Supplier Registration

  • Name *
  • Email Address*
  • Password *
  • Confirm Password *
  • Registered name of company *
  • Trade name
  • Registration number
  • Directors/ Members/Sole Proprietor
  • Province *
  • Physical Address *
  • STAFF DETAILS 1
  • Operations Manager 1
  • AH/Emergency number 1
  • STAFF DETAILS 2
  • Operations Manager 2
  • AH/Emergency number 2
  • Insurance Company details
  • Policy number
  • Fleet details (Description, Size, Year Model)
  • Postal address *
  • Office Mobile number *
  • Landline number
  • Fax number
  • Website
  • Contact person / User (multiple users to be allowed)
  • Designation
  • Skype
  •  
  • Mobile Number 1
  • Email Address 1
  •  
  • Mobile Number 2
  • Email Address 2
  • Insurance Company details
  • Insurer details
  • Driver details
You are successfully registered!

Note :: Your account will be active once Administrator approve it.It may take 5 minutes or so.
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