MOBT Global - Vendor Business Information Form

Vendor Business Information Form

First Name*

Last Name*

Job Title*

Organization Name*

Please provide a brief description about the services provided by your organization*

Organization website*

Please enter N/A if no website

Email*

Phone #*

Organization Address*

Please upload business license (Registre de Commerce)*

Please upload organization Bank RIB*

Bank RIB must be on letterhead and include the following information: The name of the bank, the account holder's name, the address of the bank, the account number, and the SWIFT number.

Please upload W8-Ben Form

Please complete and sign the W8 form:

If you are an individual, please use W8 BEN

If you are a business entity, please use W8 BEN E

These forms certify that you are a foreign entity or individual doing business with a U.S. company and provide necessary tax information. Rest assured, all information provided will be kept confidential and handled securely.