Supplier registration form Reason for Submission (select one of the below options) Response to a solicitation (please enter Solicitation Number) Requested by CTBTO Request to be added to Mailing List Solicitation Number 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 Data Privacy Notice 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. AttachmentsCertificate 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. (*) Mandatory This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.