About us Supplier Registration Form Please, fill in this form in order to permit the registration. Information given in the form will be handled confidentially. In the future, offers from non-registered and non-validated sellers will be disregarded. General InformationCompany Name *Street Address *Apartment, suite, etcCity *State/ProvinceZIP / Postal CodeCountry AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweCompany Email AddressCompany WebsitePhoneVAT numberYear established *0 / 4Country of reg *0 / 25Trade Registration number *0 / 20Legal status *Sole TraderCorporationLimited CompanyCooperativeOwnershipTotal number of employees *Contact informationRole / Job titleName of contact person *Mobile Phone *Contact Email Address *Type of business / ProductsType of business *ManufacturerWholesalerTraderDistributor / Authorized agentOther (specify):If other please specifyDescription of major business activity *Main products supplied (please list) *Financial StatementBank NameBank addressAccount number(s)Is your company covered by third party liability insurance? *YesNoIf yes please provide a copy of relevant documentChoose FileNo file chosenDelete uploaded fileQuality AssuranceQuality assurance certification or equivalent (please name):Kindly provide a copy of your latest certificate(s). *Choose FileNo file chosenDelete uploaded fileTrade Organisation MembershipPlease name trade organisation(s) where your company is registered:Subsidiaries, Associates/and or Overseas Representation:Please provide details (include details of mother company, subsidiaries, representatives, international offices and joint venturesPlease report recent Contracts with International Institutions, United Nations, Non-governmental Organisations and major customers, and governments.Provide date, orgaisation, value in USD, goods supplied and destinationDocuments upload *Drag and Drop (or) Choose FilesPlease provide copies of the following documents with this duly filled application form: - Trade Registration Certificate - VAT registration or equivalent - Quality Assurance certificate or equivalent - Certified Annual Reports for the last 3 years - MIG General conditions on Purchasing duly signed and stamped - Company profile - Product catalogueSignatoryThe undersigned, Certifies that all information given herein, attached pages included, is correct and takes complete responsibility for this statement including the consequences in the event of false or erroneous information.Consent *The vendor confirms that they accept the associated MIG General Conditions on purchasing. The vendor understands that the completion of this questionnaire has no contractual value and represents the first step in the selection process by MIG. A poorly completed form will not be considered.Full Name *Title *Date *Electronic Signature *By ticking this box, I agree that I have electronically signed the completed supplier registration form.Submit FormPlease do not fill in this field.