Join Our Network

Become a ProcureNet manufacturer

Join Today

Fill the documents

To become part of our network you need ot fill and sign our application and then submit it using the form on this page.

1. Company Name

1.1 Present Company Name: *

1.2. Previous Name of Company (if applicable): *

Please attach at the end of this form a relevant document of name change, if applicable

1.3. Parent Company's Name: *

Please provide legal relationship of parent company to the company, if applicable

2. Company Address

2.1. Address: *

Address Line 1

City

State / Province / Region

Postal Code

Country

2.2. Please attach a sketch shown the location of your office: *

Click or drag a file to this area to upload.

3. Company Contact Info

3.1. Telephone / Cell Number: *

3.2. Fax Number: *

3.3. Email *

3.4. Website: *

4. Contact Person (minimum 2 persons)

4.1.1. Name: *

By typing the name of the person, it is used to sign on his behalf

4.1.2. Title *

official capacity

4.2.1. Name: *

By typing the name of the person, it is used to sign on his behalf

4.2.2. Title *

official capacity

4.3. More Persons (Optional)

5. Name of Person authorized to collect cheque from PROCURENET for payment:

5.1.1. Name: *

By typing the name of the person, it is used to sign on his behalf

5.1.2. Title *

official capacity

6. Organization Details

6.1. Type of Organization (only one is allowed to select) *

State Enterprise
Private Company
Other (Please specify below)

7. Products You Want to Provide

7.1. Please indicate the main services / products, you are interested in providing to PROCURENET (briefly) *

Please provide product list or catalogue

8. Company Documentation

8.1. Please specify previous contracts in attached Annex A. *

Click or drag a file to this area to upload.

8.2. If agent, trading house, do you hold sole / exclusive right / license? *

If yes please provide a copy of relevenat document.

8.3. Does your company hold Membership of National / International Professional Association? *

if yes, please provide a copy of relevant document

8.4.1. Do You Have Supporting Documentation for registration / establishment *

if yes, please provide a copy of relevant document

8.4.2. Registration with Ministry of Trade Ref No. *

8.4.3. Date of Issue: *

8.5. Other Information

9. Company Size

9.1.1. Number of all full time employees *

9.1.2. Male *

9.1.3. Female *

9.2.1. Storage / Warehouse Total Capacity in m² *

9.2.2. Roofed Area in m² *

9.2.3. Open Space in m² *

9.3. Size of production plant(s) in m² *

10. Company Financial Performance

10.1. Company Property / Asset total value in USD *

10.2.1. Gross Annual Turnover for current year (estimate) in USD *

10.2.2. Gross Annual Turnover for last year in USD *

10.2.3. Gross Annual Turnover for the year before in USD *

11. Payment Information

11.1.1. Bank Name *

11.1.2. Bank Address (City & Country) *

11.2. Bank Account No. *

11.3. Account Holder: *

11.4. Bank key (swift code) *

11.5. IBAN *

11.6. Bank branch number *

11.7.1. Payment Method *

e.g. bank transfer or issue check or all options

11.7.2. Currency *

11.8. Alternative payee? *

12. Quality Control

12.1. Approved Standard *

ISO, FDA, GMP etc. please specify

12.2. Does your company have a statement on quality policy? *

If yes, please attach a copy.

12.3. Which of the flowing does your company implement? *

Raw Material Control
Process Control
Sub-Component Control
Final/Pre-delivery Control

12.4. Authorized Contact Person regarding Quality Control *

Name

12.4. Authorized Contact Person regarding Quality Control Title *

Title

12.4. Authorized Contact Person regarding Quality Control Telephone *

Telephone

12.4. Authorized Contact Person regarding Quality Control Email *

E-Mail

13. Production & Distribution

13.1. Access to raw material for production *

Local
Import

13.2. Does your company subcontract for the production *

if yes kindly provide names of the sub contractors

13.3. Distribution Accessibility *

Direct distribution to WB
Direct distribution to Gaza
Distribution via subcontractor

if applicable please mark more than one

14. Other

14.1. Is your company covered by any third party liability insurance? *

If yes, please provide a copy of relevant document

14.2. Does your company have a documented environmental policy? *

If yes, please provide a copy of relevant document

14.3. Does your company have social accountability policy? *

If yes, please provide a copy of relevant document

14.4. Does your company employe both male and female? *

14.5. Does the payment differ for the same level based on the gender? *

15. Other Comments?

SIGNATURE *

By typing in your full name here you sign the docuemnt

Correct information *

I hereby certify that the information provided above and in all the Annexes are correct and that no person in any connection with this establishment as a principal or employee, so far as know, it employed by PROCURENET, or barred by PROCURENET, as a suppler / contractor for providing supplies / services.

Correct information 2 *

I also understand that falsified or misleading information could result in disqualification of the company as a registered potential vendor for PROCURENET.

Connect to our on-demand manufacturing platform

Search our network and find trusted manufacturers who are able to produce your commodities on-demand. Save time and money associated with sourcing the right manufacturer and select from our pre-approved network of manufacturers.

Search Now