DUNS Number Registration Form Validate Email This information must be accurate and in accordance with what was indicated in the FDA, all questions must be completed. Company Name as legally registered * Trade Name: * Tax Identification Number (Tax ID): * Complete Address: * Website: Date of legal registration: * Ownership distribution (It is essential to indicate at least the main shareholder and their percentage of ownership): * Percentage of ownership: * Full Name or Legal Entity: * Legal Representative (Full Name | Email): * Add two additional contact persons in your company: * Primary activity of your company: * Number of employees: * Annual Sales (specify amount - not mandatory) : * Attach a legal representation document of the company / Certificate of registration and data update to the unified tax registry: * File name: File size: Add File Footer Responsive
