New Vendor Registration Form Monash Universiti

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Monash University Malaysia

NEW VENDOR REGISTRATION FORM


*** Please Share all document / picture link with hafiz.zukafle@monash.edu

Type of Business*
Private Limited/ Sendirian Berhad / Sole Proprietorship

AGENSI KERAJAAN

Business registration name (ROC):*

Business address:*

Pusat Latihan Teknologi Tinggi (ADTEC) Shah Alam,No 5934-1, Jalan Bukit Kemuning, Seksyen
32, 40460 Shah Alam, Selangor Darul Ehsan.

Nature of the customer's business*


E.g manufacturing of xxx, service

EDUCATIONAL

Country*
Malaysia

Business registration number:*


Please provide SSM new number (12 digits) and old number e.g 808080800000/ 101010-U

- -

Copy of Business Registration Form*


Malaysian: SSM Form 9/ Form 24 or Form 49
insert document link

-
Name contact:*
(for receiving payment advice from remittance bank)

PENGARAH PUSAT LATIHAN TEKNOLOGI TINGGI (ADTEC) SHAH ALAM, SELANGOR

Supplier Email address for PO :*


(if different from the remittance email address)

Supplier payment term with Monash


-Other-

Please attached the quotation*


Invoice Adtech.pdf
Bank name*
AFFIN ISLAMIC BANK BERHAD

Screenshot Bank statement header*


(display beneficiary name and account no.)
Remark: Naming convention eg: <New Company Name> < _ > <Bank Name >

Bank full address*


AFFIN BANK SHAH ALAM, VISTA ALAM, F-G-38 & 39, JLN IKKTISAS 14/1, OFF PERSIARAN
DAMAI, SEKSYEN 14, 40000 SHAH ALAM, SELANGOR

Beneficiary Bank*
LOCAL (MAlaysia)

Beneficiary Name:*
AKAUNTAN NEGARA MALAYSIA SELANGOR

Bank Account no*


105990040172

Payment Currency to the Beneficiary*


(As per Purchase Order / Contract /Invoice)

Malaysian Ringgit (MYR)

Beneficiary Account Currency*


Malaysian Ringgit (MYR)

SWIFT code*
Type NA- if not applicable

AIBBMYKL

Other bank code (if applicable)*


Type NA- if not applicable

4712132

Enhanced Due Diligence (EDD)*


Information for Enhanced Due Diligence (EDD) is to be furnished if the vendor is originated from China, India, Pakistan & Turkey. It is a requirement
by our banker to complete this form before payment can be arranged.

NO

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