Customer Verification Form

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Customer Verificatrion Request

Your Title

Your Name

Company Name

Please state the incorporation Date of your Company

Physical Address of your Head Office

Company Registrations Number

Telephone Number

Website

Enter the name of your CEO or equivalent

Counterparty Status

Counterparty Type

If a publicly quoted company, please name the stock exchange and listing

Type of transactions

Do you buy spot , short term or long-Term (annual) contracts

Has the organization declared a policy focus on combating acts of corruption?

Does the organization have a compliance officers or similar position?

Are there laws in your country aimed at preventing corruption offenses?

In the organization, is there an internal audit function or other independent third party that control the company’s procedures?

Does the organization do a risk evaluation related to corruption exposure?

Has the organization developed procedures that control the handling of information?

Has the organization implemented systems to identify clients or organizations with which it maintains some type of business?

internal which Address

Are the complaints channels that allow workers to report infractions to domestic or legal regulations?

Does the company have a policy prohibiting child labour?

In the past 5 years, has the organization been investigated by the competent authorities for having violated any law or regulation for corruption offenses?

Declaration

I hereby state that I am authorized by the company to share this information and that it is accurate and true

At Desumo Consulting, we deliver innovative procurement and supply chain solutions tailored to your needs. From strategic sourcing to procure-to-pay automation, we help organizations achieve efficiency, savings, and growth.

Contact

Streamline procurement and boost efficiency—contact us

info@desumo.ca

Head Office

Calgary - YYC:

1816 Crowchild Trail NW,
Suite 700, Calgary, T2M 3Y7

Other Office Locations

Birmingham - BHX:

Lewis Building 35 Bull Street, Birmingham, West Midlands, B4 6AF, GBR

Cape Town - CPT:

First Floor, Willowbridge Centre, Carl Cronje Dr Cape Town, 7530

Dubai - DXB:

M Cluster, Jumeirah Lake Towers, Dubai

Customer Verification Form

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