Supplier Self-registration - Citrosuco

Supplier Self-Registration Request Form

1 Supplier Information

1.1 Supplier's Country of Origin*

1.2 Supplier's Legal Name*

1.3 Federal Tax Identification Number *

2 Address

2.1 Postal Code *

2.2 Street*

2.3 Number *

2.4 Neighborhood*

2.5 City*

2.6 State*

3 Baking Information

3.1 Bank Name*

3.2 Proof of Bank Account with Legal Name, VAT ID, Bank, Branch, and Account Details. (E.g., Cheque or Bank Statement) Supplier must attach.*

4 Supplier Contact Information

4.First Name*

4.2 Last Name*

4.3 Email for Invoice/Order Delivery*

4.4 Email for Payment Information*

4.5 Primary Phone Number*

As a Supplier, do you qualify as a “Related Party”? If your company has directors, partners, or shareholders with a familial relationship to Citrosuco Group and its controllers (Fischer Group and Votorantim Group), your company is considered a “Related Party".*

Yes No

I agree with the Code of Conduct.*

I agree with the Rules and Safety, Environment, and Occupational Health.*

I agree with theAnti-Corruption Expectations Letter..*

I agree with the Data Privacy Policy.*

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