Standard

Consulting Firm
Registration Form*

* This form is prepared by the Arab Fund for Economic and Social Development
along the lines of the equivalent form recommended by the International Federation
of Consulting Engineers (FIDIC)
Agency:

Consulting Firm Registration Form Date (Month, Day, Year)

1. Firm Name (firm to be registered) Year State or Type of Organization

Estab. Country

Indiv. Partshp. Corp. Other

1a. Affiliated Firms

2. Home Office(s) Business Address(es), Telephone No., Cable Address, Telex No. Offices or Partners to
be contacted

3. Former Firm Name(s), if any, and year 4. Firm Ownership

established

5. Present Branch Office(s) and year established, Address, Telephone No., Cable Address, Telex No.,
Person in Charge

(continue on additional page if necessary)

Date Name of Firm Page 1 of 8

6. Number of personnel in your present organization(s) listed in 1 and 1a

Architects Civil and Electrical Mechanical Construction Economists Operations Others Others
Structural Engineers Engineers Management & (Specify) (Specify)
Engineers Management
Specialists

Surveyors Estimators Inspectors Technicians Administration Specification Others Others Total

& & Clerical Writers ( Specify) (Specify)
Draftsmen

7. Annual Volume of gross fees (last 5 years) in US $ (per 1 and 1a) Financial rating or bank
reference
Prime Associate Total
Consulting and Joint
Firm Venture
19 $
19 $
19 $
19 $
19 $
Total
8. Largest Projects handled by firm as prime consultant in major fields only
Show name of project, type of service, client reference and engineers level of effort
Level of effort to be classified as follows:
Class 1- Fee less than US$ 100,000 or 20 man months
Class 2- Fee from US$ 100,000 to US$ 500,000 or from 20 man months to 100 man months
Class 3- Fee from US$ 500,000 to US$ 1,000,000 or from 100 man months to 200 man months
Class 4- Fee over US$ 1,000,000 or over 200 man months

(continue on additional page in necessary)

Date Name of Firm Page 2 of 8

 9. Partners, directors, officers, and key personnel of firm

Name and Title Degree(s) Years with Firm Year of Birth

(add curriculum vitae showing experience, professional

affiliation and language capability)

(continue on additional page if necessary)

Date Name of Firm Page 3 of 8

10. Fields of specialization of permanent full-time staff (Check Appropriate Items)
A Agricultural and natural resources C Public utilities and related fields D Industry (continued)
(continued)
A-1 Farm Mechanization C-9 Housing D-21 Steel and Iron Worlds
A-2 Field and Horticultural Crops C-10 Industrial Utilities D-22 Textiles
A-3 Fisheries C-11 Marina Terminal Facilities D-23 Timber Processing
A-4 Forestry and Forest Products C-12 Mining Others (Specify)
A-5 Irrigation and Flood Control C-13 Nuclear Energy D-24
A-6 Land and Water Feasibility Studies C-14 Parking Facilities D-25
A-7 Land Reclamation and Soil C-15 Power Stations E Architectural and related
Conservation fields
A-8 Livestock C-16 Power Transmission and E-1 Conservation
Distribution
A-9 Marketing and Credit C-17 Solid Waste Management E-2 Educational Facilities
A-10 River Regulation and Control C-18 Buildings E-3 Factories and Buildings
A-11 Storage Facilities C-19 Telecommunications E-4 Parks
Others (Specify) C-20 Wastewater Collection, Treatment E-5 Social and Low Cost
and Disposal Housing
A-12 C-21 Water Supply and Distribution E-6 Urban Development and
City Planning
A-13 Others (Specify) E-7 Zoos
A-14 C-22 Others (Specify)
B Transport C-23 E-8
B-1 Airports and Air Transport C-24 E-9
B-2 Bridges C-25 F Economic planning and
B-3 Bus Transport Facilities C-26 related fields
B-4 Highways and Road Transport C-27 F-1 Accounting and Auditing
B-5 Pipelines Industry F-2 Economic Impact
Statements
B-6 Public Transport D D-1 Agricultural Products and Food F-3 Economic Policy
Processing
B-7 Rapid Transit D-2 Bricks and Tiles F-4 Energy Conservation
B-8 Railroads D-3 Cement Works F-5 Finance
B-9 River and Sea Transport D-4 Ceramics F-6 Foreign Trade
B-10 River-, Seaports and Harbors D-5 Chemical Plants (including F-7 Marketing
Petrochemicals, Fertilizers, Plastics)
B-11 Subways D-6 Coal F-8 Organization and
B-12 Tunnels D-7 Fish Processing Management of Public
and/or Private Enterprises
Others (Specify) D-8 Foundries F-9 Regional Development
B-13 D-9 Glass Plants Planning
B-14 D-10 Hides and Leather Processing Others (Specify)
B-15 D-11 Industrial Estates F-10
C Public utilities and related fields D-12 Machinery Plants G Tourism

C-1 Air Pollution Control D-13 Materials Handling G-1 Hotel Development
C-2 Cartography D-14 Metallurgical G-2 Resort Development
C-3 Dams D-15 Mineralogy Others (Specify)
C-4 Drainage D-16 Non-ferrous Processing Plants G-3
C-5 Electrical Installations D-17 Oil G-4
C-6 Gas Installations and Transmissions D-18 Pharmaceutical Plants
C-7 Heating, Ventilating, Air- D-19 Pulp and Paper
Conditioning
C-8 Hospitals D-20 Rubber

Date Name of Firm Page 4 of 8

11. Types of services
A. Advisory Services W. Planning Studies
B. Aerial Photography X. Project Management
C. Architectural Y. Purchasing, Inspection and Testing of Materials and
D. Computer Services Equipment
E. Construction Management Z. Resources Surveys
F. Design of Machinery and Equipment Z-1 Rate Studies and Appraisals
G. Economic Studies Z-2 Sector Studies
H. Engineering Design, Estimating, Preparation of Z-3 Soils Engineering, Foundation Engineering and
Contrast Documents, Bid Evaluation Design
I. Environmental Studies Z-4 Supervision of Construction or Equipment
J. Farm Extension Services Installation Contracts
K. Geological Surveys Z-5 Testing and Inspection
L. Geophysical Surveys Z-6 Topographical and Soil Surveys
M. Hydro-Geology Z-7 Technical Feasibility Studies and Preliminary
N. Hydrological Surveys Engineering
O. Industrial Process Engineering Z-8 Traffic Studies
P. Machine Processing of Engineering Data Z-9 Value Analysis
Q. Management Studies Others (Specify)
R. Market Surveys Z-10
S. Mineral Surveys, Photo Interpretations Z-11
T. Mineral Exploration Z-12
U. Oceanography Z-13
V. Operation and Maintenance Z-14
Z-15

Date Name of Firm Page 5 of 8

12. Countries in which work performed within past 10 years (Check Appropriate Countries)
Afghanistan Equatorial Guinea Lesotho Sierra Leone
Albania Ethiopia Liberia Singapore
Algeria Fiji Libya Somalia
Argentina Finland Liechtenstein South Africa
Australia France Luxembourg Spain
Austria Gabon Madagascar Sri Lanka
Bahamas Gambia (The) Malawi Sudan
Bahrain Germany (Dem. Rep. Of) Malaysia Swaziland
Bangladesh Germany (Fed. Rep. Of) Maldives Sweden
Barbados Ghana Mali Switzerland
Belgium Greece Malta Syria
Benin (Dahomey) Grenada Mauritania Tanzania
Bhutan Guatemala Mauritius Thailand
Bolivia Guinea Mexico Togo
Botswana Guinea-Bissau Monaco Trinidad and Tobago
Brazil Guyana Mongolia Tunisia
Bulgaria Haiti Morocco Turkey
Burma Holy See Nepal Uganda
Burundi Honduras Netherlands Ukraine
Byelorussian USSR Hungary New Zealand USSR
Cameroon Iceland Nicaragua United Arab Emirates
Canada India Niger United Kingdom
Central African Rep. Indonesia Nigeria United States
Chad Iran Norway Upper Volta
Chile Iraq Oman Uruguay
China Ireland Pakistan Venezuela
Colombia Israel Panama Vietnam
Congo Italy Paraguay Western Samoa
Costa Rica Ivory Coast Peru Yemen
Cuba Jamaica Philippines Yugoslavia
Cyprus Japan Poland Zaire
Czechoslovakia Jordan Portugal Zambia
Denmark Kenya Qatar
Dominican Rep. Korea (Rep of) Romania Others (Specify)
Ecuador Kuwait Rwanda
Egypt Khymer Republic San Marino
(Cambodia)
El Salvador Laos Saudi Arabia
Lebanon Senegal

Date Name of Firm Page 6 of 8

13. Narrative Description of Firm

(continue on additional page if necessary)

As of this date
The foregoing is a true statement of facts

Name of firm submitting questionnaire

Typed name and title of person signing Signature

Date Name of Firm Page 7 of 8

 14. Typical projects for which consultant services have been furnished during past five years

(Reference sheets may be submitted for as many projects as desired. Sheets should include at least one
project in each field of specialization checked in Item 10 and each type of service checked in Item 11)
Name of overall project:

Location of overall project:

Engineers level of effort:

(For classifications see Section 8)

Owner’s name and address:

Year firm’s services completed (indicate if estimated or actual):

Associated firms:

Description of project

(firm may submit as many pages as necessary)

Description of services firm provided:

List all fields of experience (by symbols from Item 10) for associated aspects of overall project

List all types of services (by symbols from Item 11) for associated aspects of overall project

Date Name of Firm Page 8 of 8