Call: 01383 829546

Email: [email protected]

Verification Form

Company Details

Business Name *

Company Registration No.

Trading Address *

Post Code *

Registered Address *

Registered Address Postcode *

VAT Registration No.

Number of years established *

Contact in event of account queries *

Direct telephone number *

Mobile

Email Address *

Bank Account Name *

Bank Name *

Bank Address *

Bank Address Post Code *

Sort Code *

Account Number *

Attach copy of all bank details on your headed paper (Maximum file upload 20MB) *

No file chosen

Maximum file upload 20MB

Duns & Bradstreet Number

DECLARATION

*NOTE: This document is to verify your business status and essential details required to trade with KDM Group the information submitted may be used to gain a credit rating on your business. Any payment may be delayed if this verification form is not completed in full but does not affect any other terms outlined in any agreed subcontract, supply of goods and services or consultancy terms and conditions.

We hereby confirm that the information submitted is accurate to the best of our knowledge.

Signed by Name *

Signed by Position *

Sign by Date *