Home
Whistle Blow
Service Requests
Loyalty program
Resources
Events

+254 757 204 782
Sign in

Contact Us

Home
Whistle Blow
Service Requests
Loyalty program
Resources
Events

+254 757 204 782

Sign in

Contact Us

Vendor Registration Form

Please complete the form below with accurate and up-to-date information about your company. The details you provide will help us verify your compliance, assess your suitability as a supplier, and complete our Know Your Customer (KYC) process. Ensure that all mandatory fields are filled, and attach supporting documents where required.

Company Name *

Company Type *

Company

Individual

Business Registration Type *

ID Number *

Date of Birth *

Gender *

Male

Female

Postal Address *

Street Address *

Physical Location *

City *

Zip Code *

Country *

Company Phone *

Company Email *

Website Address

Supply Categories *

Supply and delivery of office furniture and finishings

Supply and delivery of industrial Chemicals

Supply and delivery of Industrial Fuel and lubricants

Supply and delivery of electronic devices / IT supplies

Provision of mechanical services

Provision of consultancy services

Supply and delivery of mechanical tools

Supply and delivery of electrical supplies

Supply and delivery of office supplies and stationery

Company Profile Upload *

Certificate of Incorporation Number *

Incorporation Certificate Upload *

Certificate of Registration *

Certificate of Registration Upload *

KRA PIN Number *

KRA PIN Certificate Upload *

CR12 Number *

CR12 Upload

KRA TCC Number *

KRA TCC Date *

KRA TCC Upload *

Business License Number *

Business License Date *

Business License Upload *

NEMA Certificate Number

If applicable.

NEMA Certificate Upload

NCA Certificate Number

If applicable.

NCA Certificate Upload

Preferred Payment Terms *

Preferred Payment Method *

Direct Bank Transfer

M-Pesa Till number

M-Pesa Pay Bill Number

Bank Name *

Branch Name *

Account Holder Name *

Account Number *

Currency *

Add 2nd Bank in Different Currency

No

Yes

Bank Name 2 *

Branch Name 2 *

Account Holder Name 2 *

Account Number 2 *

Currency Bank 2 *

M-Pesa Till number *

Registered Till Name *

M-Pesa Paybill Number *

Paybill Account Number *

Registered Paybill Name *

Reference 1 – Company Name *

Reference 1 – Contact Person *

Reference 1 – Contact Email *

Reference 1 – Contact Phone *

Reference 2 – Company Name *

Reference 2 – Contact Person *

Reference 2 – Contact Email *

Reference 2 – Contact Phone *

Reference 3 – Company Name *

Reference 3 – Contact Person *

Reference 3 – Contact Email *

Reference 3 – Contact Phone *

Reference 4 – Company Name

Reference 4 – Contact Person

Reference 4 – Contact Email

Reference 4 – Contact Phone

UBO 1 – Company Name *

UBO 1 – Contact Name *

UBO 1 – Contact Email *

UBO 1 – Phone Number *

UBO 1 – Country *

UBO 2 – Company Name

UBO 2 – Contact Name

UBO 2 – Contact Email

UBO 2 – Phone Number

UBO 2 – Country

UBO 3 – Company Name

UBO 3 – Contact Name

UBO 3 – Contact Email

UBO 3 – Phone Number

UBO 3 – Country

UBO 4 – Company Name

UBO 4 – Contact Name

UBO 4 – Contact Email

UBO 4 – Phone Number

UBO 4 – Country

Minimum Order Quantity

If applicable.

Additional MOQ Information

Delivery Terms

If applicable.

Additional Delivery Terms Information

Enter Any Extra Information You Would Like to Share

Submit

Useful Links

Home
About us
Buy from us
Supply to us
Events & News
Contact us

About us

Mr. Green Trading Africa K. LTD is the first recycling company on the African continent to become a Certified B Corporation.

We harness the power of business to achieve sustainable, long-term social, environmental, and economic impact through the collection, conversion, and sale of post-consumer plastic waste.

Connect with us

Contact us
contact@mrgreentrading.com
+254 757 204 782

Follow us

Copyright © Mr Green Trading Africa K. LTD

Powered by

- Create a free website