NATIONWIDE CONTAINER LEDGER ACCOUNT PORTAL

Name Of Company * Please enter your company name.

Bank Name * Please enter your bank name (Eg: Union Bank, BDO, BPI, PSB)

Account No * Please enter your bank account number (numbers only, no spaces)

Account Holder Name * Enter the account holder name as written on the passbook

Bank Address * Please enter your bank address.

Upload Bank Statement * Upload PDF/JPG/PNG file, max. 5MB (Latest 1-3 months)

Address Line 1 * Please enter your Address.

Address Line 2 Please enter your Address.

Zip Code * Please enter your zip code.

Country *Please choose your country.

Area *Please choose your area.

City *Please choose your city.

Email Address * This is your primary user id.

Hand Phone Please enter hand phone no.

Phone number * Please enter your telephone number(s).

Alternative Phone number Please enter your Alternative number(s).

Fax Please enter your fax number(s).

Website Please enter website.

Contact Person (1) * Please enter your contact person(1).

Position * Please enter position in company.

Phone no * Please enter contact person(1)'s phone number.

Email Address This email address should be different from your primary email address.

Contact Person (2) Please enter your contact person(2).

Position Please enter position in company.

Phone No Please enter contact person(2)'s phone number.

Email Address This email address should be different from your primary email address.

Certification of Incorporation * Upload BIR 2303 only

I/We hereby confirm that the information provided herein is accurate, correct and complete.

I/We accept and agree to be CLA Portal user while using the services on the Portal and shall comply to its Terms & Conditions.