GSA GROUP

Email: [email protected]


VENDOR REGISTRATION FORM
INSTRUCTIONS
To register as a new vendor, please complete the form and press submit.

You will need to upload a current and valid copy of your certificate of incorporation/business certificate or national equivalent and your ISO certification (if applicable).

GSA reserves the right to request additional documents relating to your company to substantiate the registration request, e.g., Letters of reference from at least three (3) clients to whom your company has provided goods/services over the past twelve (12) months; Copy of latest ISO Certificate or equivalent (if applicable).

Standard payment terms are 30 days.

All fields marked with an asterisk (*) are mandatory.

COMPANY DETAILS
Company Name Company Address
Company Legal Name
If different from above
Company Telephone
Website Country
CONTACT DETAILS
Contact Name Contact Phone
Contact Email
COMPANY OVERVIEW
Services / Goods Tax Number
Billing Currency Geographic Location
Company Number
 Trade Licence Document
Additional Info
CIS DETAILS
CIS Registered Status
Unique Tax Payer Reference (UTR) Company Registration Number (CRN)
BANKING INFORMATION
Account Name Bank Name
Account Code
BIC, BSB, Sort Code, SWIFT etc		 Bank Address
Account Number
IBAN Account Details on Letterheaded Paper
The bank account to which any payment will be made must be the company's bank account.
CERTIFICATION
I hereby affirm that all information supplied is true and accurate to the best of my knowledge and belief. Notice must be given of any change in status impacting the information provided within ten (10) days of said change.
Signature
Name
Title
Date

Submit