Commercial in confidence



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COMMERCIAL IN CONFIDENCE

Annex G

Page of

Application Ref Number:

Project Title:

Oracle 12.1.3: PAYEE/SUPPLIER MAINTENANCE FORM (AP1) v7.7
New Supplier Form
Please note that sections marked with a * are mandatory


Requestor Details

Requestor Name *

To be completed by UK Space Agency

Requestor Email *

To be completed by UK Space Agency

Telephone Number

To be completed by UK Space Agency

Organisation *

UK Space Agency




Type of Request *

CREATE NEW SUPPLIER



AMENDMENT TO EXISTING SUPPLIER



One Off payment

Y ☐

N ☐

Change of address






Site name (if change)

     

Supplier Classification *

Additional site



Goods & Services



Change of name



Grant / Grant in aid



Change of bank details



WGA (CPID CODE)



Add additional bank details






Supplier Details *

Supplier Number

      (mandatory of amendment)

Supplier/Payee Name *

(If sole trader/individual see box + below)



     

If there is a change to the supplier name than please supply original name

     

VAT Reg Number *

     

☐ + I confirm that I have followed the Departmental Procurement Policy entitled “Engaging Individuals, Inland Revenue & Sole Trader Guidance” *



* I confirm that the supplier employs less than 250 people (classed as a Small or Medium Enterprise)



* I confirm that the supplier employs more than 250 people




Site Address

Site Name * (This is the town or city name)

     

Address Line 1 *

     

Address Line 2

     

Address Line 3

     

Town/City *

     

Country/District

     

Country *

     

Post Code *

     

Remittance Email Address *

     

Site Contact (If known)

Name

     

Telephone Number

     




Factor Site

Is this a factor site? (If payment is to be made to a 3rd party)



Factor Details

Site Name

FACTOR

Factor Name

     

Address Line 1

     

Address Line 2

     

City/Town

     

County/District

     

Post Code

     

Factor Contact

Name

     

Telephone Number

     




Bank Details * (for UK banks)

Bank Name *

     

Bank Branch *

     

Sort Code *

      -       -      

Account Name *

     

Account Number *

     




Bank Details * (for foreign banks)

Country *

     

Bank Name *

     

Bank Branch *

     

Account Name *

     

Account Number *

     

IBAN/Routing Number *

     

BIC/SWIFT Code *

     

Currency *

     




Bank Details * (for intermediary banks)

Bank Name *

     

Beneficiary Account Number/IBAN *

     

Beneficiary Account Name *

     

Beneficiary Account Code/BIC/SWIFT *

     

Additional bank codes *

     

Currency *

     




Payment Method * (tick as appropriate)

BACS (preferred payment method)



Sterling payment abroad



Book transfer (Citi Transfer)



Foreign currency payment



Cheque (Payable Order only if bank details unavailable)



Payment Terms

Default is 28 days for goods & services, 5 days for grants



     








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