MINT Vendor Profile Maintenance Form

VENDOR PROFILE

MAINTENANCE FORM

Note: *Mandatory Information
GENERAL INFORMATION
VENDOR UPDATE TYPE*

New VendorExisting Vendor
OFFICIAL VENDOR NAME*
COMPANY REGISTRATION NUMBER*
INVOICE CURRENCY*
LOCATION ADDRESS*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
POSTAL ADDRESS

Street Address

Street Address Line 2

CityState

Zip CodeCountry
WWW ADDRESS
CONTACT NAME*
CONTACT E-MAIL*
PHONE NUMBER*

Country CodePhone Number
FAX NUMBER*

Country CodePhone Number
MOBILE NUMBER*

Area CodePhone Number
NATURE OF BUSINESS*
BANK DETAILS :
BENEFICIARY NAME*
BANK NAME*
BANK ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
BANK ACCOUNT NO*
BANK BRANCH*
SWIFT CODE*
BANK / COUNTRY
CURRENCY*
BANK SORT CODE
IBAN (INTERNATIONAL BANK ACCOUNT NUMBER) if applicable
ABA NO
BANK TYPE (SAVINGS / CURRENT)
I confirmed and verified that the information on this form has been reviewed and is correct
DOCUMENTS TO BE SUBMITTED*

Certificate of RegistrationForm X / Form 16 & 17
UPLOAD DOCUMENTS HERE*

Browse Files

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In the event of any changes to your Company's data, please advice us immediately via email to accounts@mint.com.bn
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GENERAL INFORMATION