Supplier Registration System
Hotline: 03-77267696
Support Email: caring_support@pracbiz.com
APPLICATION FORM-Supplier E-Commerce Programme
SECTION:INFORMATION ON COMPANY AND AUTHORISED PERSONNEL
*
Company Name
:
*
Company Address
:
*
Main Phone
:
*
Main Fax
:
*
Postal Code
:
*
Biz Reg No
:
GST Reg No
:
(Mandatory for GST-registered Company)
*
Supplier Code
:
(Use comma ',' to separate multiple supplier codes.)
*
Password
:
*
Confirm Password
:
Administration Contact
(You may use the same contact for all if required.)
*
Name
:
*
Designation
:
*
Phone
:
*
Email
:
(This Administration Contact's email address will be used for the primary supplier administrator account.)
Business Contact
*
Name
:
*
Designation
:
*
Phone
:
*
Email
:
(This Business Contact's email address will be used for business transaction notification.)
Finance Contact
*
Name
:
*
Designation
:
*
Phone
:
*
Email
:
(This Finance Contact's email address will be used for the finance related functions.)
Logistics Contact
*
Name
:
*
Designation
:
*
Phone
:
*
Email
:
Upon successful registration, 1 authorisation form will require your final execution to complete this registration process.
Kindly fill in the form and send it to the address stated in the form.
1) Supplier Portal Authorisation Form will be emailed to the registered Business Contact.
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Supplier Registration System
Supplier Registration System