Foreign Supplier Form

Contacts

Company name

TIN

Address

Number No number

Neighborhood

City

ZIP CODE

Telephone

Contact Person

E-mail 1

E-mail 2

Bank Details

Bank Name

Bank Country

Full address of bank branch

Currency for financial transaction purposes

Account number

Swifty Code

Iban

Type of Supplier

Material Service Material/Service Not applicable - N/A

Declarations

ATTENTION: for the next stage it will be necessary to fill in the Family Link Form, available at CLICK HERE. Registration will only be completed once all outstanding documentation has been submitted

I agree

Foreign Supplier: Country

I declare that the information provided is my sole responsibility and that all documents, declarations and information are true and reflect the totality of the information and documents that must be brought to the attention of Transpetro, in accordance with the aspects set out in the instructions for completion and signed by the company's legal representative with all copies of the requested documents checked against the respective originals. NOTE: In the event of a change in data, the company must immediately requestthe change. TRANSPETRO makes its payments, within 30 (thirty) days, only by crediting a current account, based on the data provided.

I hereby declare that I am aware of the contents Code of Ethical Conduct and the of the Transpetro Social Responsibility Policy, available at https://transpetro.com.br/en_us/transpetro-institucional/social-responsability.htm, and undertake to respect them in my dealings with Transpetro.

I declare and guarantee compliance with the provisions of Law 12.846/13, regulated by Decree 8.420/2015, in its relationship with Transpetro.

I hereby declare that the company is not in Judicial or Extrajudicial Recovery, bankruptcy or in bankruptcy proceedings, nor is it a debtor of any state or private organization that may compromise the future execution of the contract(s).

I declare that the said Company exempts Transpetro from any responsibility for the authenticity of the documents submitted for registration, as well as assuming full risk of any questions regarding the veracity of the data contained therein.

Legal Representative of the Company

Stamp/Digital Signature

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