供尚未啟動(dòng)電子服務(wù)帳戶的供應(yīng)商申請(qǐng)

1、注意 Notes1. 供尚未啟動(dòng)電子服務(wù)帳戶的供應(yīng)商申請(qǐng)。For supplier who has not activated the e-Services account.2. 請(qǐng)用正楷填寫申請(qǐng)表格，並在適當(dāng)方格加內(nèi)“P”。Please complete the application form in BLOCK LETTERS and place a“P” mark where applicable.3. 請(qǐng)把已填妥的表格交回電子採(cǎi)購(gòu)試點(diǎn)計(jì)劃辦公室(傳真：28276646或電郵：.hk)。Please return the completed form

2、 to E-Procurement Pilot Programme Office (FAX 28276646 or Email: .hk).4. 如閣下於兩個(gè)工作天後仍無(wú)法收到我們的確認(rèn)，請(qǐng)聯(lián)絡(luò)我們的服務(wù)熱線 81070608。If you cannot receive our confirmation after 2 working days, please contact our hotline service at 81070608.甲組 - 公司資料 Section A - Company Information聯(lián)絡(luò)人姓名:Contact Pers

3、on Name:供應(yīng)商號(hào)碼 (如適用) Supplier Code (if applicable):聯(lián)絡(luò)人電話號(hào)碼Contact Tel. No. 聯(lián)絡(luò)人傳真號(hào)碼Contact FAX No.:公司名稱 (英文) Company Name (English)乙組 - 申請(qǐng)事項(xiàng) Section B Request Item 乙1. 重發(fā)啟動(dòng)帳戶編號(hào) B.1 Reissue Activation ID乙1.1.電郵地址 B 1.1 Email Address乙1.2 申請(qǐng)重發(fā)啟動(dòng)帳戶編號(hào)的原因 B 1.2 Reason for Activation ID reissuance乙1.2.1啟動(dòng)帳戶編

4、號(hào)已過(guò)期B 1.2.1 Activation ID has expired.乙1.2.2未能收到啟動(dòng)帳戶編號(hào)B 1.2.2 Cannot receive the Activation ID 請(qǐng)?zhí)峁┮韵沦Y料以作參考Please provide the following information for reference乙互聯(lián)網(wǎng)服務(wù)供應(yīng)商名稱B Name of Internet Service Provider乙電子郵件伺服器由互聯(lián)網(wǎng)服務(wù)供應(yīng)商提供B Email server is provided by Internet Servic

5、e Provider 是Yes 否No 乙1.2.3其他，請(qǐng)?jiān)]明B 1.2.3 Others, Please specify 乙2. 重發(fā)個(gè)人密碼 B.2Reissue PIN乙2.1郵遞地址 B 2.1 Postal Address乙2.2申請(qǐng)重發(fā)個(gè)人密碼的原因 B2.2 Reason for PIN reissuance. 乙2.2.1個(gè)人密碼已過(guò)期B 2.2.1 PIN has expired. 乙2.2.2未能收到個(gè)人密碼B 2.2.2 Cannot receive the PIN. 乙2.2.3其他，請(qǐng)?jiān)]明B 2.2.3 Others, Please specify丙組 - 證明 S

6、ection C CERTIFICATION注意 Notes本人明白倘若故意在本表格內(nèi)提供任何虛假資料， 貴 署/部門可於供應(yīng)商名單中移除本公司。I/We understand that any willful submission of false information by means of this form will result in our company be removed from the supplier list.授權(quán)簽署的申請(qǐng)公司代表人Signed for and on behalf of the applicant company(公司印鑑)(Space of Company Chop)簽署:Signature :_姓名(正楷):Name in block letters:_職銜:Designation :_電話號(hào)碼:Tel. No._日期: Date :_電子採(cǎi)購(gòu)試點(diǎn)計(jì)劃辦公室專用 For e-Procureme