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Company Information
Legal Company Name
*
Company Registration Number
*
Tax Identification Number (TIN)
*
Email Address
*
Phone Number
*
Website
Business Type
*
Sole Proprietor
Partnership
LLC
Corporation
Other
Primary Contact Person
Name
*
Job Title
*
Phone Number
*
Alternative Phone Number
Email Address
*
Business Information
Types of Goods/Services provided
*
Years in Business
*
New Startup
1 - 2 years
3 - 5 years
5 - 10 years
10 years +
Key Clients/References (optional)
Banking Information
Account Name
*
Bank Name
*
Branch Code/SWIFT/FSC
Currency
*
Naira
USD (Unites States Dollar)
Compliance and Documentation
Please upload copies where applicable
Business Registration Certificate
*
Upload File
Tax Clearance Certificate
*
Upload File
Bank Confirmation Letter
Upload File
Insurance Certifcate (if applicable)
*
Upload File
ID of Authorized Signatory
*
Upload File
Declaration
I hereby certify that the information provided above is true and correct. I authorize the company to verify this information as required for vendor registration.
*
I agree
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Trixt Vendor Intake Form
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