Application for Registration of Suppliers – 2027

Stores and Supplies Division · South Eastern University of Sri Lanka

Complete the form and submit it for preview. Your supplier record will not be saved until you confirm the application on the preview page.

01. Supplier Information

Name of Supplier

Address Line 1

Address Line 2

02. Contact Details

Telephone

Fax Number

Supplier Email

03. Nature of Business Registration

Business Type

Registration As

04. Business Registration

Business Registration Number

Registration Expiry Date

Business Registration Certificate PDF, JPG, JPEG or PNG · Maximum 5 MB

05. Bank Details

Bank Name	Account Number

06. Tax Information

VAT Registration Number

VAT Certificate (if applicable) PDF, JPG, JPEG or PNG · Maximum 5 MB

Income Tax File Number (if any)

07. Credit Facility

Whether agreeable to give 45 days credit facility?

08. Other Facilities (transportation, storage, etc.)

09. Contact Person

Name

Designation

Telephone

Mobile

Fax

Contact Email

10. Categories Applied For

Select one or more categories. The displayed fee is calculated using the current default of Rs. 1,000 per category.

Amount Paid (Rs.) The server recalculates the fee before showing the preview.

11. Payment Information

Date of Payment

Branch

Cash Receipt (required) PDF, JPG, JPEG or PNG · Maximum 5 MB

Certification

I / We hereby certify that all particulars furnished above are true and accurate to the best of my / our knowledge and that I / We are aware that if any information furnished by me / us is found to be false or misleading, my / our names will be removed from the Suppliers Register and included in the defaulting supplier's list.

………………………………
Name of Applicant

………………………………
Authorized Signatory

Date: …………………………

Business Frank