Instructions on Changi eProcure Supplier Account Authorisation & Activation
Required to be completed in this form:
Part 1: Authorisation Form for Account Activation
Part 2: Types of Services, Fees Payable and Payment Method
Part 3: Declaration and Undertaking
1. To enable us to expedite the processing, please provide all information requested.
2. Please confirm the point of contact from your organization and key in the contact details into
the form below.
3. The form should be submitted with approved signatory of your company i.e. MD or equivalent.
4. Upon completion of this activation form, you are required to submit One (1) signed PDF file
format (from page 1 to page 5) together with your Certificate of Incorporation or UEN or ACRA
certificate and email to [email protected].
5. Please save the PDF file name in the following format CAG-SAPDF-[UEN]. UEN is your company’s
Unique Entity No or ACRA Business Registration No or Certificate of Incorporation No.
e.g. CAG-SAPDF-199991189M
6. We are pleased to inform you that SESAMi has based on CAG’s request to waive Registration
Fee.
7. Please note that SESAMi will accept payment via:
a. DBS, OCBC and/or Citibank Commercial and/or any of their Visa/MasterCard issued by the 3
banks;
b. GIRO Collection (Please refer to the Application for Interbank GIRO Form, ONLY part 1 to be
completed by Supplier in page 5 of 5);
c. GIRO Payment (Please send your Direct Credit Authorization form to SESAMi (S) Pte Ltd for
our banker’s certification); or
8. Upon receiving the duly signed authorisation form, we will follow up with issuing of User ID and
password to the approved point of contact.
9. Should you encounter difficulties in completing the form, or if you need further information,
please contact us at
a. [email protected], or
b. contact Ms. Sharon at [email protected] or (65) 6302 5300 opt 4
c. call SESAMi hotline (65) 6333 1188
d. contact SESAMi at
SESAMi (Singapore) Pte Ltd
7B Keppel Road
#06-07/08 Tanjong Pagar Complex
Singapore 089055
Tel: (65) 6302 5300
Fax: (65) 6302 5301
E-mail: [email protected]
10. All information provided will be held in the strictest confidence.
Authorisation Form v 1.8
Page 1 of 5
Agreement No.:______________________
(for SESAMi’s official use)
Changi eProcure Supplier Account Authorisation & Activation
Part 1: Authorisation Form for Account Activation
APPLICANT DETAILS
Registration No (UEN)*
:
Company Name
:
Mail To Address
:
Bill To Email Address
:
POINT-OF-CONTACT DETAILS
Point-of-Contact Name
:
Department
:
Designation
:
E-mail Address
:
Mobile Number
:
Office Number
:
* Please submit photocopies of certificates for verification.
Note: All fields are mandatory
Authorisation Form v 1.8
Page 2 of 5
Part 2: Types of Services, Fees Payable and Payment Method
Registration Fee (S$)
Waived
Subscription Fee (S$)
$100 per annum
Transaction Fee (S$)*
Free
if ABV* Bracket < $50,000
$100
if ABV* Bracket < $100,000
$200
if ABV* Bracket > $100,000
*Annual Business Value (ABV) is the total business value transacted between CAG and the Supplier, accumulated over 12 months from 1st
April to 31st March of the following year.
CREDIT CARD
Name on Card
:
Credit Card No
:
Expiry Date (MMYY)
:
Type of Card
:
Visa
MasterCard
Issuing Bank
(mandatory for Local
Suppliers only)
:
DBS
CitiBank
OCBC
GIRO COLLECTION
Please refer below for the Application for Interbank GIRO Form. Only Part 1 is to be completed by supplier.
GIRO PAYMENT
For GIRO Payment, please send your Direct Credit Authorization form to SESAMi (S) Pte Ltd for our banker’s
certification.
Bank Name
:
Development Bank of Singapore
Bank Code
:
7171
Bank Branch
:
South Bridge DBS
Branch Code
:
010
Bank Address
:
Blk 531 Upper Cross St #01-51 Hong Lim Complex Singapore 050531
Bank Country
:
Singapore
Account Name
:
SESAMi (Singapore) Pte Ltd
Account Number
:
010-900727-0
PAYMENT POLICY
Payment of subscription and transaction fees will be deducted to the credit card or giro account provided in
this form.
TERMINATION POLICY
Termination Fee of $100 and One-Month Notice Period in writing are required for your account to be fully
terminated.
Authorisation Form v 1.8
Page 3 of 5
Part 3: Declaration and Undertaking
I, on behalf of the applicant entity named above (the “Applicant”), hereby:
(i) declare that the above named Point-of-Contact is authorised at all times to operate and utilise any of the
services granted and provided to us through the online supplier portal of Changi Airport Group (Singapore)
Pte. Ltd. (the “Changi eProcure”), and that such Point-of-Contact shall be deemed to be authorised at all
times to act on behalf of the Applicant and to have the necessary capacity and authority to bind the
Applicant to contracts of any amount;
(ii) declare that all the information provided herein is true and accurate as at the date of this application;
(iii) authorise SESAMi (S) Pte Ltd (“SESAMi”) to issue login details to the above named Point of Contact for a
Changi eProcure online account;
(iv) undertake that, in the event that paragraph (i) above is untrue in any way, we shall promptly de-activate
and revoke the Changi eProcure online account for the Point-of-Contact by notice to SESAMi; and
(v) acknowledge and agree that each of SESAMi and Changi Airport Group (Singapore) Pte. Ltd. is entitled to
rely on the correct use and/or entry of the prescribed login procedure by the Applicant as conclusive
evidence of the authenticity of any communications received via the Point-of-Contact’s Changi eProcure
online account.
Signature of Authorised Signatory **
Name
NRIC/FIN
**
:
:
Date
Designation
Mobile/Office No
Company Stamp
:
:
To be signed by :

For a sole proprietorship – the owner;

For a partnership / limited liability partnership – a partner;

For a club / society / association / management of a building – the chairman / president, secretary or treasurer of the
committee or other governing body (or persons holding similar or equivalent positions); and

for a company – a director
Authorisation Form v 1.8
Page 4 of 5
APPLICATION FOR INTERBANK GIRO
PART 1: PLEASE COMPLETE THIS FORM AND RETURN TO SESAMi (S) PTE LTD
Date:
Name of Billing Organization:
SESAMi (S) Pte Ltd
7B Keppel Road
#06-07/08/09 Tanjong Pagar Complex
Singapore 089055
Name of Bank:
Bank Branch:
Business Registration Number / UEN:
A)
B)
C)
Paying for (if not applicant)
I/We hereby instruct you to process SESAMi (S) Pte Ltd’s Instructions to debit my/our account.
You are entitled to reject SESAMi (S) Pte Ltd’s debit instructions if my/our account does not have sufficient funds and charge me/us a fee for this. You
may also at your discretion allow the debit even if this results in an overdraft on the account and impose charges accordingly.
This authorization will remain in force until terminated by your written notice sent to my/our address last known to you or upon receipt of my/our
written revocation to SESAMi (S) Pte Ltd.
My/Our Name(s) as in Bank Account:
My/Our Contact Number(s):
NRIC Number:
My/Our Bank Account Number:
Signature/Thumbprint: (As in Bank’s record)
Please impress your thumbprint clearly if your bank account is operated by thumbprint.
PART 2: TO BE COMPLETED BY SESAMi (S) PTE LTD
Bank
7171
Branch
010
SESAMi Account No.
0109007270
Bank
Branch
Account No. to be debited
Agreement No.
PART 3: TO BE COMPLETED BY BANK
To SESAMi (S) Pte Ltd
This Application is REJECTED (tick where applicable) for the following reason(s):
Signature/Thumbprint# differs from Financial Institution records.
Signature/Thumbprint# incomplete/unclear#
Account operated by Signature/Thumbprint#
Name of Approving Officer
Wrong account number
Amendments not countersigned by customer
Others ____________________________________
Authorized Signature
Date
*For thumbprint, please go to the branch with your identification
#Delete where applicable
Authorisation Form v 1.8
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