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PSI Engineering - Complete Vendor Forms

📧 Send Complete Vendor Forms

Enter the vendor's email address to send them both registration forms:

✅ Welcome! Please complete BOTH forms below

Fill out the Vendor Registration Form first, then the Background Check Form. Complete the declaration at the end and submit.

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VENDOR REGISTRATION FORM

Doc No.

PSI-R-038-PP

Rev Date

Rev No

01

Page

1

PSI ENGINEERING VENDOR REGISTRATION FORM

Please submit information as per National ID Details, attach the National ID – Front and Back

VENDOR NAME

NATIONAL ID NUMBER (NIN)

CONTACT NAME & TITLE

CONTACT EMAIL

CONTACT PHONE 1

CONTACT PHONE 2

VENDOR DETAILS

SERVICES / GOODS

ESTABLISHED DATE

ADDRESS

BUSINESS TYPE

LEGAL STRUCTURE

TRADING LICENSE

[Click to upload]

TIN NUMBER

NATIONAL ID FRONT

[Click to upload]

NATIONAL ID BACK

[Click to upload]

EFRIS REGISTRATION

VAT INFORMATION

ADDITIONAL INFO

BANK INFORMATION

BANK NAME

BANK ADDRESS

BENEFICIARY NAME

ACCOUNT NUMBER

MOBILE MONEY INFORMATION

MOBILE NUMBER

REGISTERED NAME

CERTIFICATION

I hereby affirm that all information supplied is true and accurate to the best of my knowledge and belief, and I understand that this information will be considered material in the evaluation of quotations, bids, and proposals. Notice must be given of any change in status impacting on the information provided within ten (10) days of said change.

NAME

SIGNATURE

DATE

📋 Individual Background Check Form

Please complete the individual information below

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Pre-Vendor Background Check Authorization Form

NAMES
First Name Middle Name Surname
IDENTIFICATION
NIN Number Passport Number Driver/Rider Permit Number
National ID Front National ID Back
[Click to upload]
[Click to upload]
ORIGINS
Date of Birth Home district Residence
CONTACTS
Mobile Number 1 Mobile Number 2 Email address
BUSINESS REGISTRATION
Business Name Location TIN Number
PROJECTS WORKED ON
Project Name Client Status
RECOMMENDATIONS
Name Address Contact

📎 DOCUMENT ATTACHMENTS

The following documents will be attached to the PDF when you submit:

Document Type File Name Status
Trading License [Not uploaded] ⚪ Pending
National ID Front (Vendor) [Not uploaded] ⚪ Pending
National ID Back (Vendor) [Not uploaded] ⚪ Pending
National ID Front (Individual) [Not uploaded] ⚪ Pending
National ID Back (Individual) [Not uploaded] ⚪ Pending

DECLARATION OF ACCURACY

I , the undersigned, hereby solemnly declare and affirm that all information provided in BOTH the Vendor Registration Form and the Individual Background Check Authorization Form is accurate, truthful, and complete to the best of my knowledge and belief.

I understand and acknowledge that any false, misleading, or incomplete information may result in disqualification from the vendor selection process, termination of any existing contracts, and/or legal consequences as deemed appropriate under applicable laws and regulations.

I further acknowledge that PSI Engineering reserves the right to verify all information provided and may request additional documentation or clarification at any time. I hereby authorize PSI Engineering to conduct background checks and contact the references provided herein. I commit to promptly notifying PSI Engineering of any changes to the information provided within ten (10) business days of such changes occurring.

📌 Important Note: By signing this declaration, you confirm that you have read, understood, and agree to comply with and authorize PSI Engineering to conduct necessary background verification checks.

📌 Digital Signature Agreement Notice: By accepting, signing, or replying to this communication, you consent to the use of digital and electronic signatures. You agree that any electronic signature you provide is legally binding and carries the same force and effect as a handwritten signature.

📤 Submit Both Forms

This form will be sent to PSI Engineering Procurement Department