Supplier Self-Registration and Pre-qualification

Supplier Self-Registration And Pre-qualification

<tr class="tr_directors_{0}">
		<td><input type="text" name="director_details[{0}][director_name]" id="director_name_{0}" class="required  form-control" value=""></td>
		<td><input type="text" name="director_details[{0}][director_pin]" id="director_pin_{0}" class="required  form-control" value=""></td>
		<td><select name="director_details[{0}][gender]" id="director_gender_{0}" class="required  form-control">
			<option value=""></option><option>Female</option><option>Male</option><option>Unspecified</option></select></td>
		<td><input type="text" name="director_details[{0}][nationality]" id="nationality_{0}" class="required  form-control" value=""></td>
		<td><input type="text" name="director_details[{0}][director_phone]" id="director_phone_{0}" class="required  form-control" value=""></td>
		<td><input type="email" name="director_details[{0}][director_email]" id="director_email_{0}" class="required  form-control" value=""></td>
		<td><input type="number" name="director_details[{0}][share_percentage]" id="share_percentage_{0}" class="required  form-control" value="" max="100" maxlength="3"></td>
		<td><a class="btn_close" id="directors_close{0}" onclick="javascript: delRow_mix('directors', {0})">X</a></td>
	</tr>

Welcome to EBK Supplier Self Registration. This website serves as the initial point of entry for future vendors to do business.
Note: Before Proceeding with self-registration process, please make sure that you will have the following information available: Personal Identification Number, Contact Information, Business information and Registration certificates in PDF format.

Basic Information:

Ownership Type:

Company Name:

Certificate of Registration No.:

Personal Identification No (PIN):

Country of Incorporation:

County Located:

Address:

Street Address:

City:

Zip/Postal Code:

Postal Address:

Telephone - Landline:

Telephone - Mobile:

E-Mail Address:

Directors Details: All fields are mandatory. Input complete list of directors. Total ownership must be 100%.

Director Name:	PIN	Gender	Nationality	Phone	Email	Share-%
Add Director

Contact Person Information:

Contact Name:

Job Title/Designation:

Phone Number:

Email Address:

Product Categories: Please select atleast one product category.

Select Service Category

Mandatory Certificates: Only enter active certificates recognized by Kenya Public Procurement

Certificate	Registration No	Issue Date	Expiry Date
View Requirements for AGPO, Youth, Women & PWDs			Add Certificate

Relevant Documents: Please attach all the relevant documents. You must attach Tax Number certificate (PIN), Certificate of Incorporation/ Registration (REG), Registrar of Companies List of Directors (CR12). Also attach certificates for special groups if appropriate.

Tax PIN Certificate:

Certificate of Incorporation:

Tax Compliance Certificate:

Business Permit:

Registrar of Companies CR12 Certificate:

Certificates for Special Groups:

Evidence of Similar Works Done:

For General Suppliers: Attach evidence of similar works done in a single document. Include LPO/LSO Contract documents, Letters of notifications of award and Completion of Services/Works Done

Self Declaration:

I agree to the Terms And Conditions For Registration Of Suppliers