ECOM - Service Contract - Supplier sign.online digital contracts

1Supplier/Personal Information

2Bank Information

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Service Contract with a(Required)

Physical Person

Legal Entity

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Contract Effective Date(Required)

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Contract Expiration Date(Required)

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Additional expiration condition

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Contract ID

Contract ID (deprecated)

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Supplier/Personal Information Section

Legal person / Юридическое лицо

Information on a legal person / Информация о юридическом лице
Latin letters only / только ЛАТИНСКИЕ буквы

Your personal information / Персональная банковская информация и данные паспорта

Latin letters only / только ЛАТИНСКИЕ буквы

Name / Полное имя(Required)

First / Имя Last / Фамилия

Date of Birth / Дата рождения(Required)

Passport number / Номер паспорта(Required)

Passport Photocopy / Копия паспорта(Required)

Drop files here or

Max. file size: 10 MB.

Legal person's name / Название юридического лица(Required)

Please enter full legal name. If you are a Private Entrepreneur, your legal name should begin with the designation Private Entrepreneur / Пожалуйста, введите полное юридическое имя. Если вы Частный Предприниматель, ваше юридическое имя должно начинаться с обозначения Private Entrepreneur

Legal person's registration code / Регистрационный код юридического лица(Required)

Legal person's registration country / Страна регистрации юридического лица(Required)

Documents of legal activity / Документ подтверждающий юридический статус(Required)

Drop files here or

Max. file size: 10 MB.

Authorized to sign the contract / Уполномоченный на подписание договора(Required)

First name Last name or Position First name Last name / Имя Фамилия или Должность Имя Фамилия

Address / Адрес(Required)

City / Город Street / Улица Building and apartment number / Номер дома и квартиры Postal code / Почтовый индекс Country / Страна

Email / Электронная почта(Required)

Mobile Phone / Мобильный телефон(Required)

A number that can receive a SMS code.

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Service

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Service name(Required)

Name the service in one sentence

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Scope of the Services(Required)

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Additional Contract Terms

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Reviewer(Required)

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Staff Reviewer

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Payment

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The costs of the Contract…(Required)

Finish the sentence for the “Costs of Services” section. Amount format: USD/ EUR/ GBP X,XXX,XX (in words 00 cents / 00 euro cents)

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Custom Payment Arrangement Description(Required)

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Total fee(Required)

USD/ EUR/ GBP X,XXX,XX (in words 00 cents / 00 euro cents)

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50% of fee(Required)

USD/ EUR/ GBP X,XXX,XX

Beneficiary Bank / Банк получателя

Latin letters only / только ЛАТИНСКИЕ буквы

Account holder name / Имя владельца счета(Required)

Beneficiary Bank Name / Название банка-получателя(Required)

Beneficiary Bank Address (City) / Адрес банка (город) (Required)(Required)

Beneficiary Bank Country / Страна банка-получателя(Required)

Choose from the list / Выберете из списка

Account Currency / Валюта счета(Required)

IBAN (Account number) / IBAN (номер счета)(Required)

SWIFT/BIC Beneficiary Bank / SWIFT код банка-получателя (также известен как БИК)(Required)

Correspondent bank / Банк-корреспондент

Latin letters only / только ЛАТИНСКИЕ буквы

IMPORTANT / ВАЖНО
Check the information with your Beneficiary Bank – do you need to fill in Correspondent Bank information to receive payments in EUR/ USD/ GBP. Проверьте информацию в своем банке-получателе – нужно ли вам заполнять данные банка-корреспондента для получения платежей в EUR/ USD/ GBP.

Correspondent bank / Банк-корреспондент

Correspondent Bank Address (City) / Адрес банка-корреспондента (город)

Correspondent Bank Country / Страна банка-корреспондента

Choose from the list / Выберете из списка

SWIFT/BIC Correspondent bank / SWIFT код банка-корреспондента (также известен как БИК)

Click here to read our privacy policy / Нажмите здесь, чтобы прочитать нашу политику конфиденциальности

I have read and accepted the privacy policy
/ Я прочитал и принял политику конфиденциальности

Details of your name, e-mail address and any other personal information about you, which you include in response to this form conversation to comprise "personal data" for the purposes of the Data Protection Act. By sending this information, you are confirming the consent of the data collection by ECOM. Your personal data are collected and further processed only to the extent necessary to conduct regular ECOM activities, specified in current form conversation (may include contract and other financial documents arrangement; provision of logistic and travel support; other activities according to ECOM’s work-plan). ECOM will not pass your details on to any third party, without getting prior approval from your side. You will not have direct access to the data stored. Under the Data Protection Act if you wish to modify or delete your personal data, or want to know what personal data is stored on your behalf, please send us a message to contact@ecom.ngo. You will receive a reply within 20 working days.(Required)

I read it and I agree / Я прочитал это и согласен

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