Electronic Fund Transfer Form

Supplier Information Form (SIF)

Form Completion Instructions:

1. Complete all required fields in this Supplier Information Form (SIF) electronically.

2. Print on company header and sign form using a handwritten signature.

a. Apply company stamp if company letter head is not available.

3. Scan completed form (pdf or any image format will work).

4. Return completed form to original Intel sender and copy to

[email protected].

Intel Confidential 5/17/2018 – Rev 21 Supplier Information Form (SIF)

Section A: Order From Information – Mandatory Section B: Pay To Information – Mandatory (Physical address only) (Physical address or PO Box) Company Name:  Check if same as Section A Company Name and Address, then only provide the Accounts Receivable contact information. Address: Company Name: City: State/Region: Country: Postal Code: Address: Sales Contact Person: City: State/Region: Country: Postal Code: Tel: Fax: Accounts Receivable Contact Person: Include country code and area code Email: Tel: Fax: Include country code and area code Email: Section C: Tax Information Ordering Location D-U-N-S ® Number (if known): VAT Registration Number (If Applicable): Remit To Location D-U-N-S ® Number (if known): Each address has its own unique DUNS#. Do not provide Global DUNS# unless this location is the Global HQ. What is the DUNS #? Section D: Bank Details (Mandatory)   Bank Institution Name: Account Type: Checking/Current Savings Please select the applicable account type Bank Address: Please include the Postal Code, City, State/Province and Country Payment Currency: Bank Local Routing Number (BLZ Code): Bank Account Number: SWIFT Code: IBAN: Registered Bank Account Holder's Name. Options are:  Check if same as Section A Company Name - continue to Section E.  Check if same as Section B Company Name – continue to Section E.  Check if different than Section A or B Company Name and enter name here: Please explain relationship to Registered Bank Account Holder: ______If names are different, explanation required to avoid rejected payments Section E: Required for Intermediary Bank (Optional) Bank Local Routing Number (Local Routing Number): Bank Institution Name: SWIFT Code: Bank Address: Intermediary Bank Account Number:

I certify that the information above is true and correct and that I, as the authorized representative for the above named company, hereby authorized Intel’s Account Payable Department to electronically deposit payments into the designated bank account as stated in Section D column above. This authorization shall remain in full force until Intel’s Account Payable Department has received written authorization requesting a change or cancellation.

Signed by: ______Full Name: ______Telephone: ______

Date: ______Title: ______

Intel Confidential 5/17/2018 – Rev 21 Supplier Information Form (SIF)

Company Stamp:

Please return completed form to original Intel sender and copy to [email protected].

Intel Confidential 5/17/2018 – Rev 21