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1 Basic Info

2 Application

Manufacturer Details

Company Name

Company AddressManufacturer's office address

WebsiteEnter the manufacturer's website address (URL)

Point of Contact

Contact Person - First NameGive the first name of the person we will contact

Contact Person - Last NameGive the surname of the person we will contact

Contact Person - Email AddressThe email address must be linked to the manufacturer's website (e.g. xxxxx@medicalsupply.co.uk)

Contact Person - Phone NumberPlease note we never share your personal information. We only use it to contact you on matters relating to your business, in accordance with our Privacy Policy.

Set a Password

Manufacturer Due Diligence

Business Licence Number / Company Registration NumberEnter the manufacturer's company number

Business Licence Certificate Expiry Date

Business Licence CertificationUpload the manufacturer's business licence certificate. This is also known as the registration certificate or incorporation certificate.

Upload Certificate

Export Licence Expiry Date

Export Licence CertificateUpload the manufacturer's export licence

Upload Certificate

FDA Registration (or FEI) Number

FDA Registration Certificate

Upload Certificate

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By ticking the following box, you confirm you have read, understood and agree to our Privacy Policy.

By ticking the following box, you confirm you have read, understood and agree to our Sales and Purchase Agreement, which will be used for all future orders.