Vendor Registration

PERSON INFORMATION (For Individuals)
First Name*
Last Name*
Nationality*
Email Address*
Mobile Number*
BENEFICIARY BANKING INFORMATION
Bank Name*
Country*
Account Name: (name as it appears on bank account):*
Bank Account No*
IBAN*
DECLARATION
DECLARATION*
I/We hereby confirm that the information provided herein is accurate, correct and complete and authorize the Vilal to direct payment to the above account.

SUPPLIER INFORMATION
Company Name*
Parent Company Name (if applicable)*
Web Site URL (if applicable)*
Activity*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Person*
Title*
Telephone No*
E-mail Address*
BENEFICIARY BANKING INFORMATION
Bank Name*
Bank ID*
SWIFT Code*
Branch Name*
Street Address*
City*
State/ Province*
Country Code*
Account Name: (name as it appears on bank account):*
Bank Account Currency*
Bank Account No*
Account Type:*
IBAN*
Transit Code (if any)
DECLARATION
DECLARATION*
I/We hereby confirm that the information provided herein is accurate, correct and complete and authorize the VILAL to direct payment to the above account.