Please Note That This Is an Internal Form Which Should Not Be Sent to the Supplier For

NEW SUPPLIER ACCOUNT REQUEST FORM

PLEASE NOTE THAT THIS IS AN INTERNAL FORM WHICH SHOULD NOT BE SENT TO THE SUPPLIER FOR COMPLETION

IMPORTANT – PLEASE READ

Is this a ‘one-off’ purchase with a value below £3000 (incl. VAT)?
·  If ‘YES’, then a new supplier account is NOT required.
The purchase order should be raised on Agresso using the supplier ID ‘7’. When selecting this supplier ID, a prompt asking for the supplier’s bank details to be entered will appear on the screen.
·  If ‘NO’, please complete this form and email it, together with the supplier’s bank details on company ‘letterhead’, to Procurement Services at .
Forms must be completed by a member of University staff.
All fields are mandatory. Incomplete forms will be returned to the requester.

REQUISITIONER DECLARATION (all fields are mandatory)

Faculty/Directorate:
Form submitted by (Name): / Agresso User ID:
Full Description of Goods/Services/Works to be provided:
I have searched the University and HE/FE sector contracts website (http://www.stir.ac.uk/finance-office/procurement/contracts/) to check if there is a current and relevant Framework Agreement from which a suitable supplier could be selected. / Please check
Please check ONE of the following statements below:
·  This Framework supplier has been selected in accordance with the rules of the particular Framework. / Please check
·  There are no suitable Framework suppliers available. The selection of this supplier has been made following a competitive bidding process in accordance with the University’s Purchasing Policy & Procedures and as per the extant expenditure thresholds stated within those procedures.
http://www.stir.ac.uk/finance-office/procurement/policiesandprocedures/ / Please check
PROCUREMENT SERVICES USE ONLY:
Procurement check / Name: / Signature: / Date:
SUPPLIER DETAILS
Full Name of Supplier:
Is this supplier a self-employed individual? Yes No If Yes, please note that an employment status questionnaire will need to be completed and approved before this supplier can be set up. Please see guidelines and questionnaire at:
http://www.stir.ac.uk/hr-services/pay-pensions-benefits/self-employment/
Company Reg. No. / VAT Reg. No.
Head Office Address:
Payment Address (if different to Head Office):
Website Address (if applicable):
Telephone: / Currency:
E-mail Address for Purchase Orders: / Remittance Email Address:
BANK & CONTACT DETAILS ****Must be supported by bank details on company letterhead emailed with form****
Bank Name: / Bank Address (if foreign bank):
Bank Sort Code (if UK account): / Bank Account Number:
Bank Account Name:
IBAN No.:
(mandatory for all EU country payments to be made to a foreign bank) / Swift Code/BIC:
(mandatory for ALL payments to be made to a foreign bank)
Bank Clearing Code/ABA (optional): / Currency code:

FINANCE OFFICE USE ONLY:

SUPPLIER SET UP

Supplier ID: / Set up by: / Signature: / Date:
Bank Details Supported by Company letterhead? Yes No / Bank Details Verified by: / Signature: / Date:

University of Stirling FK9 4LA Scotland - Scottish Charity No SC011159 Page 2 of 2

April 2016