WMCA SWAP Consortia Provider EOI

1. Company Details

17% of survey complete.

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* 1. Legal Name

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* 2. Application Contact Details

Name

Email Address

Phone Number

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* 3. Trading Name (if different)

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* 4. Registered Office Address

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* 5. Company Status

Public Limited Company

Private Limited Company

Company Limited by Guarantee

Charity / Community Interest Company

Sole Trader

Other (please specify)

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* 6. Companies House Reg No

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* 7. Main Trading Address (if different)

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* 8. UKPRN

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* 9. Please name all Directors and PSCs, as recorded with Companies House

Name

Date of Birth

Name

Date of Birth

Name

Date of Birth

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* 10. Activity under this agreement is subject to the Public Contract Regulations 2015 https://www.gov.uk/guidance/public-sector-procurement-policy.

Please tick to confirm you are not aware of any grounds for Mandatory Exclusion to act as a sub-contractor as Listed in Public Contract Regulations 2015 -

I confirm I am not aware of any grounds for exclusion