Supplier Information
       
Arabic Supplier Name:
 English Supplier Name:
Commercial Registration Number:
    
Commercial Registration Date:
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Commercial Registration End Date:
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VAT Registration Number: Supplier Address:
Commercial Activities:    
Supplier Country:
   
Supplier Mobile: Supplier Email:
Supplier Telephone:
 Supplier Post Box:
Zakat Certificate Start Date:
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Zakat Certificate End Date:
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Saudization Certificate Start Date:
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Saudization Certificate End Date:
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The Chamber of Commerce Start Date:
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The Chamber of Commerce End Date:
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Social Insurance Certificate Start Date:
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Social Insurance Certificate End Date:
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Supplier Bank Information
     
Bank Name:
Branch Name:
Beneficiary Name:
IBAN Number:
     
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Supplier Representative Information
   
Representative Name:
Job Title:
Email:
Phone Number:

   
Attachments
   
  Note: The certificate of completion is printed and signed by the receiving department in the event that (materials - services) are supplied, to download the certificate of completion
Commercial Registration Certificate:
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VAT Registration Certificate:
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Zakat Certificate:
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Saudization Certificate:
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Chamber of Commerce Certificate:
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IBAN Number:
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Social Insurance Certificate:
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Other Facility:
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I the supplier hereby acknowledge that all the information and documents herein above stated are valid.
Verification Code
Please Check the Confirmation Code:
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Supplier registration form code:
FRM.552.PC.17.2021.V1.0