SUPPLIER REGISTRATION FORM

1. INSTRUCTIONS
• All Suppliers who intend to provide services or goods to YAS Holding LLC (YHL);
hereinafter referred to as “THE COMPANY” must go through a registration, qualification
and approval process.
• This form should be completely filled in by the authorized representative of the Supplier.
Fields that are not applicable should be marked “NA”.
• The following required documents must be submitted along with this form:
o Company Profile
o If a UAE company, copy of valid Commercial/ Trade License
o If non-UAE company, copy of Certificate of Incorporation/ Company Registration
o Copy of Power of Attorney and Passport copy of the authorized signatory
o Original Bank Account letter issued by the Supplier’s bank (in bank letterhead)
o If a UAE company, copy of Certificate of Registration for Value Added Tax (VAT).
o If Supplier is issuing electronic tax invoice, a copy of the Digital Certificate should be
provided to the Company to guarantee the authenticity of origin and integrity of
content of electronic tax invoice as required under Article 59 of Executive Regulations
of the Federal Decree Law No (8) of 2017 on Value Added Tax.
o If Sole Agent/ Distributor, copy of certificate issued from the Manufacturer
o Copy of ISO certificates or other industry specific certificates, if applicable
o Original signed Non-disclosure Agreement (Form to be obtained from THE
COMPANY’s Procurement Department)
o List of main Customers and Suppliers
• All information provided in this form should match with the details in the above required
documents. Further, all information shall be treated as strictly confidential and will be used
solely by THE COMPANY.
• The completed form should be signed by an authorized representative and stamped with
company seal on every page. All documents should be sent to the Procurement Department
of THE COMPANY. In case of changes in the information, it should be communicated by the
Supplier to the company within two weeks or before receiving any orders from THE
COMPANY.
• In case the Supplier’s payment terms differ from THE COMPANY’s standard payment terms,
both party shall agree in writing for the payment terms acceptable with both parties.
• The Supplier shall be notified via email through the Supplier’s representative mentioned in
this form, whether the application is successful or rejected.

Confidential YHL Page 1 of 4

F-PUR-005-24-Supplier Registration Form v3.1 Yas Holding LLC All Rights Reserved
2. SUPPLIER INFORMATION

Supplier Details

Supplier Name

Alternate Name
Sole Prop. LLC PJSC Branch Gov’t. Others
Legal Structure

Commercial/ Trade
License Expiry Date
License Number
Value Added Tax (VAT) Information

Tax Registration No.

Registration Date
Tax Invoice Manual & Original Electronic with Digital Certificate
Address Information

Country
Address line 1

Address line 2
City
Postal Code Company Website

Phone Area Code Phone Number

Fax Area Code Fax Number

Owners Information
Name Nationality % of Ownership
0%
0%
0%
Contact Information
Name Designation Telephone No. Email
(CEO, GM, MD)
(Sales Head)
(Sales Staff)

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F-PUR-005-24-Supplier Registration Form v3.1 Yas Holding LLC All Rights Reserved
 Products & Services Information
Product/ Service
Description
Name

Financial Information
Financial Period Total Revenue Net Profit/ (Loss) Total Assets Total Equity

(Year 1)
(Year 2)
(Year 3)
Payment Information

Payment Method
Payment Terms/
Credit Period
Invoice Currency
Bank Account Information

Bank Name

Beneficiary Name*
Branch
Address

Currency

Account Number

IBAN
Swift Code

BIC Code

Routing Number

* The Beneficiary Name should be the same with the Commercial/ Trade License/ Certificate of
Incorporation/ Registration.

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F-PUR-005-24-Supplier Registration Form v3.1 Yas Holding LLC All Rights Reserved
3. DISCLOSURE OF CONFLICT OF INTEREST
Please disclose any potential or actual conflict of interest that may arise from your future
contractual relationship with THE COMPANY, including but not limited to disclosing whether any of
the owners, officers or employees of your company, or any of their family members, have any
personal relationships (including immediate family relationships) with any of THE COMPANY’s
employees at the time of this registration.

No Yes If Yes, please specify………………………………………………………….

4. DISCLOSURE OF LEGAL CASE

Please disclose any concluded legal cases within the last five (5) years resulting from a claim by a
current or past Customer/ Contractors/ Subcontractors.

No Yes If Yes, please specify………………………………………………………….

5. SUPPLIER DECLARATION
We hereby declare that all information contained in this Supplier Registration Form are valid and
accurate. We acknowledge that any incorrect or false information shall be ground for rejection of
this application, cancellation of registration or disqualification to participate in any tender/
quotation with the company.

We undertake to inform the company of any changes and will periodically update or confirm (at
least yearly) all information supplied in this form.

Signature: ___________________________ Supplier Company Stamp

Full Name: ___________________________

Designation: ___________________________

Date: ___________________________

Confidential YHL Page 4 of 4

F-PUR-005-24-Supplier Registration Form v3.1 Yas Holding LLC All Rights Reserved