New Vendor Application (Please provide copy of valid Business Registration)

Non-Trade (pls complete PartI)

Update Existing Vendor Information

Trade (pls complete PartI,II& III)

Bakhache Luxuries (M) Sdn Bhd

Mouawad Malaysia Sdn Bhd

Truefitt & Hill

FT United Sdn Bhd

Maison Francis Kurkdjian

Bakhache Foods Sdn Bhd

Christofle

NAME OF COMPANY:

"Pls key In yours Company Name"

COMPANY GST NO:

PURPOSE OF APPLICATION

PLEASE TICK FOR CONFIRMATION

The recommended supplier( s) is / are NOT on the company's Restricted Parties Listing by verifying with Accounts Payable personnel.

There is no known relationship between the employee & the selected supplier( s) that could constitue a conflict of interest defined in the company's Standard of Business Conduct

Please declare for known relationship:

REFERRED BY:

Friends

Colleagues

Vendor / Customer

Yellow Pages

Others, please specify :

Annual Expected Aggregate Purchase amount:

ADDRESS & COMMUNICATION LIST

Registered Add :

"Pls Key In yours register address"

Tel:

"Pls Key In yours Telephone no"

Fax:

"Pls Key In yours Fax no"

Email Address:

"Pls Key In yours Email Address"

Country:

"Pls Key In yours Country"

Home Page:

Main Factory:

Tel:

(if applicable)

Fax:

Email Address:

Country:

Home Page:

Contact:

BACKGROUND OF BUSINESS

Year of Establishment:

"Pls Key In yours company years of established"

Registered Capital:

"Pls Key In yours registered capital"

Certificate of Incorporation /Bus. Reg. No.:

"Pls Key In yours business registration no"

Paid Up Capital:

"Pls Key In yours paid up capital"

Type of Establishment:

Sole proprietorship

Partnership

Listed Company

Private Limited Co.

Unlimited Co.

Others:

Certificate of Incorporation /Bus. Reg. No.:

Factory Production Area:

(if applicable)

Co. Size:

Local Small < 50

Local Med < 200

Local Large > 200

Local/Int'l Public

Int'l Private

CONTACTS

Registered Director(s) / Principal Owners' Name:

"Pls Key In yours director/owner name"

(Name)

(Phone)

(Fax)

(Email Address)

Sales Person

"Pls Key In at least one sales man name"

"Pls Key In at least one sales man phone no"

"Pls Key In at least one sales man email"

Accounts Mgr:

Quality Ctrl Mgr:

Order Processing/Delivery Contact:

EXISTING MAJOR CUSTOMERS (Reference Checking)

(Company Name)

(Contact Person)

(Phone)

PAYMENT

"Pls Key In yours payment terms"

"Pls Key In yours payment method"

"Pls Key In yours payment currency"

BANK INFORMATION

Local Inter-account Transfer or telegraphic transfer

Yes

No

Name of bank-account holder:

"Pls Key In yours bank acc holder name"

Company/Passport/IC Number:

"Pls Key In yours company/passport/IC no"

Banker:

"Pls Key In Banker name"

Bank Currency:

"Pls Key In Bank Currency"

Bank Add:

"Pls Key In yours banker address"

A/C No.

-

"Pls Key In yours Full bank acc no"

-

"Fill in"

"Fill in"

(Bank No)

(Branch No)

(Account No)

Country:

"Pls Key In yours bank country"

Swift Code:

SHIPMENT INFORMATION

Name of Shipper:

Contact:

Tel:

Ship-from Address:

Fax:

Email Address:

Home Page:

Country Code

Shipment Method:

Insurance Coverage By:

Vendor

SHIPMENT INFORMATION

Name of Ship-to:

Contact:

Tel:

Ship-to Address:

Fax:

Email Address:

Home Page:

Country Code

Shipping Method:

Insurance Coverage By:

Vendor