Supplier Registration Form


 Completing this registration process is the first step for letting ExxonMobil to know about your company.
  However, it should be noted that contacting ExxonMobil and/or completing this registration process does not
  imply that a supplier or contractor is approved, nor does it guarantee that a supplier / contractor is included on
  any tender list for the supply of goods or services for which they have registered.

 


 
 
Full Registered Company Name :  
test your company full name
 
Full Registered Company Name In Arabic(Optional):
 
Country of Registration :  
 
City :
 
Registered Head Office Address :    
 
 
Phone Number : (Please include international dial code, e.g. +964 780 555 0000)  
 
Company e-mail:    
 
Company Website (Optional)
 
Business Type :
 
 
If Company,are your shares publicly traded on a stock exchange?
 
 
Company Formation :
 
Date :  
 
 
Place :
 
Locations of business activities :




Note: Please provide, at least, one person holder of Power of Attorney (POA)
 
First Name :  
                      
Last Name :  
 
Job Title :  
 
Phone Number : (Please include international dial code, e.g. +964 780 555 0000)  
 
Vendor e-mail :                                                        
 
Comment(Optional) :  
 
Does the person hold Power of Attorney (POA)? :
 
If the person holds directorships in other company (ies), provide names of company (ies):
 
 




By clicking the box above I, acting on my own will and for my own benefit, hereby give my consent to Exxon Iraq Limited, legal entity, incorporated and existing under the laws of the Bahama Islands and authorized to do its business  in Iraq through a duly accredited branch, for processing of my personal data provided above with the purpose of storing this data as contact details for the company I intend to register in the Supplier Management Portal potential contractors database and using this data for purposes of SMP business, allowing the following activities and the following data processing techniques obtaining, saving, holding, organizing, adapting, and using.

 

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