CHECK Services Supplier Performance Assessment - Page 1 of 4 - NI Direct

Client Information

What is your name?

Name (Required)

What is your email address?

If you enter your email address then you will automatically receive an acknowledgement email when you submit your response.

What is your contact telephone number?

Telephone:

What is your organisation?

Organisation (Required)

ITHC Project Title:

Project title (Required)

PO Number:

Cost of Project:

ITHC Test date:

Test date

Day (dd)
-

Month (mm)
-

Year (yyyy)