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Form Isian Vendor

This document is a vendor create or amend request form. It contains sections for the requestor details, vendor details, and administration sections to be completed by procurement and finance. The form requests information such as the vendor name, tax number, bank account details, and confirmation that required documents are attached for new vendors.

Uploaded by

tiarasuryaprima
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
21 views1 page

Form Isian Vendor

This document is a vendor create or amend request form. It contains sections for the requestor details, vendor details, and administration sections to be completed by procurement and finance. The form requests information such as the vendor name, tax number, bank account details, and confirmation that required documents are attached for new vendors.

Uploaded by

tiarasuryaprima
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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VENDOR CREATE OR AMEND REQUEST

Please use BLOCK letters and complete all fields Please Upload to System

Section 1: Requestor details

New Vendor Amend Existing Vendor Inactivate Vendor

Requested by A M I L U L H U S N A H

Staff Number 1 9 0 4 0 5 0 Date: 1 8 1 2 2 3


d d m m y y

Section 2: Vendor Details

Type (Service/Supplier)

Vendor Name

Tax No.

Vendor # (for amendments)

Address

City

State

Postcode

Country (if Indonesia leave blank)

Telephone

Email Address for Remittance Advice

Email Address for Sales Order

Bank Account Details (To be provided by Vendor on letterhead)

Name of Bank

Address of Bank

Name of Account

Name of Account

For local payments


Bank Code

Account Number

For International payments


IBAN

SWIFT/BIC

Routing Code

Section 3: Administration Only (To be completed by Procurement Officer)

Is this an employee? No Yes Is there the legality document? No Yes

Is this a student? No Yes 1. Article of Association & Law No Yes


of Departement License
Is this in law process? No Yes 2. Tax Identinfier No Yes

Is the name in the vendor master file? No Yes 3. TDP, SIUP, SITU & Association No Yes

Created by
Name - in BLOCK letters Signature Date

Vendor ID

Section 3: Administration Only (To be completed by Finance & Accounting Director)

Authorised by
Name - in BLOCK letters Signature Date

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