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ProLogix Subcontractor Onboarding
Hey Partner! Please complete this form and don't forget to attach all the necessary documents.
33
Questions
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1
Registered Business Name
*
This field is required.
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2
Trading Name (if different)
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3
Company Registration Number
(Please attach copy)
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4
VAT Number
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5
Registered Address
*
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6
Operating Address (if different)
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7
Contact Name
*
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8
Job Title
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9
Phone Number
*
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Area Code
Phone Number
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10
Email Address
*
This field is required.
example@example.com
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11
Services Provided
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12
Primary Operating Regions
Regional / National / International
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13
Fleet Type & Size
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14
Operator’s Licence
(Please attach copy)
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15
Goods-in-Transit Insurance
(Please attach copy)
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16
Public Liability Insurance
(Please attach copy)
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17
Fleet Insurance
(Please attach copy)
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18
Health & Safety Policy
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19
Additional Accreditation / Certification
(Please attach copy)
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20
Attach Copies of all Documents Mentioned Above:
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21
Bank Name
*
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22
Account Name
*
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23
Account Number
*
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24
Sort Code
*
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25
IBAN
*
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26
SWIFT/BIC
*
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27
Remittance Email Address
*
This field is required.
example@example.com
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28
Declaration Confirmation
*
This field is required.
I confirm the information provided is accurate and compliant.
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29
Declarant Name
*
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30
Declarant Position
*
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31
Declarant Company
*
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32
Signature
*
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33
Date
*
This field is required.
-
Date
Month
Day
Year
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