Individual Vendor Form

PSI Supplier Registration Form

International Supplier Registration & Verification

Completion of this form does not constitute approval, an order, or any commitment by PSI Engineering (U) Ltd.

1. Legal Identity

Registered Legal Name

Legal Name (Local Language/Script)

Trading / Brand Name

Legal Form

Registration Number

Issuing Authority

Date of Incorporation

Country of Incorporation

Registered Capital (USD)

Paid-up Capital (USD)

Registered Address

Manufacturing / Factory Address

Country of Manufacture

Years at Facility

Website Domain

Domain First Registered (Year)

Total Employees

Production Staff

2. Classification

This Company Is (Tick One Only):

Manufacturer (owns the factory)

Authorised Distributor

Trading Company / Sourcing Agent

Manufacturer's Sales Subsidiary

% Revenue from Own Manufacture

Business Scope on Registration Certificate

Actual Manufacturer Name (If not manufacturer)

Actual Manufacturer Address

Manufacturer Authorisation Letter (PDF, max 10MB)

3. Ownership, Control & Integrity

Ultimate Beneficial Owners Holding 10% or More:

Full Legal Name	Nationality	% Held

Legal Representative / Managing Director

ID / Passport Number

Parent Company and Group Structure

Integrity Declarations

Any owner/director/employee is related to or has a financial interest shared with any PSI director/employee.

Any owner or director is a politically exposed person (PEP) or close associate.

The company, owners, or directors appear on any sanctions list (UN, EU, UK, US OFAC, etc.). (Checking this will block submission)

The company is debarred/suspended by any multilateral development bank (World Bank, AfDB, etc.). (Checking this will block submission)

The company has been convicted of bribery, corruption, fraud, or money laundering in the last 10 years. (Checking this will block submission)

The company is in insolvency, administration, receivership, or liquidation.

There is unresolved litigation or arbitration against the company exceeding USD 100,000.

The company agrees to comply with PSI's anti-bribery policy and confirms no facilitation payment has been or will be offered. (Required to submit)

4. Financial Standing

Annual Turnover - Last FY (USD)

Turnover - Prior FY (USD)

Net Assets (USD)

Export Turnover as % of Total

Largest Single Customer as % of Turnover

Credit Insurance Available?

Audited Financial Statements (Last 2 Years, PDF)

5. Banking Details

Bank Account Name (Must match Legal Name exactly)

Bank Name

SWIFT / BIC

Account Number / IBAN

Account Currency

Country of Bank Account

Full Branch Address

Reason (If bank country differs from incorporation country)

Authorised Finance Contact Name

Position

Direct Telephone

Bank Confirmation Letter (On bank letterhead, dated within 90 days, PDF)

Banking Declarations

The account above is held by the contracting legal entity in its own name.

The company will not request payment to any third party, agent, affiliate, or personal account.

Any change to bank details must be notified on bank letterhead, with independent telephone verification and a 7-day hold.

The company accepts payment by irrevocable letter of credit where PSI elects to use one.

The company will provide an advance payment guarantee from a first-class bank where the advance exceeds PSI's threshold.

6. Technical & Quality

Quality Management Certification

Certificate Number

Certification Body

Product Marks Held (e.g., CE, CCC, BIS, UL, KEMA, SABS, INMETRO)

Type Test Reports:

Product Name	Testing Laboratory	Report Number	Date	Upload Report (PDF)

Annual Production Capacity

Capacity Unit

Current Capacity Utilisation %

Third-Party Inspection Acceptance

Accepted (Pre-shipment and during-production inspection by SGS, BV, QIMA, or PSI's nominated inspector)

Not Accepted (Refusal ends the registration)

Required Supporting Documents

ISO Certificates (PDF)

Factory Photographs (Exterior + Production Line)

Product Catalogue with Technical Datasheets

7. Review & Submit

Authorised Signatory Name

Position

Contact Email

Contact Telephone

I confirm that I am authorised to bind the company, the information given is true and complete, and PSI may verify it with any authority, bank, laboratory, or reference named. I consent to PSI processing my data per Uganda's Data Protection and Privacy Act, 2019 (PDPO).

Disclaimer: Submission of this form does not constitute supplier approval, vendor registration, or any commitment by PSI Engineering (U) Ltd. It merely indicates that your application has been received and forwarded to PSI Procurement for manual review.