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Supplier Registration

FormCompany Details and General Information

Name of the Company:

Address:

Zip Code:		City:
State:		Country:

Contact Person & Title:
[For Communications regarding bids/proposals]

Name:
Title:

Communication:

Tel: [Country Code/City Code/Number]	Email:
Fax: [Country Code/City Code/Number]	Website URL:

Parent Company [If any]:

[Full Legal Name]

Type of Business:


Corporate/Limited	Partnership	Other [specify]

Nature of Business:


Manufacturer	Authorized Agent	Trader	Other [specify]

Describe the goods/services:

Other:

Year Established:

To which countries has your company exported to:

List any National/International trade organizations of which your company is a member:

Please list any Quality Assurance Certifications issued to your company, if any:

Preferred mode of communication: