Supplier Register

Agency Information

Country

Agency

Agency Representative Email

Supplier Information

Supplier Name

Supplier Name (in Local Language)

Supplier Tax Status

BRN/NRIC

Tax Type

WHT Tax

Payment Terms

Others - Please specify ({{createVendor.OtherPayment?createVendor.OtherPayment + ' Days':''}})

Product Service Categories

Address

Street Address

City

State

Country Name

Postal Code

Address(es) List

Street Address	City	State	Country	Postal Code	Action	Postal Address	Legal Address
{{address.StreetAddress}}	{{address.City}}	{{address.State}}	{{address.Country.CountryName}}	{{address.PostalCode}}

Branch Office

Office Branch

Other Branch

Contact Information

Title

First Name

Last Name

Email

Phone

Fax

Bank Information

Account Holder Name

Bank Currency

Bank Account Number

Bank & Branch Code/ BSB Type

Bank & Branch Code/ BSB

Bank Code

Bank Branch

Bank Name

SWIFT Code

IBAN

User Information

First Name

Last Name

Email

Password

Password should be 8 characters with at least one special character, one numeric, one small case and one upper case letter.

Confirm Password

Attachments

Attachment {{uploaded.FileName}}

Note: Please upload following file formats - 'msg', 'doc', 'docx', 'xls', 'xlsx', 'eml', 'pdf', 'png', 'jpeg', 'jpg','zip'

Attachment is required

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