SECTION 1 Profile
Supplier name:
Raghda Muhi
(For company, insert registered company name; for individual, please put the last name, and the first name as shown in National ID/Passport)
Business Relationship:
Spend Authorized (Default)
Prospective Bidder (by exception only)
Tax Organization Type: (Please tick one of the below):
Company/Cooperation ☑ UN System
Individual IGO/IFI/Multilateral/Bilateral organization
Government Entity UNIV/Intl Research Institution
NGO/CSO Others:
Supplier type: (Please tick one of the below):
☑
Supplier Individual (please also select Person type below)
Travel Agency Programme Partner
Person pe: (Please tick one of the below):
ty ☑ Staff UN Index ---- 309226 Personal Service Agreement
UNV Fellows
Intern Meeting Participants
For others, please specify
Country of Origin (Nationality): Iraqi National ID: Iraq
Tax Country: Tax Registration Number NA
SECTION 2 CONTACT INFORMATION
Contact 1: User Account
Last Name Mhui First Name Raghda Middle Name Ameer
E-mail Address: muhi@ilo.org
Phone:(Please include the Country Code) 009647719758509 Mobile: 009647901946269
Contact 2: Admin Account
Last Name First Name Middle Name
E-mail Address:
Phone:(Please include the Country Code) Mobile:
SECTION 3 ADDRESS
Country Iraq Phone 009647901946269
Address Alamreya, Amal Shabi Fax
636/8/1.2 Email Muhi@ilo.org
Address Purpose (Please tick the relevant box only)
City Ordering
Baghdad
State Remit To
Postal Code RFQ or Bidding
100011
Province
1
SECTION 4 BUSINESS CLASSIFICATION
Disabled owner Small Business
ISO Certifications (please provide a copy of the certificate) Other Certifications Please ( please provide a copy)
Minority-owned Women-owned entity (51% or more)
Women-owned entity (51% or more) – self Proclaimed /Not extremally certified – extremally certified
(please provide a copy of the certificate) ☑ None of the above
SECTION 5 BENEFICIARY BANK ACCOUNT DETAILS
Bank Account 1
Bank Country: Iraq
Bank Name:
TRADE BANK OF IRAQ
Swift Code/ Routing number: Currency:
Branch Name:
IZ BRANCH TRIQIQBA USD
Account Name: (name as it appears on bank account): Account Number: 0003-557690-220
Raghda Ameer Muhi
IBAN: IQ76 TRIQ 9910 0355 7690220 Account Type:
Bank Code: Branch Code:
Transit Code (5 digits) Canadian Banks: BSB code (6 digits) Australia Banks:
Bank Information for Intermediary /Correspondent Bank ( if applicable)
Name of Bank: Address of Bank:
Branch number: IBAN:
Intermediary Bank Account No: SWIFT Code: FEDWIRE NO. (US BANKS ONLY)
Bank Account 2
Bank Name:
Branch: Swift Code: Currency:
Account Name: (name as it appears on bank account): Account Number:
IBAN: Account Type:
Transit Code ( 5 digits) Canadian Banks : BSB code (6 digits) Australia Banks:
Bank Information for Intermediary /Correspondent Bank ( if applicable)
Name of Bank: Address of Bank:
Branch number: Bank code: IBAN Intermediary Bank:
Intermediary Bank Account No: SWIFT Code: FEDWIRE NO. ( US BANKS ONLY)
SECTION 6 PRODUCTS AND SERVICES
(Please tick the relevant box ONLY)
Raw Materials, Chemicals, Paper, Fuel
Industrial Equipment & Tools
Components & Supplies
Construction, Transportation & Facility Equipment & Supplies
Medical, Laboratory & Test Equipment & Supplies & Pharmaceuticals
Food, Cleaning & Service Industry Equipment & Supplies
Business, Communication & Technology Equipment & Supplies
Défense, Security & Safety Equipment & Supplies
Personal, Domestic & Consumer Equipment & Supplies
Services
SECTION 7 QUESTIONNAIRE
2
1. Please provide copies of one/ both of the below Mandatory Supporting Documents
a. Business Registration Certificate
b. Official document confirming tax registration status and number
2. An electronic funds transfer (EFT) is the default and standard payment method.
Any other payment method(s) in absence of EFT will need to be supported with justification.
The Proof of Banking (POB) should clearly identify the bank name, bank account name (should be same as supplier name),
account number, and other bank credentials such as SWIFT, routing number, and IBAN, where applicable.
Any of the following documents can be accepted:
a) Void cheque
b) Bank reference
c) Screenshot with online banking details without transactions or bank balance
d) Copy of the bank card with the account number
e) Copy of bank statements without details.
a. Electronic fund transfer - please ensure the Bank Accounts section of the supplier profile is completed and
provide Proof of Banking
b. Check payment - please provide justification in the comment box as we encourage all suppliers to be
paid electronically
Comments
Raghda Muhi
I, ____________________________, Account holder
in my capacity as __________________________, hereby authorise the agency to direct
payments for goods and services to the above account. Signature: ______________________________________
