Supplier Creation Form

Supplier Number:
(to be added by Financial Services Division)

Supplier Information

Your Company Name Sphera Solutions UK Limited

Who is your TCD contact? Sarat Chandra Togarcheti

What product/service will you provide? Life Cycle Assessment Software

What currency would you like to bill us in? EURO €

What email address would you like us to send recievables@sphera.com

your remittances to?
What email address would you like us to send
your Purchase Orders to? dwilkinson@sphera.com

Do you accept payment by credit card?

NO

Total Expected value of transactions

Is this a once off transaction?

NO

Contact Name for account queries: Darren Wilkinson

Telephone Number: 44 7827970750

Supplier Address: The Innovation Centre,Warwick Technology Park

Address Line 1:

Address Line 2:

City: Warwick

County:

Country: United Kingdom

Postal Code: CV34 6UW

Company Registration No.: 4287879

Tax Registration No.: 797 6805 58

We cannot pay a supplier more than €10,000 in a 12 month period unless we can verify your Tax Clearance Certificate from Irish Revenue.

If you have provided an Irish Tax reference number above, we will use this to verify your tax clearance status on ROS.ie, please ensure the number
given is the TRN linked to your valid clearance certificate and appears on your invoices.

If your company is non-resident, please forward your tax clearance certificate with this form. If you do not have one, application details are
available on Revenue.ie.

Supplier Bank Details

Name of Bank : Barclays Bank

Bank Address: 25 Gresham Street, London EC2V 7HN

Name of Account Holder: Sphera Solutions UK Limited

Account Number: 87 7277 66

Sort Code: 20-00-00

IBAN Number: (SEPA Requirement) GB69 BARC 2000 0087 7277 66

BIC/Swift Address: (SEPA Requirement) BARCGB22

ACH Routing Number:

(Mandatory for US suppliers)

Please return this completed form to: procurement@tcd.ie

http://www.tcd.ie/financial-services/acpayable/index.php