SUPPLIER ACCOUNT DETAILS FORM

Country Programme NEPAL

PAYEE DETAILS

Name of Supplier      

     
Address:
PO Box       Country      

Company. Reg. No.      

PAN/VAT No.       VAT Registered? Yes ☐ / No ☐

Business Nature:      

Contact Person:      

Contact: Telephone
      Mobile      
      Email      
Fax

PAYEE/DESTINATION BANK DETAILS

Full Name of Account      

Bank A/C No/ IBAN      
Bank Name      
Bank Address      
Bank SWIFT Code       Currency      

Clearing Code      

      Fax      
Contact: Telephone

AUTHORIZED PERSON FROM SUPPLIER:

Submitted by:
Name/Signature:      
Company Seal
__________________________________________________________________________________________________

FOR OFFICE USE ONLY:

Checked/Verified by:
Name/Signature:
Save the Children
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