Contractor Self-Registration

Company / Business Name *

RC Number *

Year of Incorporation

Primary Contact Name *

Designation

Phone Number *

Email Address *

Physical Address *

LGA *

State

Add at least one director as registered with the Corporate Affairs Commission.

Specialisation / Trade Categories *

Maximum Contract Capacity (₦)

Number of Permanent Staff

CAC Certificate (Upload PDF/Image)

Tax Clearance Certificate

Declaration of Authenticity

I/We hereby declare that the information provided in this registration form is true, complete and accurate to the best of my/our knowledge. I/We understand that providing false information may result in disqualification, blacklisting, and/or legal proceedings under applicable Edo State laws.

I accept the above declaration and confirm all submitted documents are genuine. * I consent to the storage and processing of the submitted information by the Edo State Infrastructure Development Agency for the purpose of contractor management. *

Authorised Signatory Name *

Designation *

Date *

Contractor Registration

Declaration of Authenticity