SUPPLIER REGISTRATION FORM

SECTION 1: SUPPLIER INFORMATION

Supplier/Vendor name, Company name, External individual name or Implementing Partner name
Company registration no. Valid from Valid to
(For individuals, please enter your first name, middle name and last name as per your national identification card
(For companies only) (dd/mmm/yyyy) (dd/mmm/yyyy)
or passport)

UNGM Number* VAT registration no.

Date of birth (For individuals only)

Country
(dd/mmm/yyyy)

Identity Document Type 0 National ID 0 Passport 0 Other, please specify:

Issue date Expiry date
Identity document no.
(dd/mmm/yyyy) (dd/mmm/yyyy)
Supplier Group (Select one of the below options)

0 Company (private or public)* 0 University/educational institution 0 UN agency/Institution

External Individual
0 0 IGO (Intergovernmental Organization) 0 Government agency

0 Financial institution (including insurance and banking) 0 NGO (Nongovernmental Organization)

* UNOPS requires Companies to register with the United Nations Global Marketplace on www.ungm.org (UN supplier database)

SECTION 2: SUPPLIER CONTACT INFORMATION

General/permanent street address

City Postal code (ZIP)

State/province Country

Primary Supplier/Vendor focal point contact information Secondary/alternate contact person

Name Title Name Title

Telephone no. Email Telephone no. Email

SECTION 3: SUPPLIER BANKING INFORMATION (For additional bank accounts, please provide additional forms)
Account Name
Name of banking institution
(please indicate as shown on bankbook/bank account)

IBAN no. Bank account no.

Clearing code/bank code

SWIFT/BIC code
(ACH/routing no/ IFSC/sort code)

Branch code Bank account currency

Checking Saving Current Cheque

Branch name Bank account type
Other, please specify

Bank’s street address

City Postal code (ZIP)

State/province Country

Intermediary/correspondent bank, if applicable

Name of intermediary bank Intermediary IBAN no.

Clearing code/bank
Country of intermediary bank SWIFT/BIC code
code

Information provided on this registration form will be treated in accordance with UNOPS's EOD on Privacy and Information Security and its related data protection and data retention
policies. Digital signatures are accepted only if they can be validated by UNOPS. Incomplete or erroneous information may prevent payment to your account. Any loss due to any error or
irregularity in the information submitted by the Supplier/Vendor will be borne by the Supplier/Vendor.

Supplier/Supplier's Representative’s Signature and Stamp Date and Place

SECTION 4: SUBMISSION INFORMATION (for UNOPS focal point to complete)

Is this new or an update to existing UNGM Ineligibility Lists/Claims Log Supplier/Vendor have direct Supplier/Vendor paid
oneUNOPS supplier no. Bank detail change
supplier profile? check agreement/contract with UNOPS via cash supplier?

New Update existing supplier Yes No Yes No Yes No Yes No

Name of Requester (UN) I hereby confirm that I have followed the Procurement Manual or the grant support policy (if applicable)
(First name/last name/extension) and the information submitted is accurate.

Signature of Requester Date

GUIDE TO COMPLETING UNOPS SUPPLIER REGISTRATION FORM
The guide aims to help you complete the form and avoid delays in getting your company’s/organization's registered
on1.
UNOPS
AnyERP system.
error It is crucial
or missing that you
information provide
in the form accurate information
will prevent in order for us to process
your company/organization payments
from being to your
registered as
a supplier to UNOPS.
2. Until your company/organization is properly registered, UNOPS cannot issue a purchase order or transfer
3. payments to your account.
In case of changes or updates to your company's/organization's information, please notify UNOPS by emailing
a new completed form with the
SECTION 1 SUPPLIER INFORMATION: new
this information.
section is to be Your UNOPSby
completed focal
the point will inform you if further
supplier
1. Supplier Name: Please enter the “name of your company / enterprise / organization” as indicated in your legal
2. administrative documents.
Company Registration Please
Number note this
- indicate name
your must be number
registration exactly the same name
as shown on your company's certificate of
incorporation.
3. Company Registration Number Valid from - indicate your registration number valid date from as shown on the
4. certificate of incorporation.
Company Registration Number Valid to - indicate your registration number valid date to as shown on the
certificate of incorporation.
5. UNGM number (https://www.ungm.org/): enter your UNGM number here.
6. VAT Registration: put the VAT identification number.
7. Country: Enter the country of where your company/organization is based
8. Date of Birth: For individual only, indicate your date of birth
9. Identity Document Type : Please indicate identity document or if other, please specify
10. Identity document no : indicate the number of your identity document as shown in document in no. 9.
11. Identity document issue date/expiry date : indicate the issue date and expiry date as shown in document in
12. no. 9. Group: Please select the most appropriate category/group
Supplier
SECTION 2 SUPPLIERAny
- Company: commerical
CONTACT enterprise selling
INFORMATION: goods and/or
This section is to beservices (excluding
completed financial institutions).
by the supplier
General/permanent street address/City/Postal code/State/province/Country: Please provide your organization
1. (Headquarters) full complete physical address.
all UN matters. Please note that for companies who have registered under the UNGM, the same contact
2. person will need to be entered here.
Secondary/alternate contact person : Please provide the full name, title, mobile number and email contact of
3. an alternative contact person to the above (Optional).
SECTION 3 SUPPLIER BANKING INFORMATION:. This section is to be completed by the supplier
Name of Banking Institution: Please provide the name of the bank that your company/organisation has an
1. account with.
entered in Section 1, as well as the name registered in UNGM and as indicated on the legal administrative
2. documents.
3. IBAN no: Please provide if applicable
4. Bank account no : Please enter your company's/organization's bank account number
5. Clearing code/bank code (ACH/routing no/ IFSC/sort code) : If applicable
6. SWIFT/BIC code : Please provide if applicable
7. Branch code : Please provide if applicable
8. Bank account currency : the currency of your account
9. Branch name : Please indicate branch name
10. Bank
Bank’saccount type : Please enter the
street address/City/Postal type of account
code/State/province/Country: Please provide your bank's full/complete
11. physical address.
12. Intermediary/correspondent bank: Please provide if applicable
SECTION 4 UN INFORMATION: this section is for UNOPS only. Please do not input any data on this section.
 Frequently made errors regarding the Supplier Registration Form
No. Signature of supplier/Grantee Answer
1 Missing a signature from the supplier form Please remember to certify your supplier
2 Unclear/blurry signature Please ensure that your signature is clearly visible
3 Cut and paste the signature Please ensure that you have printed and signed
4 The focal point or project officer sign on the behalf of the Please notify your UNOPS focal point of the
5 Electronic-signature that could not be validated Please note that an electronic signature is not
accepted however UNOPS will accept a digital
signature provided that the document has not
been tampered or edited since its signing. In
addition, UNOPS will need to verify your
submitted information via confirming that your
submission has been made via two
different/confirmed channels of communication.
This can be done via sending the signed supplier
registration form and re-confirming the request
to change your information by telephone or in-
person.
Name on account Answer
6 Missing name on the account from the supplier form Please ensure that your account name has been
7 The name on the account is different from the supplier Any difference between the contractual and
name/Third-party payment (lack of supporting documents beneficiary name needs to be included in the
such as Contract/Agreement/MOA/MOU/GSA/official contract/agreement.
letter/Bank letter )