Supplier registration form

1. General Information

Legal/Registered Name

As reflected in the Certificate of Incorporation or equivalent

Legal Status/Form

As reflected in the Certificate of Incorporation or equivalent

(e.g., public limited company, limited liability corporation, non- profit, holding, etc.)

Country of incorporation/registration

As reflected in the Certificate of Incorporation or equivalent

Year Established

As reflected in the Certificate of Incorporation or equivalent

Legal/Registered Address

(Street, number, postal code, city, country)

Website URL

Telephone

Corporate E-mail address

An email address from a corporate/institutional domain from the supplier is required; no commercial email address (e.g. Yahoo, Gmail, etc.) is acceptable without justified reasons.

Number of Employees

Account manager information

Name

(Authorized point of contact for the purpose of this form)

Position

Telephone

Address (if different to above)

Account Manager E-mail address

Type of goods and/or services

(e.g., Engineering/Civil Works/IT/Furniture)

2. Other Information

License Number (on Certificate of Incorporation) or Tax ID Number

UNGM registration number

Member of the United Nations Global Compact

https://unglobalcompact.org/

Women-Owned Business (WOB)

A legal entity that is more than 51-per-cent owned, managed and controlled by one or more women. The identification of WOBs enables the organization to support and strengthen gender-responsive procurement and supplier diversity and inclusion initiatives.

Disability-inclusive supplier

A supplier which makes a dedicated, consistent, and measurable effort to implement disability-inclusive practices.

3. Attachments

Certificate of Incorporation

Upload the Certificate of Incorporation or equivalent

Upload a file, allowed extensions: pdf doc docx.
20 MB limit.

Other (optional)

File description

Upload a file, allowed extensions: pdf doc docx.
20 MB limit.

Suppliers are responsible to maintain their record information accurate and up-to date. In case of changes, suppliers are required to resubmit this form indicating the reasons of the change and providing any relevant documentation supporting the change, if applicable. The CTBTO reserves the right to independently verify any information furnished by suppliers, to request additional information, documentation or supporting documentation and to reject any request for supplier’s registration without thereby incurring any liability towards the supplier or having any obligation to inform the grounds of the CTBTO decision.

By submitting this form, the supplier certifies that all above information and any attached documentation are true and correct. In case of changes, suppliers are required to resubmit this form indicating the reasons of the change and providing any relevant documentation supporting the change, if applicable. The CTBTO reserves the right to independently verify any information furnished by suppliers, to request additional information, documentation or supporting documentation and to reject any request for supplier’s registration without thereby incurring any liability towards the supplier or having any obligation to inform the grounds of the CTBTO decision.

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