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The 5 Pillars
Certified Companies
Application Form
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Application Form
1.0 Corporate Information
Is your company registered in Singapore?
(Required)
Yes
No
Is this a new application or a renewal?
(Required)
New Application
Renewal
Company Name
(Required)
Date of Incorporation
(Required)
DD slash MM slash YYYY
Employee Size
(Required)
Legal structure of the company
(Required)
Private Limited
Public Listed
Government Owned/Linked
Company Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone Number
(Required)
Company Website
Industry
(Required)
Agriculture
Automotive
Beauty & Personal Care
Building Materials
Chemical and Plastics
Consumer Goods
Construction
E-commerce
Education & Training
Electrical & Electronics
Financial Services
Food & Beverage
Healthcare, Pharmaceutical & Biotechnology
Hospitality, Food Service & Tourism
Industrial & Commercial Products
Manufacturing
Media & Entertainment
Mining & Energy
Oil & Gas
Personal Services Industry
Real Estate / Property Development
Professional & Business Services
Retail
Telecommunications & ICT
Trading & Wholesaling
Transportation & Logistics
Other
other industry
(Required)
Business Size
(Required)
USD 2 Million to USD 5 Million
USD 5 Million to USD 10 Million
USD 10 Million to USD 20 Million
USD 20 Million and above
Kindly indicate your annual revenue range above
2.1 Contact Person Information
Name
(Required)
Designation
(Required)
Mobile Number
(Required)
Email
(Required)
2.2 Secondary Contact Person Information
Name
(Required)
Designation
(Required)
Mobile Number
(Required)
Email
(Required)
3.0 Corporate Summary
Organization Background and Introduction
(Required)
(200 words)
4.0 Payment
A non-refundable fee of
USD 2060.00
(3% Stripe Processing Fee) will be charged for every application.
A non-refundable fee of
USD 1545.00
(including 3% Stripe Processing Fee) will be charged for every application.
A non-refundable fee of
USD 2245.40
(including 9% GST + 3% Stripe Processing Fee) will be charged for every application.
A non-refundable fee of
USD 1684.05
(including 9% GST + 3% Stripe Processing Fee) will be charged for every application.
Total
Responsible Business Certification Application
Price:
Responsible Business Certification Renewal
Price:
Responsible Business Certification Application
Price:
Responsible Business Certification Renewal
Price:
This field is hidden when viewing the form
Payment
Credit Card
Credit Card
5.0 Declaration
1) Hereby declare that the information submitted herein and as supporting documentation are to the best of my knowledge, true and verifiable. I understand and agree that should any of the information submitted herein and / or any supporting documentation appended herein found to be factually incorrect or are designed to mislead the judges, my nomination will be null and void, and if I’ve been declared a winner, my award will be rescinded. I declare that I am not related to any staff of the Organizers or to any judges appointed by the Organizers (except normal business relationship, if any). I further declare that I have not attempted and will not attempt in any manner, monetary or otherwise, to influence the decisions of the Organizers and/or the judges. I also declare that my business and I have never been investigated for criminal or civil offences at any time in the past or present.
2) By submitting this form, you consent to the organizer collecting, storing, processing, and disclosing your personal data as needed for order fulfilment, customer support, marketing, and legal purposes, in accordance with the Personal Data Protection Act.
Declaration
(Required)
I Agree