACKNOWLEDGEMENT

Contact Us

+61 3 9365 7000

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