Supplier Onboarding Form

1. Company Information

Legal Company Name*

Trading Name (If Applicable)

Country of Registration*

Registration Number*

Date of Incorporation*

Type of Business*

Regulatory Classification*

2. Contact Information

Primary Contact Person*

Contact Role/Designation*

Office Phone*

Mobile Phone*

Email Address*

Website (Optional)

Physical Address*

Warehouse Address (Optional)

3. Bank Information

Bank Name*

Bank Branch*

Account Name*

Account Number*

SWIFT/BIC Code*

Currency Preference*

4. Tax & Compliance

Tax ID Number*

VAT Number (Optional)

5. Product Details

Product Categories* Categories of Products Supplied (Oncology, Antibiotics, etc.)

Cold Chain Capability

Minimum Order Quantity*

Lead Time (Days)*

Licensing Scope*

Special Certifications e.g., WHO PQ, CE Mark

6. Operational Details

Order Fulfillment Time (Days)*

Delivery Capabilities*

Return Policy*

Warranty Terms*

Has Product Catalog

7. Credit Terms Request

Requested Credit Limit (USD)* Requested credit limit in USD

Requested Credit Period (Days)* Requested credit period in days

Additional Notes (Optional) Any additional notes regarding credit terms

8. References

First Referee

Name*

Phone Number*

Email*

Address*

Second Referee

Name*

Phone Number*

Email*

Address*

Third Referee

Name*

Phone Number*

Email*

Address*

9. Document Upload

Certificate of Incorporation* Accepted formats: pdf, doc, docx, jpg, jpeg, png, xlsx, xls, csv, html, htm

Business License (Optional) Accepted formats: pdf, doc, docx, jpg, jpeg, png

Tax Compliance Certificate* Accepted formats: pdf, doc, docx, jpg, jpeg, png, xlsx, xls, csv, html, htm

Regulatory Authority License* Accepted formats: pdf, doc, docx, jpg, jpeg, png

GMP Certificate (Optional) Accepted formats: pdf, doc, docx, jpg, jpeg, png, xlsx, xls, csv, html, htm

ISO Certificates (Optional) Accepted formats: pdf, doc, docx, jpg, jpeg, png, xlsx, xls, csv, html, htm

Product Catalog (Optional) Accepted formats: pdf, doc, docx, jpg, jpeg, png, xlsx, xls, csv, html, htm

Product Registration Certificates (Optional) Accepted formats: pdf, doc, docx, jpg, jpeg, png, xlsx, xls, csv, html, htm

Certificate of Analysis (Optional) Accepted formats: pdf, doc, docx, jpg, jpeg, png, xlsx, xls, csv, html, htm

Safety Data Sheets (Optional) Accepted formats: pdf, doc, docx, jpg, jpeg, png, xlsx, xls, csv, html, htm

Quality Assurance Agreement (Optional) Accepted formats: pdf, doc, docx, jpg, jpeg, png

Terms & Conditions (Optional) Accepted formats: pdf, doc, docx, jpg, jpeg, png, xlsx, xls, csv, html, htm

Anti-Bribery Policy (Optional) Accepted formats: pdf, doc, docx, jpg, jpeg, png, xlsx, xls, csv, html, htm

Site Photos (Optional) Accepted formats: pdf, doc, docx, jpg, jpeg, png, xlsx, xls, csv, html, htm