Company Letterhead Block
{{company_name}}
{{company_address}}
Phone: {{phone}}
Email: {{email}}
Website: {{website}}
Vendor/Supplier Information
Vendor/Supplier Name: {{vendor_name}}
Vendor/Supplier Code: {{vendor_code}}
Contact Person: {{contact_person}}
Contact Email: {{contact_email}}
Contact Phone: {{contact_phone}}
Physical Address: {{vendor_address}}
Business Registration Number: {{business_reg_number}}
Tax Identification Number (TIN): {{tax_id_number}}
Account Opening and Due Diligence Documentation
Business Registration Certificate/Company Profile (Copy): [ ] Yes [ ] No [ ] N/A
Tax Clearance Certificate (Copy): [ ] Yes [ ] No [ ] N/A
VAT Registration Certificate (Copy, if applicable): [ ] Yes [ ] No [ ] N/A
Bank Account Confirmation (Bank letter or cancelled cheque): [ ] Yes [ ] No [ ] N/A
Shareholder/Director Information (If required by company policy): [ ] Yes [ ] No [ ] N/A
Conflict of Interest Declaration (Signed): [ ] Yes [ ] No [ ] N/A
Signed Vendor Application Form: [ ] Yes [ ] No [ ] N/A
Contractual Agreements
Master Service Agreement (MSA) or Supply Agreement (Signed): [ ] Yes [ ] No [ ] N/A
Non-Disclosure Agreement (NDA) (Signed, if applicable): [ ] Yes [ ] No [ ] N/A
Service Level Agreement (SLA) (Signed, if applicable): [ ] Yes [ ] No [ ] N/A
Terms and Conditions (Accepted and filed): [ ] Yes [ ] No [ ] N/A
Pricing and Payment Information
Approved Price List/Quotation: [ ] Yes [ ] No [ ] N/A
Payment Terms Agreement: [ ] Yes [ ] No [ ] N/A
Banking Details Confirmation: [ ] Yes [ ] No [ ] N/A
Compliance and Policy Adherence
Proof of Insurance (Professional Indemnity, Public Liability, etc., if applicable): [ ] Yes [ ] No [ ] N/A
Health and Safety Policy Acknowledgement (If applicable): [ ] Yes [ ] No [ ] N/A
Environmental Policy Acknowledgement (If applicable): [ ] Yes [ ] No [ ] N/A
Anti-Bribery and Corruption Policy Acknowledgement (Signed): [ ] Yes [ ] No [ ] N/A
Data Protection/Privacy Policy Acknowledgement (Signed, if applicable): [ ] Yes [ ] No [ ] N/A
Performance and Review Records
Performance Reviews (Filed and dated annually): [ ] Yes [ ] No [ ] N/A
Incident Reports (If any, with resolutions): [ ] Yes [ ] No [ ] N/A
Communication Log (Key correspondence): [ ] Yes [ ] No [ ] N/A
Checklist Completion
Checked by: {{reviewer_name}}
Date of Review: {{review_date}}
Notes/Comments: {{notes_comments}}
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