UNICEF Procurement Services
Registration Form
Please fill-in the form and submit it to us. Should you have any questions about this form do not hesitate to contact us. Please review our criteria for eligibility. For security reasons it is only allowed to enter up to 50 characters except text boxes like "Comments" and others will of course allow longer text. Also the following characters are illegal; "%^*()+=`¬[]{}|\<> Please note that fields marked with a star "*" are mandatory.
Full Name of Institution:
*
Type of Institution:
please select Non-Governmental Organization UN Agency Government Donor Government International Financial Institution Philanthropic Organization University Private Individual Commercial Company Other *
If other please specify:
User Salutation:
Ms. Mrs. Mr. Dr. *
First Name:
Last Name:
Job title:
Telephone
*(please include country & city code)
Mobile
Fax
Official email address:
Office Address:
Postal Code:
Country:
please select Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Congo, Democratic Republic of the Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See (Vatican City) Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republics Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia, Federated States of Moldova Monaco Mongolia Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Tanzania, United Republic of Thailand Timor Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Venezuela Viet Nam West Bank & Gaza Yemen Yugoslavia Zambia Zimbabwe *
Address of Internet website:
Alternative contact person: (please include contact details if different from those given above)
Briefly describe how your mission relates to children/women’s issues:
Main type of funding for supplies/projects:
If Loan:
If NGO: Registration Number:
HQ Address (if different from above)
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