PSM

Section 1: General Information

Business Type (tick one):

Public Listed Company

Private Limited Company

Government-Owned Entity

Sole Proprietorship / Individual

Partnership

Cooperative

NGO / NPO / Charity / Association

Other (Specify)

Business Details

Business / Institute Name*

Trading Name (if different)

Business Registration Number*

ID Card / Registration Number (for individuals/sole traders)*

Registered Address*

City / Atoll / Country*

Primary Contact Person*

Designation*

Mobile Number*

Email Address*

Alternate Contact (Optional)

Section 2: Business Category & Services

Type of business (tick all applicable):

Manufacturer

Distributer

Wholesaler

Retailer

Service Provider

Contractor

Consultant

Freelancer

Other (Specify)

Products / Services (tick all applicable):

Media & Broadcasting

Broadcasting Equipment

Audio/Video Production

Photography/Videography

Digital Media Services

Printing / Signage

General Services

IT Equipment / Software

Repair & Maintenance

Event Management

Advertising / Designing

Catering / Refreshments

Other Categories

Office Stationary

Furniture & Fixtures

Cleaning Services

Transport / Logistics

Other:

Brief Description of Key Products / Services

Are you an authorized dealer/reseller?

Yes

Attach Authorization letter / certificate

No

Section 3: Banking & Payment Details

Bank Name*

Branch*

Account Holder Name*

Bank Account Number*

SWIFT / IBAN Code

Preferred Payment Method

Bank Transfer

Cheque

Credit (Terms:)

Section 4: Documents Checklist

Mandatory Statutory & Compliance Documents

Business Registration Certificate*

GST / TIN Certificate (if applicable)

ID Card Copy (for individuals / sole traders)*

Company Profile (from Business Portal)*

Business Activity Regsitration*

Bank Account Confirmation*

Additional (if applicable)

Authorization / Dealership Certificate

ISO / Quality Management Certificates

Reference Letters

Product Catalog / Brochure

Section 5: Compliance & Declarations

Conflict of Interest & Related Party Disclosure (if none, leave blank)

Employee / Director Name

NID No.

Designation & Branch

Relationship

Mandatory Declarations (tick to confirm)

I/We confirm that the information provided is true and accurate.

I/We will promptly notify PSM of any updates with supporting documents.

I/We acknowledge payment will follow full delivery per PO/Award.

I/We declare any conflicts of interest with PSM staff.

I/We understand PSM may approve or reject this registration.

Section 6: Authorization & Submission

Authorized Signatory

Name*

NID No