Payee Information Form

PAYEE INFORMATION FORM

This form is intended to be used by any new or registered Intel’s supplier or other kind of entity in order to include or update the profile information into Intel’s Supplier Database for procurement and/or payment activities.

Please send this document back duly completed using the OTP (one time password) system (link and password sent by email). If you have any problem with your OTP, or any doubt or concern about the information to provide, please contact [email protected]. Please be aware that you might be contacted by [email protected] in case additional confirmation is required on our end.

Intel is committed to respect your privacy and confidential data. For more information on Intel’s personal information handling practices, please visit www.intel.com/privacy.

* Please Select: Company or Entity Government/Tax Authority Sole Proprietor or Partnership Individual  Note: If you are a new individual supplier located outside the United States, please provide along with this form a scanned ID or a tax certification.

* Indicates MANDATORY FIELDS. This form works better using MS WORD with letter page size (21.59 cm x 27.94 cm or 8.5" x 11") Section 1: Company name and Tax information * Legal Company Name:  Note: This field works also to set your name if you are doing  Note: Legal company name is not the same as legal representative name. business as an individual. Business Trade Name:  Note: Use Trade name, not business nature. * Tax ID:  Note: The Tax ID varies based on your country or region’s legislation. Example: USA: FEIN/SSC, Europe: VAT/Tax ID, Philippines: TIN, Malaysia / Singapore: GST

If you intend to update the company names already registered, please provide the details below Former Legal Name: Former Business Trade Name:

Reason for Name Change (Please select) Bought out Merger Other reason:

Former Tax ID:  Note: If the TAX ID changed, please provide the previous one.

* Indicates MANDATORY FIELDS. Section 2: Address information Note: If the “Remit to” address is different than the “Order From” please include it. * Address (Order From) Remit to Address (if different) Address: (or P.O. Box) City: ZIP/Postal Code: State or Province: Country: DUNS Number:  If available  If available  Note: Duns & Bradstreet DUNS numbers are a standard 9 digit number used to identify companies worldwide and each physical address has its own unique DUNS. If you don’t have one, please visit www.dnb.com to request it. It’s recommended in order to access supplier.intel.com More information at supplier.intel.com/seem/CompanyIDRequestProcess.asp Intel Corporation | Payee Information Form 1 * Indicates MANDATORY FIELDS. Section 3: Contact information Please specify your Sales Representative contact and the appropriate contact to address Billing and Payment questions. Sales Representative * Invoicing and Payments Contact

Phone: Phone: Fax: Fax: Email: Email:  Important considerations about email domain (this doesn’t apply for individuals): 1. If the contact email doesn’t carry a domain related to any of the company names depicted in Section 1, please explain the relationship in the field below. 2. If the email domain is a public one (not corporative) like “@hotmail.com”, “@123.com”, etc., please provide a scanned copy of the company business license, or business registration, or certificate of incorporation, or a tax certification, or similar in your country.

Section 4: Bank information * Bank Name: * Bank Account Currency * Address:  Note: If the account is Multicurrency or if the currency is not listed in the dropdown list, please include other currencies accepted in the second field. * Indicates MANDATORY FIELDS. * Bank Account Holder Name * Bank SWIFT Code: * Local/Routing Code:  Examples: USA ABA/ACH Routing number, Australia: BSB, Malaysia: SWIFT Cod, New Zealand: Bank Routing Code, Hong Kong/Singapore: Clearing Code, Canada Transit Note: Number If the bank must accountcontain 9 holderdigits: 0 name+ bank is key different (3) + transit from (5) the. names indicated in Section 1, then kindly explain here why (or in a scanned signed letter). IBAN

 Required for banks in European countries and few others. ⇒ Note: The bank account holder name refers to the name of the individual or the entity * Bank Account Number that appears in the bank account statement as beneficiary. Please always provide it.

Section 5: Intermediary bank information (If required) Bank Name Address

Intermediary Bank Account Number

Bank SWIFT Code Bank Local/Routing Code IBAN

* Indicates MANDATORY FIELDS.  Required for banks in European countries and few others. Section 6: Authorization  Statement: I certify that the information provided in this document is correct and accurate, and authorize Intel’s Accounts Payable Department to initiate payments using the bank details provided in this form Section 4 (and in Section 5 if required). * Authorized Individual Name Authorized Signature

* Date

[Month/Day/Year]  Disclaimer: Intel makes no representations, warranties or assurances of any kind about the accuracy or completeness of the information provided in this document.

Intel Corporation | Payee Information Form 2