Legal Entity Name * Trading / DBA Name Company Registration No. * Country of Incorporation * Primary Operating Country * Year Incorporated Registered Address Corporate Website Business Email * Business Phone

We confirm exactly who ultimately owns and controls the company we are paying. A single named owner of record is required.

Ultimate Beneficial Owner * Ownership % * Nationality

The name on the receiving account must match your legal entity. A mismatch is the single most common indicator of wire-redirection fraud.

Beneficiary Bank Name * Bank Country * Exact Account Holder Name * Does the account holder exactly match the legal entity? *Select...Yes — identicalNo — different name Is the bank in your operating country? *Select...YesNo — third country IBAN / Account No. SWIFT / BIC Preferred Payment Terms *Select...Escrow / verified milestoneNet 30 after deliveryPartial deposit, balance on delivery100% upfront by wire Will you transact via escrow? *Select...YesNo Have these bank details changed in the last 90 days?Select...NoYes

Product Categories Brands Supplied * Authorized reseller / channel partner? *Select...Yes — for all brands listedPartial — some brandsNo — open-market / grey Can you provide an authorization letter / partner ID?Select...YesNo Inventory status for this order *Select...In stock now, in our possessionPartially in stockAllocation / drop-ship / to be sourced Can you provide serials + time-stamped photos + live video of stock? *Select...Yes — all of itNo Lead Time Will you fulfil a small paid first order / sample? *Select...YesNo Sample Serial Numbers (for independent verification)

Years Actively Trading * Annual Revenue Band *Select...Under $1M$1M – $10M$10M – $50M$50M – $250M$250M+ Audited financial statements available? *Select...YesNo D-U-N-S Number Covered by trade-credit insurance?Select...YesNo Any litigation, default, or insolvency in last 3 years?Select...NoYes

Trade Reference 1 — a buyer of similar value

Contact Name * Company Email * Phone

Trade Reference 2

Contact Name Company Email Phone

Marketplace profile with transaction history (Alibaba, Global Sources, etc.) Permit an on-site or live virtual facility visit? *Select...YesNo Join a live video verification call? *Select...YesNo

Confirm compliance with all export controls & that you are not on any denied-party list *Select...ConfirmedCannot confirm Confirm the entity & all owners are not sanctioned (OFAC / EU / UN) *Select...ConfirmedCannot confirm Authorized Signatory Name *