Step 1 - Applicant Business Details
Legal Business Name
*
Trading Name (if different)
*
Business Type
*
Business Registration Number
*
Tax Identification Number (TIN)
*
Date of Business Establishment
*
Registered Business Address
*
Postal Address (if different)
Main Business Phone Number
*
Main Business Email Address
*
Company Website
*
Step 2 - Primary Contact Person
Full Name
*
Job Title / Position
*
Direct Phone Number
*
Direct Email Address
*
Step 3 - Accounts / Finance Contact
Your Full Name
*
Accounts / Finance Contact (Job Title / Position)
*
Your Phone Number
*
Primary Email Address
*
Step 4 - Nature of Business
Primary Industry / Sector
*
Type of Goods Imported (brief description)
*
Estimated Monthly Shipment Volume
*
Freight Type
*
Sea Freight
Air Freight
Both
Services
*
Customs Clearance
Freight Forwarding
Port Handling
Local Cartage and Delivery
Countries of Origin (Primary Supplier Countries)
*
Step 5 - Credit Terms Request
Credit Limit Requested (FJD)
*
Payment Terms Requested
*
Preferred Payment Method
*
Step 6 - Banking Details
Your banking details are collected for credit assessment purposes only and are kept strictly confidential.
Bank Name
*
Branch
*
Account Name
*
Account Number
*
Step 7 - Trade Reference 1
Reference 1 Company/ Organization
*
Contact Name
*
Phone Number
*
Email Address
*
Step 7 - Trade Reference 2
Reference 2 Company/ Organization
*
Authorized Representative (for businesses)
*
Phone
*
Email
*
Step 8 - Document Uploads
Please upload the following documents. Accepted formats: PDF, JPG, PNG. Maximum 10MB per file.
Certificate of Incorporation / Business Registration Certificate
*
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
TIN Certificate
*
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Bank Statement (last 3 months)
*
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Director / Owner Photo ID (Passport or National ID)
*
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Additional Supporting Documents
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Step 9 - Declaration and Authorization
By submitting this application, you confirm that all information provided is accurate and complete, and that you agree to the Terms and Conditions of VC Customs Services.
Authorised Signatory Full Name
*
Position / Title
*
Date
*
Checkbox
*
I confirm that the information provided is accurate and complete.
I agree to the Terms and Conditions of VC Customs Services.
Signature
*
Clear