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General Details

Company Name*

General Company Email*

Country*

City*

Company Address*

Contact Number

Which UCN Network are you appliying for?*

UCN Global

UCN E-commerce

UCN China

Username*

Password*

Must be at least 8 characters long and include at least one lowercase letter, one uppercase letter, one digit, and one special character.

Confirm Password*

Primary Contact Details

Honorific*

First Name*

Last Name*

Contact Number*

Email*

Accounting Contact Details

Same as primary contact

Honorific*

First Name*

Last Name*

Contact Number*

Email*

Agent References

Part of Uconnect's vetting process is to invite consolidators and freight forwarders with good track records with their current overseas agent-partners. For the Network to evaluate your qualifications, please provide 3 of your overseas agent contacts whom you have been doing business with for 1 year or more.

	Agent Name	Company	Email	Contact No
1	Required.	Required.	Required.	Required.
2	Required.	Required.	Required.	Required.
3	Required.	Required.	Required.	Required.

Referral Details

How did you learn about UCN*

Email / reached out by someone from UCN team

Recommendation from a non-member agent

Recommendation from a UCN member

Social Media (Facebook / Instagram / LinkedIn)

Found on Internet

Conference / Event

Terms & Conditions

Upon Submission of this form I affirm that we have no outstanding payments owed to our forwarding partners beyond 60 days, and there are no unresolved disputes in this regard. I also verify that our company is not listed on any blacklists, either within the FDRS or our local association, and any discoveries to the contrary may be made public.

I have read and understood the above information

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