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Become an Infinigate Partner Whether you are a reseller, VAR, systems integrator, or MSP looking to add a new solution or service to your portfolio, we can help you take your business to the next level. Based on in-depth expertise in consulting, account management, and technical support, as well as facilitation tools for partners, we can help you identify opportunities, create compelling responses to calls for tenders, gain market share, and grow sustainably. Thousands of resellers and managed service providers partner with us to drive their growth. To become an Infinigate partner, please fill out the information form below. Although this form may seem lengthy, it is mandatory for financial validation and commercial compliance purposes. Download the following documents I download the partner application form I download the SEPA direct debit mandate Fill in the documents and prepare a copy of the company registration document (Kbis – less than 3 months old) along with the company bank details (RIB). Fill out the form below and attach the previously completed documents. [EN] Partner Application Form X/TwitterCe champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.COMPANY NAME (FULL LEGAL NAME IN ENGLISH)(Nécessaire)OTHER VARIATIONS TO COMPANY NAME THAT ARE BEING USEDADRESS 1(Nécessaire)CITY(Nécessaire)ZIP CODESTATE/PROVINCECOUNTRYAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsWEBSITE – URL(Nécessaire)Which brand are you interested in?(Nécessaire)Please specify which Infinigate catalogue brand(s) you are interested in.COMPANY PHONE(Nécessaire)Include Country CodeWhat year was your company established? (yyyy)(Nécessaire)DUNSCOMPANY REGISTRATION NUMBER AS ASSIGNED BY THE LOCAL COMPANIES REGISTRY(Nécessaire)VAT(Nécessaire)Please indicate the number of employees in your organization *(Nécessaire) 1-14 15-50 51-100 101-1,000 1,001-5,000 Plus de 5000 Banking in a different country than doing business? Oui Non Your contact at InfinigatePlease provide the details of your current contact at Infinigate.Name & Surname(Nécessaire)E-mail(Nécessaire) IF APPLICABLE, PARENT ORGANIZATION INFORMATIONLEGAL NAME – PARENT COMPANYADDRESS 1 – PARENT COMPANYADDRESS 2 – PARENT COMPANYADDRESS 3 – PARENT COMPANYCITY – PARENT COMPANYSTATE/PROVINCE – PARENT COMPANYZIP – PARENT COMPANYCOUNTRY – PARENT COMPANYCOMPLIANCE BUSINESS PROFILEAre you under investigation for, or had a conviction relating to commission of fraud, bribery, or corruption? *(Nécessaire) Yes No Have you been referred to Infinigate by a government official or a politically exposed person (PEP)? *(Nécessaire) Yes No Will you directly or indirectly sell products and services provided through Infinigate to the government or any government owned/controlled organizations?(Nécessaire) Yes No Will you give or receive anything of value beyond standard contractual discounting to obtain or retain business deals? Examples might include non-standard fees, upfront payments, or other non-standard incentives.(Nécessaire) Yes No Is your Company fully or in part owned by a Public Official ?(Nécessaire) Yes No Is your Company fully or in part a State Owned Entity?(Nécessaire) Yes No Does your company have a code of conduct * or ethics policy?(Nécessaire) Yes No If not, why ?Does your company have policies, procedures, and/or guidelines related to anti-bribery and corruption and import / export compliance? *(Nécessaire) Yes No If not, why ?Does your company provide training on requirements of anti-bribery and corruption laws and regulations? *(Nécessaire) Yes No How often does your company provide training?(Nécessaire)Does your company perform background checks or due diligence on employees, contractors and third parties?*(Nécessaire) Yes No If not, why ?(Nécessaire)Has the company or any individual in the company been(Nécessaire)1) investigated or formally accused by a government enforcement or regulatory agency; 2) suspended from doing business by a government authority; 3) investigated for criminal activity; 4) subject to allegation of fraud/misrepresentation/bribery/corruption/tax evasion; or 5) mentioned in the press for improper activity? Yes No PRIMARY BUSINESS CONTACTFIRST NAME – PRIMARY CONTACT(Nécessaire)LAST NAME – PRIMARY CONTACT(Nécessaire)EMAIL ADDRESS – PRIMARY CONTACT(Nécessaire) JOB TITLE – PRIMARY CONTACT(Nécessaire)TELEPHONE – PRIMARY CONTACT(Nécessaire)Include Country CodeA Director of the company, Power of Attorney, or other individual that is authorized by the company to sign agreementsIl s'agit du contact renseigné sur les champs précédents(Nécessaire) Oui Non LAST NAME – SIGNATORY CONTACT(Nécessaire)FIRST NAME – SIGNATORY CONTACT(Nécessaire)EMAIL ADDRESS – SIGNATORY CONTACT(Nécessaire) TELEPHONE – SIGNATORY CONTACT(Nécessaire)Include Country CodeNO DE TELEPHONE – CONTACT SIGNATAIRE(Nécessaire)PARTNER MARKETING CONTACTFIRST NAME – MARKETING CONTACTLAST NAME – MARKETING CONTACTTELEPHONE – MARKETING CONTACTEMAIL ADDRESS – MARKETING CONTACT JOB TITLE – MARKETING CONTACTFINANCIAL CONTACTFIRST NAME – FINANCIAL CONTACTLAST NAME – FINANCIAL CONTACTEMAIL ADDRESS – FINANCIAL CONTACT TELEPHONE – FINANCIAL CONTACTInclude Country CodeJOB TITLE – FINANCIAL CONTACTSALES CONTACTFIRST NAME – SALES CONTACTLAST NAME – SALES CONTACTTELEPHONE – SALES CONTACTInclude Country CodeEMAIL – SALES CONTACT JOB TITLE – SALES CONTACTCompleted documents to uploadUpload the partner application form here(Nécessaire)Types de fichiers acceptés : jpg, pdf, doc, docx, Taille max. des fichiers : 50 MB. Upload the copy of the company registration document (Kbis – less than 3 months old)Types de fichiers acceptés : jpg, pdf, doc, docx, Taille max. des fichiers : 50 MB. Upload the SEPA direct debit mandateTaille max. des fichiers : 50 MB. Upload the company bank details (RIB)(Nécessaire)Taille max. des fichiers : 50 MB. Specific request / commentPrivacy Policy(Nécessaire) By selecting continue, you confirm that you have read our information on data protection.