Supplier Registration

Get yourself registerd using the form below

Suppliers Registration Form

Please fill-out your company information to receive our invitation to tender in the categories that you supply.

Note: MSF reserves the right to invite suppliers based on the information received via this registration form.

Name of Registered Business/Company *

Address*

Postal code*

State*

City*

Country*

Tax Registration Number in the Country*

Year of Establishment *

Name of Representative*

Mobile /Phone Number*

Email address*

How many employees does your business have?*

Please indicate what is the category of your business*

Type of Business*

National

International

Annual Turnover (USD) Optional

Please list your main clients*

Company name	Type of contract (spot, monthly, 12-month, etc)	Aprox. contract value (USD)	Contact name	Contact phone	Contact email

Which category is your business willing to supply*

Material informático y de telecomunicaciones

Material de oficina, papelería y otros consumibles

Higiene y limpieza

Electricidad (test)

Domestic freight - Air | Please list the aircraft your company operates, all information must be complete to be considered: *

Aircraft type	Capacity	Home base	Registration no	State of registration	Aircraft owner

Domestic freight - Air | Please provide information on your company’s insurance coverage which must include: *

Comprehensive third party liability insurance protecting the Carrier and the Charterer against claims for death or bodily injury and damage to property
Basic hull war risks and war risks liability insurance, including third-party liability
Hull all risks insurance both in flight and not in flight.
Personal accident indemnity insurance for pilot and crew.

Name of insurance provider	Coverage validity date	Counties covered

Can you accept bank transfers?*

Yes

Do you own a bank account?*

Yes

Please select to which locations your company can do direct deliveries*

Anzoátegui

Puerto Ayacucho

Tumeremo

Las Claritas

Caracas

Delta Amacuro

Do you have previous experience working with MSF (If 'Yes' select the sections you worked for)*

Yes

Do you have previous experience in doing business with INGO/NGO in Venezuela?*

Yes

Storage Capacity
Storage Capacity	Depot Location	Diesel (liters)	Petrol (liters)

Supplier Registration

Suppliers Registration Form

Domestic freight - Air

Domestic freight - River

Requested Routes

Fuel Category