Vendor Registration Form-Ver2
Vendor Registration Form-Ver2
Vendor Registration Form-Ver2
INFORMATION BANK
Beneficiary name:
Bank Name:
Bank Address:
ADDITIONAL INFORMATION
Name of CEO: Name of CFO: Name of Sr. Sales/Mktg. Executive:
Note:
1. Please ensure all information and documents are correct and legal. Any incorrect information will affect PO place and
payment.
2. If bank information change, vendor should offer vendor bank information change notification with stamp/signature.
3. If there’s more than 1 bank information, please mark clearly in related field. (Like account number 1**, account number 2
**)
4. Required valid documents below are attached (circled) :
a. NPWP Copy or Original Statement Letter of Non NPWP with stamp duty
b. SPPKP Copy or Original Statement Letter of Non PKP with stamp duty
c. Bank Account copy and Original Statement Letter of Different Bank Account if has different name of bank account and
company with stamp duty
d. Construction Service Permit copy Approved by Purchasing Manager:
e. SIUP copy PT. …………………..
f. Vendor Visit Report
g. Other relevant docs (please specified): ____________________________
h. Vendors have to obey PT. …………… rules and agreed to not
give gifts or gratification to all PT. ……………….. employees.
Date: YY MM DD