PART I:CORPORATE PROFILE

*FULL NAME OF LEGAL ENTITY (required)

COUNTRY OF INCORPORATION (required)

TYPE OF ENTITY (required)

**IF THE ENTITY HAS PREVIOUSLY BEEN KNOWN IN OTHER NAMES, PLEASE STATE (IF ANY)

REGISTERED OFFICE/ADDRESS (required)

POSTAL CODE (required)

CITY NAME (required)

COUNTRY (required)

NO. OF EMPLOYEES (required)

CORPORATE WEBSITE (IF ANY)

GST REGISTRATION NUMBER IN SINGAPORE (IF ANY):

* As it appears in the Certificate of Incorporation. Please attach a copy of the Certificate of Incorporation.

** Please provide supporting documents.

PART II: SALES CONTACT

FULL NAME OF SALES PERSON(S)

TELEPHONE

EMAIL

OFFICE ADDRESS (IF DIFFERENT FROM REGISTERED OFFICE)

POSTAL CODE

CITY NAME

COUNTRY

MAJOR PORTS SERVED

SHIPSERV TRADENET ID (IF ANY)

REMARKS (IF ANY)

PART III: INVOICE PAYMENT/ACCOUNTS CONTACT

NAME OF ACCOUNTS PERSON(S)

TELEPHONE

EMAIL

EMAIL TO RECEIVE REMITTANCE SLIP (IF ANY)

PART IV: BANK ACCOUNT FOR REMITTANCE (PLEASE REFER TO THE FOOTNOTES BELOW)

NAME OF BANK

BRANCH NAME/CODE

SWIFT/BIC CODE

ADDRESS OF BANK

*NAME OF BANK ACCOUNT HOLDER

BANK ACCOUNT NUMBER

BANK ACCOUNT'S DENOMINATION

OTHERS (PLEASE SPECIFY)

**AGREED CURRENTY OF QUOTED PRICES AND AMOUNTS TO BE PAID TO THE BANK ACCOUNT

OTHERS (PLEASE SPECIFY)

***IBAN / IFSC CODE

GIRO (PAYMENT IN SINGAPORE, IF APPLICABLE)

BANK CODE

BRANCH CODE

NAME OF INTERMEDIARY BANK (IF ANY)

SWIFT CODE OF INTERMEDIARY BANK (IF ANY)

REMARKS (IF ANY)

* If the name of bank account holder (i.e. the beneficiary name) differs from the name of the entity in Part I, kindly provide the appropriate document(s) to show the relationship between them.

** Prices are to be quoted and payments will be made in this currency. Foreign exchange transaction costs levied by the recipient’s bank, if any, are to be borne by the recipient.

*** For payments to be made expediently, please provide IBAN/IFSC Code and ensure that it is also indicated on the invoice. IBAN Code is mandatory for banks in Europe and the Middle East, while IFSC Code is mandatory for banks in India.

PART V: CONFIRMATION BY AUTHORIZED PERSON

I hereby confirm that the information provided above is true, accurate and complete, and all payments should be made to the above mentioned bank account(s) provided herewith. This form will supersede all such forms and banking instructions previously submitted by this Company.

NAME OF THE AUTHORIZED PERSON

TITLE / DESIGNATION OF THE AUTHORIZED PERSON

AUTHORIZED PERSON EMAIL

DATE

ATTACHMENT 1 (IF ANY)

ATTACHMENT 2 (IF ANY)