Welcome to Supergems - Where Trust is a Tradition

Please provide the information requested below to the best of your ability to ensure the fast setting up an account with us. We follow local AML/KYC laws, as well as Data Protection Laws. By sending us this information, you agree that we may contact you for diamond and diamond jewelry marketing purposes.

If you prefer to fill this out by hand or offline in Excel, Click Here to download the Excel format. Email to sales@supergems.com along with the required documents as requested.

COMPANY DETAILS

Company Name *

Global Group (if any)

Address Line1 *

Address Line2

Area

Zip *

Phone *

Country *

State *

City *

Internal Line

Fax No

Email Id

Website

REGISTRATION INFORMATION

GST No / Tax Residency No

Vat No

PAN No

No Of Years(In Bussiness)

No Of Employees

No Of Stores

PERSONAL DETAILS

First Name *

Middle Name

Last Name *

Designation

Phone

Mobile *

Prefer Language

Email ID *

Birth Date

PAN No

Passport No

Remarks

LOGIN DETAILS

User Name *

Password must be 8 characters long. Should be numbers, upper and lower-case characters and special characters.

Password *

Confirm password *

INDUSTRY ASSOCIATION MEMBERSHIPS

Association/Organisation

Membership No

BANK DETAILS

Bank Name

Account No

Account Type

Address

Area

Zip

Phone

Country

State

City

OTHER ACTIVITIES

Broker

Commission Agent

TRADE REFERENCES 1

Trade Type

Name of the person

Company/Bank Name

Address

TRADE REFERENCES 2

Trade Type

Name of the person

Company/Bank Name

Address

COMPANY DOCUMENTS

VAT/TIN

GST/TAX RESIDENCY

PAN CARD

Please upload minimum one document.

PURCHASE MANAGER DOCUMENTS

Photo

ID Proof *

Visiting Card

I/We agree to the following conditions :

1) Supergems NV is authorized to verify the above information.
2) Any changes in ownership, address or ability to repay a debt on time, must be notified to Supergems NV.
3) The debtor(s) personally guarantee to pay all liabilities in full, according to the terms stated on all invoices.
4) In the event, this account becomes deliquent, I personally agree to pay reasonable Attorney's or Collection Agency's fees, interest and court costs.

I allow the setting of my account using this form at your marketing representatives for delivery in Hong Kong and Antwerp, should it ever be necessary.

Download KYC