FMDQ GROUP PLC

VENDOR REGISTRATION FORM

APRIL 2023
 FMDQ GROUP PLC
VENDOR REGISTRATION FORM
Kindly complete the following questionnaire to register your company as a prospective Vendor with
FMDQ Group PLC (“FMDQ Group”). All information provided to FMDQ Group will be treated in
confidence and used solely for the above-stated purpose.

Please note that submission of this information is for registration purposes only and does not guarantee
any future business relationship with FMDQ Group.

If there is insufficient space to provide required information, please attach sheet(s) as necessary.

SECTION 1 – VENDOR INFORMATION

A Company Name: MOORE ADVICE LIMITED

B RC Number: 639266
Type of Business (Proprietorship,
C
Partnership, Limited Liability, Others):
LIMITED LIAB ILITY

D Physical Business Address: 1 , Ob a Ad e to n a S tre e t, S u ra Mo g a ji S tre e t, Off Co k e r

Ro a d . Ilu p e ju

E Postal Address: S AME AS AB OVE

F Website Address: w w w .m o o re a d v ic e .c o m

G Date of Incorporation: 1 5 th N o v e m b e r 2 0 0 5
H Place of Incorporation: LAG OS S TATE

I Company Telephone Number(s): 08033371555

J Company Email Address: in fo @ m o o re a d v ic e .c o m
K Corporate Website Address: w w w .m o o re a d v ic e .c o m
L Tax Identification Number: 02151827 -0001
Value-added Tax (VAT) Registration
M
Number:
02151827 -0001

N Nature of Business: B ra n d in g a n d P rin tin g

O Share Capital: N 1 ,0 0 0 ,0 0 0

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 FMDQ GROUP PLC
VENDOR REGISTRATION FORM
SECTION 2 – KEY MANAGEMENT PERSONNEL
A

Name: K o la Mo ra d e y o
Email Address: k o la @ m o o re a d v ic e .c o m Telephone/Mobile Number: 08035354000
B

Name: To n io Ok o je v o h
Email Address: to n io @ m o o re a d v ic e .c o m Telephone/Mobile Number: 08033371555
C

Name: To lu lo p e Mo ra k in y o
Email Address: to lu lo p e @ m o o re a d v ic e .c o m Telephone/Mobile Number: 08064222235
D

Name: Awe Owolabi

Email Address: Awe@ m ooread v ic e.c om Telephone/Mobile Number: 08034100390
E

Name: T em itop Ojelad e

Email Address:T em itop e@ m ooread v ic e.c om Telephone/Mobile Number: 0 7063593736
F

Name:

Email Address: Telephone/Mobile Number:

Name:

Email Address: Telephone/Mobile Number:

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 FMDQ GROUP PLC
VENDOR REGISTRATION FORM
SECTION 3 – COMPANY DIRECTORS (EXECUTIVE AND NON-EXECUTIVE)
A
Name: K o la Mo ra d e y o
Email Address: k o la @ m o o re a d v ic e .c o m Telephone/Mobile Number: 08035354000
B
Name: To n io Ok o je v o h
Email Address: to n io @ m o o re a d v ic e .c o m Telephone/Mobile Number: 08033371555
C
Name: To lu lo p e Mo ra k in y o Od u n s i
Email Address: to lu lo p e @ m o o re a d v ic e .c o m Telephone/Mobile Number:0 8064222235
D
Name:
Email Address: Telephone/Mobile Number:
SECTION 4 – PRIMARY CONTACT DETAILS
A PRIMARY CONTACT 1 B PRIMARY CONTACT 2

Name: Mr To n io Ok o je v o h Name: Te m ito p e Oje la d e

Position:G rou p M an ag in g D irec tor Position: H OD, P ro je c ts
Telephone/Mobile Number: 08033371555 Telephone/Mobile Number:

Email Address: to n io @ m o o re a d v ic e .c o m Email Address: te m ito p e @ m o o re a d v ic e .c o m

SECTION 5 – BANK DETAILS

Name of Bank: G TB
Address: T own P lan n in g Ilu p eju
Telephone: 08062656878 Mobile Number of Account Manager:

Email Address of Account Manager: ad ewale.rah eem @ g tban k .c om

Type of Account: C u rren t
Account Number: 0 108110323

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 FMDQ GROUP PLC
VENDOR REGISTRATION FORM
SECTION 6 – SHAREHOLDING STRUCTURE
A
Shareholder: To n io Ok o je v o h
Nationality: N ig e ria n
Percentage Holding: 5 0 %
B
Shareholder: K o la Mo ra d e y o
Nationality: N ig e ria n
Percentage Holding: 5 0 %
C
Shareholder:
Nationality:
Percentage Holding:
D
Shareholder:
Nationality:
Percentage Holding:
E
Shareholder:
Nationality:
Percentage Holding:
SECTION 7 – PAST AND CURRENT CLIENTS
List three (3) main past customers/clients

A MTN
B F ITC
C AIRTEL
List three (3) main current customers/clients

A MTN
B
F ITC
C AM E R IC AN H OS P IT AL

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 FMDQ GROUP PLC
VENDOR REGISTRATION FORM
SECTION 8 – DISCIPLINARY HISTORY
The questions below relate to the company and the key officers listed above. Responses should cover material events which
occurred in the past ten (10) years and should include events that have occurred anywhere in the world. If in doubt as to
the materiality or relevance of the event, please disclose the event. If the answer to any of the questions below is “YES”,
the applicant is required to provide additional information/details in a separate sheet.

A THE COMPANY “YES” or “NO”

Has the company or key Management personnel been involved in previous
insolvency proceedings, criminal convictions or investigation, or civil litigation
N O
1.
(previous, pending or potential in all cases)?

2.
Has your company, or any of its affiliates1, been subject to any winding up N O
order/receivership arrangement?
B MANAGING DIRECTOR/CHIEF EXECUTIVE OFFICER “YES” or “NO”

1. Ever been convicted of any criminal offence? N O

Ever been a Director, Partner or otherwise concerned in the management of

2.
a business which has gone into insolvency, liquidation, administration, or the N O
equivalent proceedings within or outside of the Nigerian jurisdiction while
connected with such organisation within one (1) year of that connection?
Ever been declared bankrupt or entered into any compromise arrangement
4.
with creditors related to bankruptcy or insolvency?
N O
Ever been the subject of any disciplinary or criminal proceedings or been the
5. subject of any investigation by any authority which may lead to such N O
proceedings?

6. Ever been disqualified from acting as a Director? N O

SECTION 9 – SUPPORTING DOCUMENTS (please tick if enclosed)

Company Profile (containing brief description of the following, inter alia):

History & Company Overview
A Details of Business Services
Profiles of Board of Directors
Profiles of Executive Management Staff
B Certificate of Incorporation

1An affiliate, for the purpose of this application form, is a company or partnership in which the company (applicant) has at least
20% ownership interest however so called.

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 FMDQ GROUP PLC
VENDOR REGISTRATION FORM
C Memorandum and Articles of Association

D Particulars of Directors – Latest Form CAC 7

E Particulars of Shareholders – Form CAC 2 [for Private Companies (Ltd.) only]

F Current Tax Clearance Certificate N ot Av ailable

Risk Management Framework and Evidence of Disaster Recovery and

G
Business Continuity Plan (if available)

H Most recent three (3) year audited financial statements (if available)

Public Insurance Certificates, Public Indemnity Cover, Professional Indemnity

I
Cover (where applicable)
Company Organogram showing holding and subsidiary company(s) (where
J
applicable)

COMPLIANCE WITH FMDQ GROUP CODE OF CONDUCT

FMDQ Group adheres to a strict Code of Conduct, in accordance with its Board-approved corporate
governance practices and high level of professional integrity. FMDQ Group requires that its Vendors,
potential and approved, adhere to this Code of Conduct, and are held to same standard of professional
integrity.

In line with this, potential and approved FMDQ Group Vendors are strictly prohibited from
offering/receiving bribes, kickbacks, monetary inducements, gratification, gifts, solicitation fees or any
other similar favours to/from any FMDQ staff and/or family members. For the purpose of clarity, the
term “gift” includes anything of value for which one is not required to pay the retail or usual and
customary cost, including such items as a ticket to a concert or play, a non-business meal, a coffee cup,
a free service, a special discount, or expenses-paid trip to a conference, training, fair, vacation, etc.

Vendors are encouraged to report any such request(s) from FMDQ staff and/or family members by
sending an email to [email protected] (FMDQ Group’s anonymous Whistleblowing
mechanism).

Potential and approved FMDQ Group Vendors who are found to violate the Code of conduct principle will
be immediately disqualified or blacklisted from transacting business with FMDQ Group or any of its
affiliated businesses.

Please tick this box to indicate your understanding of and acceptance to comply with the FMDQ
Group Code of Conduct outlined above.

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 DECLARATION
By submitting this Form to register as a Vendor with FMDQ Group and signing this Form in the manner
below, we declare that:

▪ The information provided is complete and accurate

▪ We agree, if approved, to comply with and be bound by the guidelines of FMDQ Group, which
are or may be in force from time to time

▪ We understand that misleading or attempting to mislead FMDQ Group during the registration
process will be deemed an act of misconduct and may render the applicant liable to
disqualification or blacklisting

SIGNATURE

DIRECTOR DIRECTOR/SECRETARY

Name: To n io Ok o je v o h Name: J o y As u q u o
1 , Ob a Ad e to n a S tre e t, Off S u ra
Address: Mo g a ji o ff Co k e r Ro a d , Ilu p e ju Address: 7 1 1 , Ro a d C' Clo s e . H S E . 1 b F e s ta c
To w n . La g o s
Signature: Signature:

Date: Date:
20 /3 /2024 20 /3 /2024