Vendor Registration Form

Company Details and General Information

Name of Company

Address

Phone Number

Fax Number

P.O.Box

Email Address

Web Site Address (if available)

Name & Title of Company Representative

Direct E-mail Address of Company Representative

Direct Number

Mobile Number

Date Company was Established

Type of Business/Commodity Service (Select One)

Details on Services or Goods Your Company Supplies

Have You Previously Done Business with Ajman University of Science & Technology?

Yes

Geographical Service Area (Check One)

Local

Regional

National

International

Bank Name

Bank Address

Beneficiary Name

International Bank Account Number (IBAN)

Swift/Bank Identifier Code (BIC)

Currency

Bank Account Number

Copy of Valid Trade License

Company Profile