MotorolaGlobalVendorRequestForm.docx

MotorolaGlobalVendorRequestForm.docx

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MotorolaGlobalVendorRequestForm

GLOBALVENDORINFORMATIONREQUESTFORM

Ifaddinganewvendor,pleasecompletepages1-3.Otherwisefilloutinformationtobechanged.

AddNewVendorAddNewAPSiteAddNewPOSite

UpdateVendorInformationUpdateAPSite/NameChangeUpdatePOSiteDetails

TagtoAmericas（seepage4）TagtoATC（seepage5）TagtoEMEA

DeactivateVendorSiteTag_____forUpdateSystemtoTag

VendorInformation:

CompanyName:

FormerName:

VendorNumber:

VendorSite#:

D&B#:

PaymentTerms:

（NeedssignatureapprovalfromSectorControllerifotherthannet45）

SectorControllerSignature（ifotherthannet45）:

ScheduleSharingVendor:

√YesNoRFQOnlyVendor#:

Yes√No

*VendorContactName（forTIGERS）:

*VendorContactPhone#（forTIGERS）:

*VendorE-mailAddress（forTIGERS）:

OrganizationType:

CorporationPartnershipIndividual/SoleProprietorship

GovernmentAgencyUtilityOther_________________

*OrderMethod（forTIGERS）:

EDITPEE-mailOther:

PaymentMethod:

CheckEFT（Filloutpage6）WireTransfer（Filloutpage7）

SupplierInvoiceMethod:

PayOnInvoice（POI）PayfromReceipt（PFR）

*RegionsIdentifier（forTIGERS）:

AmericasEMEAAsia

*RequiredifrecordistaggedtoTIGERS

APSiteDetails:

NewSite（ifapplicable）:

FormerSite（ifapplicable）:

N/A

NewRemittoAddress:

OldRemittoAddress:

City/State:

Province:

Country/PostalCode:

ARContactName:

ARContactPhone#:

ARContacte-mailaddress:

ARFax#:

PaydateBasis（DueorDiscount）TakeDiscount（Yes/No）

InvoiceCurrency:

PaymentCurrency:

POSiteDetails:

SameasAPSite:

Yes.OmitthissectionNo.Pleasecompletethissection

FormerPOSite（ifapplicable）:

NewRemittoAddress:

OldRemittoAddress:

City/State:

Province:

Country/PostalCode:

ContactName:

ContactPhone#:

（）

Contacte-mailaddress:

POFax#:

（）

PaydateBasis（DueorDiscount）TakeDiscount（Yes/No）

InvoiceCurrency:

PaymentCurrency:

AlternatePaySite（ifapplicable）:

LocalSystemtoTag:

（Checkallthatapply）

System

SiteTagCode

OperatingUnitDesc.

APSite

POSite

AMERICAS-FSS

AMERICAS-FSS:

CA

CANADA

AMERICAS-FSS

AMERICAS-FSS:

MINC

UNITEDSTATES

AMERICAS-FSS

AMERICAS-FSS:

MX

MEXICOCITY

AOFS

AOFS-AU

AUSTRALIA

AOFS

AOFS-CHN

CHINA

AOFS

AOFS-HK

HONGKONG

AOFS

AOFS-ID

INDONESIA

AOFS

AOFS-IND

INDIA

AOFS

AOFS-JPN

JAPAN

AOFS

AOFS-KR

KOREA

AOFS

AOFS-MIEL

MIEL 

AOFS

AOFS-MY

MALAYSIA

AOFS

AOFS-NZ

NEWZEALAND

AOFS

AOFS-PH

PHILIPPINES

AOFS

AOFS-SGP

SINGAPORE

AOFS

AOFS-SMART

SMART

AOFS

AOFS-TH

THAILAND

AOFS

AOFS-TWN

TAIWAIN

AOFS

AOFS-VN

VIETNAM

LIFESCIENCE

BIOCHIP

MOTOROLABIOCHIP

EMEA-FSS

EMEA-FSS:

CORK

CORKIRELAND

EMEA-FSS

EMEA-FSS:

DK

DENMARK

EMEA-FSS

EMEA-FSS:

FR

FRANCE

EMEA-FSS

EMEA-FSS:

GE

GERMANY

EMEA-FSS

EMEA-FSS:

IE

IRELAND

EMEA-FSS

EMEA-FSS:

IT_RD

ITALY

EMEA-FSS

EMEA-FSS:

IT_SPA

ITALYSPA

EMEA-FSS

EMEA-FSS:

MSSA

FRANCE

EMEA-FSS

EMEA-FSS:

NL

NETHERLANDS

EMEA-FSS

EMEA-FSS:

NO

NORWAY

EMEA-FSS

EMEA-FSS:

SE

SWEDEN

EMEA-FSS

EMEA-FSS:

UK

UK

NSS

GTSS:

TIANJIN

GTSSOTCSYSTEM-TAINJIN

NSS

NSS:

FRANCE

NSS

NSS

NSS:

SWINDON

NSS

TIGERS

TIGERS:

APPROVED

TIGERS:

APPROVED

TIGERS

TIGERS:

PREFERRED

TIGERS:

PREFERRED

RequestorInfo:

Requestedby:

Signature:

Phone:

Date:

CoreID/E-mail:

BusinessGroup:

Purchasingand/orTIGERSApprovalSignature:

RequestorinformationisrequiredfornotificationofGVMsetup.

WheretoSendForms:

Pleasefaxthiscompletedformandrequiredattachmentstoappropriateservicecenter:

US-FSS:

+1-847-538-2455EMEA-FSS（UK）:

+44-131-479-7190

EMEA-FSS（Germany）:

+44-131-479-7190ASIA-FSS（CHN,SGP,HK,TW,ANZ,ASEAN）:

+86-22-25208155

ASIA-FSS（JPN）:

+86-22-6620-1547（KR）:

+82-2-3466-5059（IND）:

+91-80-5596470

GLOBALVENDORINFORMATIONREQUESTFORM–ADDITIONALAMERICASINFORMATION

ThisinformationistobefilledoutifvendoristaggedtoAmericas

AdditionalAmericasInformation:

FederalTaxIDNumber:

______-_____________________

FederalTaxIDNumberisrequiredunlesscompanytaxreturnsarefiledunderanowner’ssocialsecuritynumber.

SocialSecurityNumber:

_________-______-____________

NOTE:

GLOBALVENDORINFORMATIONREQUESTFORM–ADDITIONALATCINFORMATION

ThisinformationistobefilledoutifvendoristaggedtoATC

AdditionalATCInformation:

CompanyName（LocalLanguage）:

TaxIDNumber:

CompanySales:

Year:

NumberofYearsinBusiness:

Major（active）Customers:

MotorolaFacilitiesCurrentlyDoingBusinessWith:

MajorProducts/Services:

CompanyOwner（DenialPerson’sListverification）?

:

Bankchargebearer:

Pleaseattachcopiesofdocument（whereapplicabletocountry）

a.BusinessRegistrationCertificate/BusinessLicense

b.MemorandumofArticlesandAssociation/DirectorsName

c.Bankstatements/BankLetter

d.TaxRegistration

e.CopyofInvoiceorCompanyLetterheadwithaddress

Declaration:

I/WeherebydeclaretheinformationprovidedabovetobetrueandcorrectandnoemployeeofMotorolahasanyvestedinterestinmy/ourcompany.PermissionisherebygrantedtoMotorolatoinquireuponanyperson,companyorauthorityregardingmy/ourbusinessstatus.

__

Name/Title（vendor）Authorizedsignature$Companystamp

__

Name/Title（Motorolarequestor）Signature

__

MotorolaFinancemanagerApprovalsignature

__

Commodity/SourcingManagerSourcingDirector

EFTENROLLMENTFORM

ThisinformationistobefilledoutifvendorisselectingEFT

AddaNewBankAccountModifyExistingBankAccountDeleteBankAccount

SupplierInformation:

SupplierNameSupplierID:

BankT/RNumber:

BankName:

Branch#

AccountNumber:

BankContact:

BankAddress:

City:

State:

Zip:

AccountType:

______Checking______SavingsBankPhoneNumber:

Payment/RemittanceOptions:

______OptionAElectronicpaymentwithremittancedetailviaEDIBANXorACHCTX.

NOTE:

IfyourcompanyisamemberofEDIBANXbydefaultthepaymentwill

besentviaEDIBANXunlessnotedotherwise.

______OptionBElectronic（ACHCCD+）paymentwithdirect820remittancedetail.

VANName:

________________________________________

ISA07:

____________________________________________

ISA08:

____________________________________________

Version:

____________________________________________

______OptionCElectronic（ACHCCD+）paymentwithfaxremittancedetail.

Name:

_____________________________________________

FaxNumber:

________________________________________

SupplierContactInformation:

ContactName:

_______________________________________________________

PhoneNumber:

_____________________________________FaxNumber:

___________________________________

Authorizedby:

_____________________________________PhoneNumber:

_________________________________

FORBANKUSEONLY

Enteredby:

________________________________________Date:

_______________Time:

_______________

Verifiedby:

________________________________________Date:

_______________Time:

_______________

WIREENROLLMENT/NETTINGREQUESTFORM

ThisinformationistobefilledoutifvendorisselectingWireTransfer

DATEREQUESTED:

SUBMITTEDBY:

COMPANYNAME:

COMPANYADDRESS:

CITY:

STATE:

ZIP/POSTALCODE:

COUNTRY:

BANKACCOUNTNUMBER:

PAYMENTCURRENCY:

BANKSWIFTCODE（8or11DigitAlpa/NumericRouting#）:

CANADAVENDORSONLY–PleasebeadvisedwhenMotorolamakesapaymentviawiretransferitissentoutthroughourNettingCenterinEngland.InorderforaCanadianBanktosupplyaSwiftCodepleaseletthebankknowthatyourcompanywillbereceivingapaymentfromoutofthecountry.

BANKNAME:

BANKSTREETADDRESS:

CITY:

STATE:

ZIP/POSTALCODE:

COUNTRY:

*AllabovefieldsmustbefilledoutcompletelytobesetuponWireTransfer–Incompleteformswillberejected

AdditionalBankInformation:

CORRESPONDENTBANKSWIFTCODE:

CORRESPONDENTBANKNAME:

BANKSTREETADDRESS:

CITY:

STATE:

ZIP/POSTALCODE:

COUNTRY:

RemitToAdvice:

FAXOREDI（COMPLETEONEOPTION）*

FAXREMITTANCEADVICETO:

FAXNUMBER:

CountryCode:

CityCode:

PhoneNumber:

OR

BANKEDIIDNUMBER:

*Musthaveoneoftheoptionsforremittancedetailfilledout–Incompleteformswillberejected.

AUTHORIZEDBY:

___________________________________________________________________________

PHONENUMBER:

CountryCode:

CityCode:

Phone:

FAXNUMBER:

CountryCode:

CityCode:

Phone: